About Us
What we do
Meet the Team
Peer Stories
Helpful Resources

COVID-19 update: we are offering our services through telehealth

Feel like your mind is
playing tricks on you?

You are not alone.
We can help.

What we do?
The Portland Identification and Early Referral (PIER) and Resilience Programs are community resources for people experiencing early symptoms of psychosis. Both are family-based coordinated specialty care teams within the Department of Psychiatry at Maine Medical Center.
The PIER Program offers treatment for ages 14-26 within a year of psychosis onset. The Resilience Program offers treatment for adults between the ages of 18-40, who are within two years of a first episode of psychosis.

What is psychosis?
Common in teens and young adults, psychosis is a treatable condition in which one’s experience of reality is altered. The most well-known symptoms are changes in thinking, perceptions, and mental processing that can impact daily functioning.

What are the signs of psychosis?

“Something is not right with how my brain is working but I’m not sure how to describe it.” -PIER Participant

While changes in perception, thinking, functioning and mental processing may be caused by a brief reaction to stressful events, they can also be early signs of a developing mental illness. If the changes are sudden, last longer than a few weeks, or seem very out of character, an assessment by a professional as soon as possible is important.

“I started having bizarre thoughts.” Tiffany

Persistent, unusual thoughts or beliefs that can’t be challenged

Thinking others wish to harm you or are watching and following you

Fear that thoughts are being put in your head or that your mind is being read

Believing that statements, events or objects have personal meaning or significance

“I thought, why am I so stressed?” Isaac

A sudden drop in grades or job performance

Withdrawing from friends and family

Dramatic changes in sleep and/or eating habits

Not caring about your appearance

“In my senior year, I started hearing voices.” Haleema

Heightened sensitivity to sights, sounds, smells or touch

Strange sensations or unexplained feelings

Hearing sounds/voices that others don’t

Having the sense that the world, other people and/or you aren’t real at times

“I would lose time sometimes.” Tim

Jumbled thoughts and general confusion

Forgetfulness and difficulty concentrating

Struggling to speak clearly and/or understand others

Trouble with reading comprehension and writing

Everyone’s experience is unique.
Hear more young people describe their experiences.

More peer stories

Connect with the
PIER & Resilience Programs

The PIER Program provides coordinated care for transition aged youth (14-26) within one year of psychosis onset.
The Resilience Program provides coordinated care for adults (18-40) within two years of a first episode of psychosis.

The earlier you reach out, the sooner we can help.
We’re here to get your life back on track.

Referrals for both PIER & Resilience go to:

Tan Twhigg
Outreach and Referral Coordinator for PIER/Resilience


(207) 662-3102

Need Immediate Help?

Crisis Text Line

Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support and information via text.

Opportunity Alliance

The Opportunity Alliance provides immediate statewide support services to Maine residents.

Maine Medical Center Research Institute
PIER Program

Maine Medical Center    66 Bramhall Street    Portland, Maine 04102

The PIER Program is part of the Maine Medical Center Department of Psychiatry and Maine Medical Center Research Institute.
Funding for PIER comes from the Mental Health Block Grant through the Department of Health and Human Services.