Commonly known as insanity or madness, schizophrenia is a chronic psychotic disorder with onset typically occurring in adolescence or young adulthood. Schizophrenia results in fluctuating, gradually deteriorating, or relatively stable disturbances in thinking, behavior, and perception. Severity can range from mild and subtle with very good adaptation to everyday life, to severely disabling requiring constant supervision in a restricted environment.
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Schizophrenia is a brain disease that interferes with normal brain functioning. It causes affected people to exhibit odd and often highly irrational or disorganized behavior. Because the brain is the organ in the body where thinking, feeling and understanding of the world takes place (where consciousness exists), a brain disease like schizophrenia alters thinking, feeling, understanding and consciousness itself in affected persons, changing their lives for the worse.
Causes of Schizophrenia
Experts now agree that schizophrenia develops as a result of interplay between biological predisposition (for example, inheriting certain genes) and the kind of environment a person is exposed to. These lines of research are converging: brain development disruption is now known to be the result of genetic predisposition and environmental stressors early in development (during pregnancy or early childhood), leading to subtle alterations in the brain that make a person susceptible to developing schizophrenia.
It’s not known what causes schizophrenia. However, researchers believe that an interaction of genetics and environment may cause schizophrenia. Problems with certain naturally occurring brain chemicals, including the neurotransmitters dopamine and glutamate, also may contribute to schizophrenia.
Symtoms Of Schizophrenia
Bizarre or inappropriate behaviour
Preoccupation with spiritual matters
Incoherent illogical speech
Distorted Perceptions of Reality
People with schizophrenia may have perceptions of reality that are strikingly different from the reality seen and shared by others around them. Living in a world distorted by hallucinations and delusions, individuals with schizophrenia may feel frightened, anxious, and confused.
Cognitive symptoms (or cognitive deficits) are problems with attention, certain types of memory, and the executive functions that allow us to plan and organize. Cognitive deficits can also be difficult to recognize as part of the disorder but are the most disabling in terms of leading a normal life.
Over time, it becomes difficult to function in daily life. You may not be able to go to work or school. You may have troubled relationships, partly because of difficulty reading social cues or others’ emotions. You may lose interest in activities you once enjoyed.
Diagnosing Schizophrenia
Using mental state features alone (such as third person auditory hallucinations) is not a reliable way to diagnose schizophrenia. After all, psychotic features such as hallucinations and delusions can occur in affective disorders, dementia and acute organic psychoses. It is therefore important to look at the form of the illness as well as the content.
Treatment of Schizophrenia
Patients with schizophrenia often do not respond to treatment or only partially improve and remain functionally impaired. While medication has been found to be effective for the treatment of “positive” symptoms of the disease, treatment of the “negative symptoms” of depression (including lack of energy, motivation, and emotional range) has historically not been very successful. In nearly 25 percent of those patients, the condition is so refractory to neuroleptic pharmacotherapy that they require custodial care.
First, ensure that your loved one is taking prescribed medications. One of the most common reasons that people with schizophrenia relapse into a new episode is that they quit taking medication. Family members might see much improvement and mistakenly assume medications may no longer be needed. That is a disastrous assumption. A later psychotic outbreak will likely happen
The large majority of people with schizophrenia show substantial improvement when treated with antipsychotic drugs. Some patients, however, are not helped very much by the medications and a few do not seem to need them.
Therapy of Schizophrenia
Cognitive Behavioral Therapy has been shown to be good for a person with schizophrenia.
Psychodynamic therapy is quite controversial. The actual therapy does not seem to work so well.
When a person suffers from schizophrenia, it is helpful for the whole family to get support. This usually reduces stress and worry, and helps people cope.
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