{"id":4007,"date":"2025-12-19T14:38:26","date_gmt":"2025-12-19T19:38:26","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/?page_id=4007"},"modified":"2026-05-14T10:49:00","modified_gmt":"2026-05-14T14:49:00","slug":"health-and-wellness-in-fep","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/for-clinicians-2\/education-resources\/health-and-wellness-in-fep\/","title":{"rendered":"Health and Wellness in FEP"},"content":{"rendered":"<h2 style=\"font-size: 24px;font-weight: 600;color: #4b9cd3;margin-top: 30px;margin-bottom: 10px\">\nWhy Prioritize Health and Lifestyle?<\/h2>\n<p>Individuals experiencing early psychosis often face elevated risk for physical health conditions, reduced life expectancy, and disruptions in daily functioning. These outcomes are influenced not only by medical factors, but also by modifiable lifestyle and behavioral patterns\u2014including physical activity, nutrition, sleep, stress regulation, substance use, and screen time.<\/p>\n<p>Early psychosis care provides a critical window to support recovery through integrated attention to both mental and physical well-being. Routine monitoring of health indicators, combined with early and consistent lifestyle interventions, can improve cognitive functioning, quality of life, and long-term outcomes.<\/p>\n<div style=\"margin-top: 40px\">\n<p><!---FOCUS AREA AND DOWNLOAD PACK&gt;--><\/p>\n<div style=\"margin-top:40px\">\n<div class=\"bs-callout bs-callout-primary\">\n<h2>Focus Areas<\/h2>\n<p style=\"margin-top:0;margin-bottom:16px;color:#333\">\n      Each section below expands to show a brief clinical overview, key patient-facing messages, and downloadable fact sheets for use during or between visits.\n    <\/p>\n<p>    <!-- ZIP BLOCK --><\/p>\n<div style=\"margin-top:14px;text-align:right\">\n<div style=\"font-size:14px;font-style:italic;color:#666;line-height:1.3\">\n        Use for printing, offline access, or bundled distribution of all patient materials.\n      <\/div>\n<div style=\"margin-top:6px\">\n<p>     <a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/05\/Patient-Handouts_Bundled.zip\"> \u2b07 Download All Handouts (ZIP) <\/a><\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<p><!---END OF FOCUS AREA BOX&gt;--><\/p>\n<div style=\"margin-top:40px\">\n<div style=\"height:20px\"><\/div>\n<p><!-- ================= CORE HEALTH BEHAVIORS ================= --><\/p>\n<h3 style=\"color:#4B9CD3;text-align: center;margin:20px 0 10px 0\">Core Health Behaviors<\/h3>\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-0\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-0\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-0\">\n                Exercise            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-0\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Supports cardiometabolic health, mood, and cognitive functioning in early psychosis.<\/p>\n<p><strong>Clinical relevance:<\/strong> Physical inactivity is common in FEP due to symptoms, medication effects, and disrupted routines.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Exercise-FEP_Patient-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Exercise Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Aim for \u2265150 min\/week moderate activity (start lower if needed)<\/li>\n<li>Focus on small, achievable goals (e.g., 10-minute walks)<\/li>\n<li>Address negative symptoms and motivation explicitly<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cWhat\u2019s one small type of movement that feels realistic this week?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<div style=\"height:20px\"><\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-1\">\n                Nutrition            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Supports brain health, energy regulation, and metabolic health, particularly in the context of antipsychotic treatment.<\/p>\n<p><strong>Clinical relevance:<\/strong> Individuals in FEP are at increased risk for weight gain and metabolic changes due to medication effects, reduced activity, and disrupted routines.<\/p>\n<p> <a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Nutrition-and-FEP_Patient-Handout.pdf\" target=\"_blank\"> \ud83d\udcc4 View Nutrition Basics Patient Handout <\/a> <\/p>\n<div style=\"margin-top:16px;margin-left:28px\">\n<p style=\"margin:0;line-height:1.3;font-size:14px\"> <a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Nutrition-and-GLPs_FEP_Patient-Handout.pdf\" target=\"_blank\"> View Nutrition &amp; GLP-1s Patient Handout <\/a> <\/p>\n<p style=\"margin:12px 0 12px 0;line-height:1.3;font-size:14px\">\n <a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/05\/Fiber-and-FEP_Patient-Handout.pdf\" target=\"_blank\">View Fiber and FEP_Patient Handout<\/a><\/p>\n<p style=\"margin:12px 0 12px 0;line-height:1.3;font-size:14px\">\n<a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/05\/False-Hunger-and-FEP_Patient-Handout.pdf\" target=\"_blank\">View False Hunger and FEP_Patient Handout<\/a>\n<\/p>\n<\/div>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Emphasize consistency over restriction (regular meals\/snacks)<\/li>\n<li>Pair carbohydrates with protein or fiber to stabilize energy<\/li>\n<li>Focus on small changes (e.g., adding one fruit\/vegetable per day)<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cIf you could change one thing about your food choices this week, what would it be?