Schizophrenia
is a brain disorder that affects the way a person acts, thinks, and
sees the world. . They may see or hear things that don’t exist,
speak in strange or confusing ways, believe that others are trying to
harm them, or feel like they’re being constantly watched. In
response, people with schizophrenia may withdraw from the outside
world or act out in confusion and fear.
Although
schizophrenia is a chronic disorder, there is help available. With
support, medication, and therapy, many people with schizophrenia are
able to function independently and live satisfying lives. However,
the outlook is best when schizophrenia is diagnosed and treated right
away.While there is no cure for schizophrenia, research is leading to
new, safer treatments. Experts also are unraveling the causes of the
disease by studying genetics, conducting behavioral research, and by
using advanced imaging to look at the brain’s structure and
function. These novel approaches hold the promise of new, more
effective therapies.
The complexity of schizophrenia may help
explain why there are misconceptions about the disease. Schizophrenia
is not synonymous with split personality or multiple-personality
disorder. Most people with schizophrenia are not dangerous or
violent. They also are not homeless nor do they live in hospitals.
The majority of people with schizophrenia reside with family, in
group homes, or on their own.While research has shown that
schizophrenia affects men and women equally and occurs in similar
rates in all ethnic groups around the world, its symptoms differ from
person to person and can fluctuate over time.
Early
warning signs of schizophrenia:
Social
withdrawal
Hostility
or suspiciousness
Deterioration
of personal hygiene
Flat,
expressionless gaze
Inability
to cry or express joy
Inappropriate
laughter or crying
Depression
Oversleeping
or insomnia
Odd
or irrational statements
Forgetful;
unable to concentrate
Extreme
reaction to criticism
Strange
use of words or way of speaking
Symptoms:
There
are several subtypes of schizophrenia, depending on the most
prominent symptoms. As with any illness, the severity, duration, and
frequency of symptoms can vary; however, in persons with
schizophrenia, the incidence of severe psychotic symptoms often
decreases during a patient’s lifetime. Not taking medications, use
of alcohol or illicit drugs, and stressful situations tend to
increase symptoms. The symptoms fall into three categories:
Positive
symptoms:
Hallucinations,
such as hearing voices, paranoid delusions, and exaggerated or
distorted perceptions, beliefs, and behaviors.
Negative
symptoms:A
loss or a decrease in the ability to initiate plans, speak, express
emotion, or find pleasure.
Cognitive
symptoms:Confused
and disordered speech, problems with memory, trouble with logical
thinking, and difficulty paying attention and making decisions.
Causes
of Schizophrenia:
Researchers
believe that a number of biological and environmental factors play a
role in the disease’s onset and course. However, scientists do not
yet know which factors produce the illness. Because of the variations
in symptoms, many believe that schizophrenia constitutes a group of
disorders, not unlike other chronic illnesses. Although the origin of
schizophrenia has not been identified, scientists know that there is
some hereditary basis or genetic predisposition for the disease
because it runs in families.
Diagnosis
of Scizophrenia:
A
diagnosis of schizophrenia is made based on a full psychiatric
evaluation, medical history, physical exam, and lab tests.
Psychiatric
evaluation–
The doctor or psychiatrist will ask a series of questions about
one's symptoms, psychiatric history, and family history of mental
health problems.
Medical
history and exam–
doctor will ask about personal and family health history. He or
she will also perform a complete physical examination to check for
medical issues that could be causing or contributing to the problem.
Laboratory
tests–
While there are no laboratory tests that can diagnose schizophrenia,
simple blood and urine tests can rule out other medical causes of
symptoms. The doctor may also order brain-imaging studies, such as
an MRI or a CT scan, in order to look for brain abnormalities
associated with schizophrenia.
Treatment
of Schizophrenia:
There
is no cure for schizophrenia, but treatments are available to reduce
the intensity and frequency of the symptoms. Medication and
psychosocial treatments can help some people with schizophrenia lead
highly productive and rewarding lives, while for others, the illness
continues to cause impairments in function despite treatment and
family support.
A variety of antipsychotic medications are
effective in reducing the psychotic symptoms present in the acute
phase of the illness, and they also help reduce the potential for
future acute episodes. Before treatment can begin, however, a
psychiatrist should conduct a thorough medical examination to rule
out substance abuse or other medical illnesses whose symptoms mimic
schizophrenia.
People with schizophrenia abuse drugs more
often than the general population. Substance abuse complicates the
diagnosis of schizophrenia and also reduces the effectiveness of
treatment for schizophrenia. If a patient shows signs of addiction,
treatment for substance abuse should be pursued along with other
treatments.
Recovery
and Rehabilitation:
After
the symptoms of schizophrenia are controlled, therapy can help people
learn social skills, cope with stress, identify early warning signs
of relapse, and prolong periods of remission. For many with this
disease, recovery from schizophrenia includes those who reach their
full potential by managing the illness. Because schizophrenia
typically strikes in early adulthood, individuals with the disorder
need rehabilitation to help develop life-management skills, complete
vocational or educational training, and hold a job. For example,
supported-employment programs have been found to help persons with
schizophrenia obtain self-sufficiency. These programs provide people
with severe mental illness with jobs in competitive, real-world
settings.
Many people living with schizophrenia receive
emotional and material support from their family. Therefore, it is
important that families be provided with education and assistance
managing their ill relative’s disease. Such assistance has been
shown to help prevent relapses and improve the overall mental health
of the family members as well as the person with
schizophrenia.
People with schizophrenia may receive
rehabilitation services on an individual basis, in the community, or
in a hospital or clinic. When living alone or with family is not an
option, supportive housing is often available and includes halfway
and group houses as well as monitored cooperative apartments.
Living
with Schizophrenia:
Research
continues into the causes and treatment of schizophrenia. With an
improved understanding of the disease and effective therapies, those
with schizophrenia can have a full life, hold a job, and live in the
community or with their family.
However,
when the signs and symptoms of schizophrenia are ignored or
improperly treated, the effects can be devastating both to the
individual with the disorder and those around him or her.
Some
of the possible effects of schizophrenia are:
Relationship
problems.Relationships
suffer because people with schizophrenia often withdraw and isolate
themselves. Paranoia can also cause a person with schizophrenia to
be suspicious of friends and family.
Disruption
to normal daily activities. Schizophrenia
causes significant disruptions to daily functioning, both because of
social difficulties and because everyday tasks become hard, if not
impossible to do. A schizophrenic person’s delusions,
hallucinations, and disorganized thoughts typically prevent him or
her from doing normal things like bathing, eating, or running
errands.
Alcohol
and drug abuse. People
with schizophrenia frequently develop problems with alcohol and
drugs, which are often used in an attempt to self-medicate, or
relieve symptoms. In addition, they may also be heavy smokers, a
complicating situation as cigarette smoke can interfere with the
effectiveness of medications prescribed for the disorder.
Increased
suicide risk. People
with schizophrenia have a high risk of attempting suicide. Any
suicidal talk, threats, or gestures should be taken very seriously.
People with schizophrenia are especially likely to commit suicide
during psychotic episodes, during periods of depression, and in the
first six months after they’ve started treatment.