When, I'm psychotic I loose everything including most of my understanding of English. So I don't even have the words to explain what's going on with me or what's going on around me. It took me years to keep my self-esteem and confidence after an episode. I don't have conversational skills for a while after and if I crash after it's even worse to recover. I'm lucky enough to have others around me that "understand" it takes time. Please look into why you loose your self-esteem and confidence so you can run interference after.