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<div style=\"height:25px\"><\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-2\">\n                Sleep            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Sleep is essential for cognitive recovery, mood regulation, and relapse prevention in psychosis.<\/p>\n<p><strong>Clinical relevance:<\/strong> Sleep disturbance is common in early psychosis and can both trigger and worsen symptoms.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Sleep-and-FEP-Patient-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Sleep Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Prioritize consistent wake time over bedtime initially<\/li>\n<li>Reduce evening stimulation (light, screens, stress)<\/li>\n<li>Encourage gradual routine-building rather than rapid change<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cHow might a small change in your sleep routine help you feel more rested and energized the next day?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<div style=\"height:30px\"><\/div>\n<p><!-- ================= COPING &amp; REGULATION ================= --><\/p>\n<h3 style=\"color:#4B9CD3;text-align: center;margin:26px 0 10px 0\">Coping &amp; Regulation<\/h3>\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-1\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-0\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-0\">\n                Stress Management            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-1-0\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Stress is a key contributor to symptom exacerbation and relapse risk in psychotic disorders.<\/p>\n<p><strong>Clinical relevance:<\/strong> Individuals with FEP often experience heightened stress sensitivity and reduced coping capacity during recovery.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Stress-and-FEP_Patient-Education-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Stress Management Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Normalize stress as a biological and psychological trigger<\/li>\n<li>Teach brief skills (breathing, grounding, pause techniques)<\/li>\n<li>Focus on routine stabilization as a form of stress reduction<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cWhen stress builds, what\u2019s something small that has helped you feel even slightly more grounded?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<div style=\"height:25px\"><\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-1\">\n                Screen Time            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-1-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Excessive or poorly timed screen use can impact sleep quality, attention, mood regulation, and social engagement in early psychosis.<\/p>\n<p><strong>Clinical relevance:<\/strong> Individuals with FEP may use screens for distraction, stimulation, or isolation, which can unintentionally reinforce sleep disruption and withdrawal from daily structure.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Screen-Time-and-FEP_Patient-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Screen Time Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Focus on timing rather than elimination (especially evenings)<\/li>\n<li>Explore function of use (coping, boredom, anxiety, social connection)<\/li>\n<li>Encourage small boundary changes (e.g., screen-free first\/last 30 minutes of day)<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cHow does screen use fit into your day right now, and is there any part of it that feels like it\u2019s working against your sleep or recovery?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<div style=\"height:30px\"><\/div>\n<p><!-- ================= SUBSTANCE USE ================= --><\/p>\n<h3 style=\"color:#4B9CD3;text-align: center;margin:26px 0 10px 0\">Substance Use &amp; Risk Reduction<\/h3>\n\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-2-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-2-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-2\"    \n                aria-controls=\"#details-2-0\"  \n                aria-expanded=\"false\" \n                href=\"#details-2-0\">\n                Nicotine Use            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-2-0\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Nicotine use is associated with increased cardiovascular risk and can complicate cognitive and psychiatric outcomes in FEP.