Have you ever met two people in one body?
Schizophrenia:
A chronic and severe mental disorder that affects how a person thinks, feels, and behaves. Sufferers may hear voices that aren't there or believe that other people are trying to harm them. Doctors often describe it as a type of psychosis, meaning that a person may not always be able to distinguish their own thoughts from those that are actually occurring.
Cause:
The exact cause of schizophrenia is unknown, but most experts believe that the condition is caused by a combination of genetic and environmental factors. Certain situations (such as stressful life events or medication abuse) can also trigger the condition.
Groups at High Risk:
Research has shown that schizophrenia affects men and women fairly equally, but it may appear earlier in males.
Symptoms:
Symptoms of schizophrenia are typically classified as:
Positive symptoms: Any change in behavior or thoughts (such as hallucinations or delusions).
Negative symptoms: People seem to withdraw from the world around them, are uninterested in everyday social interactions, and often appear emotionless.
Positive symptoms:
Hallucinations: They see, hear, smell, taste, or feel things that do not exist outside their mind. Hearing voices is the most common. Hallucinations feel very real to the person experiencing them, even though others cannot hear the voices or experience the sensations.
Delusions: A strongly held belief, even if based on a false, bizarre, or unrealistic viewpoint (such as being harassed or persecuted), may affect the way the person behaves. Delusions can begin suddenly or develop over weeks or months.
Confused thoughts (disorganized thought): Difficulty concentrating and shifting from one thought to another.
Changes in behavior and thoughts: A person's behavior may become more disorganized and unpredictable. Some people describe their thoughts as being controlled by someone else, as not their own, or as if their thoughts were implanted by someone else.
Negative symptoms:
Negative symptoms of schizophrenia can often appear several years before a person experiences their first acute schizophrenic episode:
The person becomes socially withdrawn and increasingly unconcerned with their appearance and personal hygiene.
Loss of interest and motivation in life and activities.
Lack of concentration, reluctance to leave the house, and changes in behavior patterns.
Sleep.
Feeling uncomfortable around people or feeling like there's nothing to say.
The negative symptoms of schizophrenia can often lead to problems in relationships with friends and family.
When to See a Doctor
If you notice symptoms of schizophrenia, consult a general practitioner as soon as possible.
Complications:
If left untreated, it can lead to serious problems affecting every area of life:
Inability to function independently
Abuse of alcohol or other drugs
Medication side effects: Tardive dyskinesia
Suicide, suicide attempts, and thoughts of suicide
Violent behavior
Diagnosis:
There is no single test for schizophrenia. The condition is usually diagnosed after an evaluation by a mental health professional, who asks about the symptoms and ensures they are not due to other causes (such as substance abuse). It can usually be diagnosed if:
The patient experiences one or more of the following symptoms most of the time for a month (such as delusions, hallucinations, hearing voices, disjointed speech, or previous negative symptoms).
The symptoms significantly impact the ability to work, study, or perform daily tasks.
All other possible causes, such as substance abuse or bipolar disorder, have been ruled out.
Treatment:
There is no cure for schizophrenia, but it can be treated and managed in several ways:
Medication.
Psychotherapy (such as cognitive behavioral therapy, assertive community therapy, and supportive therapy).
Self-management strategies and education.