Messiah or pariah? Psychosis, science, and finding meaning in lived experience.

Diagnosed with adult-onset schizophrenia shortly after his 24th birthday, the author transitioned from a perceived state of spiritual awakening to grappling with one of the most stigmatized illnesses. Initially, he internalized societal stereotypes, envisioning a future as a marginalized individual. However, with support from family and providers, he re-engaged with school and work, fostering an expectation of normalcy despite early struggles. The author discusses his psychotic episodes, marked by rapture, absurdity, and terror, in light of current neurobiological literature and mechanistic hypotheses such as salience network dysfunction and impaired corollary discharge. Over time, he sought to reconcile these intense memories with scientific understanding to find meaning in his lived experience. As co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ), he advocates for an integrative approach combining scientific inquiry and lived experience. This perspective not only fosters a more accurate comprehension of psychosis but may also enhance research and care.