<\/p>\n<p><strong>Clinical relevance:<\/strong> Smoking and vaping rates are elevated in early psychosis populations and often begin or escalate around illness onset.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/05\/Nicotine-and-FEP_Patient-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Nicotine Reduction Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Assess readiness rather than pushing immediate cessation<\/li>\n<li>Normalize ambivalence about quitting<\/li>\n<li>Offer incremental reduction strategies (delay, reduce, substitute)<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cWould it be okay if we talked about what you like and don\u2019t like about nicotine right now?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<div style=\"height:25px\"><\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-2-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-2-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-2\"    \n                aria-controls=\"#details-2-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-2-1\">\n                Alcohol Use            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-2-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><strong>Why it matters:<\/strong> Alcohol can worsen cognition, mood instability, and increase risk of relapse in psychosis.<\/p>\n<p><strong>Clinical relevance:<\/strong> Alcohol use may increase during early illness as a coping strategy and can interact negatively with medications.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-content\/uploads\/sites\/720\/2026\/04\/Alcohol-and-FEP_Patient-Handout.pdf\" target=\"_blank\">\ud83d\udcc4 View Alcohol Reduction Patient Handout<\/a><\/p>\n<div style=\"height:20px\"><\/div>\n<p><em>Clinical tips:<\/em><\/p>\n<ul>\n<li>Use a non-judgmental, harm-reduction approach<\/li>\n<li>Explore function of use (stress, sleep, social anxiety)<\/li>\n<li>Focus on patterns rather than labels (e.g., \u201cwhen\/why\u201d use occurs)<\/li>\n<\/ul>\n<div style=\"height:25px\"><\/div>\n<p><strong>Suggested clinical script:<\/strong><br \/>\n\u201cWhat role does alcohol play for you right now, and are there times you\u2019d like that to look different?\u201d<\/p>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<p><!---CLOSING STATEMENT&gt;--><\/p>\n<div style=\"margin-top:40px;padding-top:16px;border-top:1px solid #e6e6e6;color:#555;font-size:14px;line-height:1.5\">\n<p>These resources are intended to support integrated care in early psychosis. They are designed for use during clinical visits and as take-home materials to reinforce recovery-focused lifestyle interventions.<\/p>\n<div style=\"margin-top:20px;font-size:13px;color:#666\">\nExpand each section above to access clinical guidance and patient-facing handouts.\n<\/div>\n<div style=\"margin-top:20px;font-size:13px;color:#666;border-top:1px solid #e6e6e6;padding-top:12px\">\n<p>For questions or feedback about these resources, contact <a href=\"mailto:NCHeAL@med.unc.edu\" style=\"color:#4B9CD3;text-decoration:none;font-weight:500\">NCHeAL@med.unc.edu<\/a>.<\/p>\n<\/div>\n<\/div>\n<div style=\"height: 65px\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Why Prioritize Health and Lifestyle? Individuals experiencing early psychosis often face elevated risk for physical health conditions, reduced life expectancy, and disruptions in daily functioning. These outcomes are influenced not only by medical factors, but also by modifiable lifestyle and behavioral patterns\u2014including physical activity, nutrition, sleep, stress regulation, substance use, and screen time. Early psychosis &hellip; <a href=\"https:\/\/www.med.unc.edu\/psych\/epi-nc\/for-clinicians-2\/education-resources\/health-and-wellness-in-fep\/\" aria-label=\"Read more about Health and Wellness in FEP\">Read more<\/a><\/p>\n","protected":false},"author":119894,"featured_media":0,"parent":4033,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-4007","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/pages\/4007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/users\/119894"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/comments?post=4007"}],"version-history":[{"count":27,"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/pages\/4007\/revisions"}],"predecessor-version":[{"id":4337,"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/pages\/4007\/revisions\/4337"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/pages\/4033"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/psych\/epi-nc\/wp-json\/wp\/v2\/media?parent=4007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}