Currently, there is no cure for schizophrenia, but the illness can be successfully treated and managed. The key is to have a strong support system in place and get the right treatment and self-help for your needs.
Schizophrenia Recovery
Some people do recover “fully” from schizophrenia. Ten years after diagnosis: 50% of people with schizophrenia recover or improve to the point they can work and live on their own. 25% are better but need help from a strong support network to get by.
Like many of the mental issues we treat, schizophrenia never truly goes away in the sense that we have a cure for it. The good news is that individuals diagnosed as schizophrenic have gone on to live successful, productive lives after seeking treatment.
Ravi Sarin is 48 years old. Despite being diagnosed with schizophrenia at the age of 16, he has enjoyed 26 years of thriving life.
At least one third of people with schizophrenia experiences complete remission of symptoms (1). Some people with schizophrenia experience worsening and remission of symptoms periodically throughout their lives, others a gradual worsening of symptoms over time.
SUMMARY. US and international to date research suggests that individuals with schizophrenia and bipolar disorder are responsible for approximately 10% of all homicides in the United States. For mass killings, the percentage is approximately 33% (see “Serious Mental Illness and Mass Homicide”).
Most people with schizophrenia make a recovery, although many will experience the occasional return of symptoms (relapses). Support and treatment can help you to manage your condition and the impact it has on your life.
The last stage is the residual phase of schizophrenia. In this phase, you're starting to recover, but still have some symptoms.
Average life expectancy with schizophrenia
According to the World Health Organization (WHO), the decline in life expectancy among people with more severe mental illness ranges from 10–25 years . Most studies of schizophrenia show a life expectancy reduction of 10–20 years.
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
If left untreated, schizophrenia can worsen at any age, especially if you continue to experience episodes and symptoms. Typically, early onset schizophrenia in the late teens tends to be associated more with severe symptoms than later-life onset. But aging can change the trajectory of how symptoms show up.
Schizophrenia has been described as the “worst disease” to afflict mankind. It causes psychosis, which is an abnormal state of mind marked by hyperarousal, overactivation of brain circuits, and emotional distress. An untreated episode of psychosis can result in structural brain damage due to neurotoxicity.
Many people with schizophrenia have trouble with sleep, but getting regular exercise, reducing sugar in your diet, and avoiding caffeine can help. Avoid alcohol and drugs. It can be tempting to try to self-medicate the symptoms of schizophrenia with drugs and alcohol.
Over time, women appear to have a better chance at sustaining recovery from symptoms than do men. It is an unfortunate fact that people with schizophrenia attempt suicide more frequently than do people in the general population.
Moderate quality evidence finds the overall rate of remission is around 36% in people with schizophrenia. In people with first-episode psychosis, the rate is around 58% by 5.5 years.
People with schizophrenia experience difficulties in remembering their past and envisioning their future. However, while alterations of event representation are well documented, little is known about how personal events are located and ordered in time.
The age of onset in men and women
In general, schizophrenia is diagnosed in late adolescence through the early 30s. Men are usually diagnosed between the late teens and early 20s, with a peak at 21-25 years of age. Women are diagnosed a few years later, at 25-30 or again after menopause.
On average, men are diagnosed in their late teens to early 20s. Women tend to get diagnosed in their late 20s to early 30s. People rarely develop schizophrenia before they're 12 or after they're 40.
“Adults with schizophrenia are about 10 times more likely to die of COPD and 7 times more likely to die of diabetes,” says a co-author of the study, Mark Olfson, MD, a psychiatrist at Columbia University Irving Medical Center in New York City.
Most commonly though, people diagnosed with schizophrenia will hear multiple voices that are male, nasty, repetitive, commanding, and interactive, where the person can ask the voice a question and get some kind of answer.”
Driving with Schizophrenia
A letter from the treating doctor may be required stating the person is capable of driving safely. An additional challenge is that a physician's-office-based assessment of a person's driving skills correlates only minimally with scores on standardized road tests.
They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them. They may sit for hours without moving or talking. These symptoms make holding a job, forming relationships, and other day-to-day functions especially difficult for people with schizophrenia.
Living with schizophrenia, it is possible to meet people, to socialize and make friends, and to have a loving intimate relationship. The best way to find a path to a healthy relationship is to treat your illness. Schizophrenia is not a flaw or weakness; it is a real disease.