Schizophrenia affects the way you think and cope with daily life. Someone living with schizophrenia may experience hallucinations, delusions, disorganised thinking and lack motivation for daily activities.
Many can, for example, live relatively normal lives outside a hospital, holding down a job and socializing periodically with family and friends. As psychiatrist Thomas McGlashan of Yale University concluded in a prescient 1988 publication, “The certainty of negative prognosis in schizophrenia is a myth.”
The symptoms of schizophrenia are usually classified into: positive symptoms – any change in behaviour or thoughts, such as hallucinations or delusions. negative symptoms – where people appear to withdraw from the world around then, take no interest in everyday social interactions, and often appear emotionless and flat.
Schizophrenia affects many areas of functioning; people with the illness often lead an isolated and marginalized existence in poor housing, with a low income, little education, and poor vocational and social skills [2].
As a psychotic condition, schizophrenia can cause some very troubling symptoms, like hallucinations and delusions, that make daily life challenging. Without treatment it can lead to isolation, an inability to work or go to school, depression, suicide, and other complications.
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.
Sometimes when a person with schizophrenia is unwell they may turn against people they are normally close to. Encourage them to participate in one-to-one activities, for example card games, chess, jigsaw puzzles, walking. Don't leave them alone after a hospital visit.
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.
Confused thoughts and disorganized speech.
People with schizophrenia can have a hard time organizing their thoughts. They might not be able to follow along when you talk to them. Instead, it might seem like they're zoning out or distracted. When they talk, their words can come out jumbled and not make sense.
Unfortunately, most people with schizophrenia are unaware that their symptoms are warning signs of a mental disorder. Their lives may be unraveling, yet they may believe that their experiences are normal. Or they may feel that they're blessed or cursed with special insights that others can't see.
A person with schizophrenia may not respond in the way we might expect in a 'normal' conversation. Your words may be met with silence or monosyllabic answers. In some cases, the person may say that they are extremely interested in what you want to discuss, but their facial expression and tone may not reflect the same.
Loneliness is a highly prevalent experience in schizophrenia. Theoretical models developed in the general population propose that loneliness is tantamount to a feeling of being unsafe, is accompanied by enhanced environmental threat perception, and leads to poor physical, emotional, and cognitive functioning.
Responses suggest that about 37 percent of schizophrenia patients were happy most or all of the time, compared with about 83 percent for those in the comparison group. Approximately 15 percent of schizophrenia patients reported being never or rarely happy.
Drug and alcohol use
If you already have schizophrenia, research shows that using recreational drugs may worsen your symptoms. Some studies suggest that people who use high-potency cannabis ('skunk') when in recovery are more likely to have a relapse too.
Schizophrenia is a chronic brain disorder that affects less than one percent of the U.S. population. When schizophrenia is active, symptoms can include delusions, hallucinations, disorganized speech, trouble with thinking and lack of motivation.
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.
“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.
Marriage is a social commitment, which is associated with multiple emotional and social demands. The need to get married does not go away with development of a severe mental disorder like schizophrenia.