Recognize: self-reflection after brief periods where I wasn't taking amphetamines.
Glib as it is, that's basically it. Prescribed by a doc at 15. Used them for a decade. After reflecting on my actions and the person I was, it brought me deep shame.
If you're wondering if you've fallen into psychosis, I recommend keeping a journal for a month. Write your thoughts and reflections for the day inside. Then, a month or two later, take a break from the stims, and re-read what you've written. If you come off as psychotic then you have your answer.
The journal was my first real clue that something was amiss; but really, anything that records your behavior works too (e.g. text messages, Slack messages, blog posts, emails, phone recordings, audio recordings, video recordings, etc.).
To be fair to them, I understand. I recognize bits and pieces of the psychotic state of mind in people who drink too much coffee: and I'm avoidant of these people, rather than confrontational with them (I, too, want to keep my involvement with psychos to the minimum).
I had a coworker that was a paranoid schizophrenic and he stopped taking his medication. We all knew he was "off" and we kind of dealt with it. I had complained a number of times to our founder and his advice was to "take him out to dinner and smooth things over". Crappy advice.
It was a weird and rocky ~6 months until the coworker threatened to kill our founder's cat one day.