Deafinitely Theatre Present

4.48 Psychosis

A co-production with New Diorama Theatre 

Our critically acclaimed production of 4.48 Psychosis which enjoyed a sell-out run in London last year will be back for a UK Tour in November 

‘I had a night in which everything was revealed to me.

How can I speak again?’

The early hours of the morning. You’re alone, with only your thoughts. How did you get here? And how do you get out? Sarah Kane’s searing, final play in a ground-breaking new production from Deafinitely Theatre.

Award-winning Deafinitely Theatre bring its celebrated bilingual approach to Sarah Kane’s lyrical and haunting final play about mental health. 

Directed by Paula Garfield, 4.48 Psychosis is performed in British Sign Language and spoken English for the very first time and was nominated for the 2018 Broadway World UK Award for Best Direction of a New Production of a Play and the 2018 Off West End Theatre Award for Best Set Designer (Paul Burgess).

Recommended age: 16+

The play contains strong language and explores issues of mental health, depression and suicide

Tour | Watch | Gallery | Reviews | Cast & Creatives | Websites & Helplines|Workshops|Study Guide


New Diorama Theatre

29th October - 6th November 2019

Derby Theatre

8th November - 10th November 2019

Wales Millennium Centre 

20th November - 23rd November 2019




Cast in rehearsals 

Paula Garfield announces the show

Our 3 academics discuss how use of sign in psychosis can be better researched and understood to benefit sector professionals

Our 3 academics discuss how regional needs differ to those in London

Our 3 academics discuss their ideas around future improvements to provision

Watch our live streamed post show discussions

Cast Q&A Post Show Discussion

 Broadcast live on facebook 1st November 2019

Panel discussion - "Crisis in deaf mental health: what can we do?'

Broadcast live on Facebook - 5th November 2019

We discuss deaf mental health with mental health professional in Wales.

Broadcast live on Facebook 20th November 2019


Production Gallery 

4.48 Psychosis Production Shots

Rehearsal Gallery

4.48 Psychosis


★★★★ "The sheer courage and passion that has been thrown behind this intelligent production of a daringly experimental play wins out, and what lingers is its cry for love."

Time Out 

★★★★ "A heartfelt look at what it feels like to live with a profound disability, and just how isolating that can be."

The Guardian 

★★★★ “A productive insight into the problems of deaf mental health patients, forcing us to confront the fact that their experiences are rarely considered.”

The Spy In The Stalls 

★★★★★ "The defining feature of this production is its ability to utterly captivate and move its audience, making it essential viewing."

Theatre Weekly 

Cast & Creatives

Creative Team

Director – Paula Garfield

Designer (Set, Costume & Video) – Paul Burgess

Lighting Designer – Joe Hornsby

Composer & Sound Designer – Chris Bartholomew

Movement Director – Ann Akin

Translation Consultant – Daryl Jackson

Voice Coach – Kit Lessner

Production Manager – Mark Munday

Stage Manager – Alice Rowe

Assistant Stage Manager – Caitlin Shay

Costume Assistant – Kirsty Gaffney

Hub Mentees – James Greenhalgh (Design) & Zoe McWhinney (Directing)

Websites/ Helplines 

If you have experienced, or are currently experiencing, any of the issues raised in the play, the following websites/helplines may be of use: 

SignHealth - BSL Healthy Minds: or call 01494 687 606 or text 07966 976 747

British Deaf Association - Health & Wellbeing: or call 0207 697 4140 or text 07795 410 724

NHS 111: Via BSL: | or call 111

Samaritans: [email protected] | or call 24-hour helpline 116 123

Childline - 24-hour support for individuals under 19: Via BSL: | or call 0800 1111

Campaign Against Living Miserably (CALM): or call 0800 58 58 58

Mental Health Week:


Interpreting mental health – Workshop for Interpreters

December 14th 11am - 4pm Booking closed

This production and associated events is made by possible by the generous support of:

Arts Council England, Autograph Sound Recording, Edwardian Hotels London, New Diorama Theatre, Old Diorama Arts Centre, Regents Place, Wellcome and Whitelight Ltd.

Booking for this event has now closed.