Introduction. Resumption of the vocational activity is an important sector when considering the management of first-episode psychosis and the overall process of recovery. In clinical practice this goal is not always easily attainable.Objectives. To assess the vocational status after the first-episode psychosis, along with the difficulties related to resuming professional activities and the potential clinical correlations that might have an impact on this issue.Method. A total of 59 patients with a first-episode psychosis in 2012 were included in the study. We analyzed the demographic data (gender, education, type of work at their last job, working hours previous to the episode, financial satisfaction, own family existence, independence from parents), clinical data (age at onset, diagnostic according to the ICD 10). There was a follow-up at 12 months, which served to analyze the professional situation, as well as to test any potential reintegration difficulties.Results. Job loss after a first-episode psychosis is a common occurrence. Resumption of the vocational activity and the related difficulties depend on: the type of diagnosis, presence of cognitive symptoms, the existence of psychotropic medication side effects, family induced stress, financial needs.Conclusions. Vocational reinstatement after a first-episode psychosis is an important element that the clinician should consider during the overall process of recovery of patients with a first-episode psychosis. In addition to clinical monitoring and of medication side effects, counseling interventions for patients and their families are required, as well as interventions at the workplace.
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