The main type of talking therapy recommended for the treatment of schizophrenia is cognitive behavioural therapy (CBT), which helps you identify and change any negative thoughts or behaviour that is making your life hard. CBT aims to help you: cope with symptoms of psychosis such as delusions or hearing voices.
Schizophrenia treatment includes medication, therapy, social and family support, and the use of social services. Treatment must be ongoing, as this is a chronic illness without a cure. When schizophrenia is treated and managed over the long-term, most people can live normal, productive, and fulfilling lives.
Clozapine is the most effective antipsychotic in terms of managing treatment-resistant schizophrenia. This drug is approximately 30% effective in controlling schizophrenic episodes in treatment-resistant patients, compared with a 4% efficacy rate with the combination of chlorpromazine and benztropine.
Chlorpromazine was the first antipsychotic and was followed by a large number of other antipsychotics, many with diverse chemical structures.
Negative symptoms are more difficult to treat than the positive symptoms of schizophrenia and represent an unmet therapeutic need for large numbers of patients with schizophrenia.
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.
Connecting face-to-face with others is the most effective way to calm your nervous system and relieve stress. Since stress can trigger psychosis and make the symptoms of schizophrenia worse, keeping it under control is extremely important.
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.
On a typical day, schizophrenics might hear voices in their heads. It could be one voice at a time or multiple speakers, and they may converse with those voices or even follow their orders. And, at times, those instructions can lead patients to inadvertently harm themselves.
Schizophrenia is a severe mental health condition that can involve delusions and paranoia. A person with paranoia may fear that other people are pursuing and intending to harm them. This can have a severe impact on their safety and overall well-being.
Seeing, hearing, or tasting things that others do not. Suspiciousness and a general fear of others' intentions. Persistent, unusual thoughts or beliefs. Difficulty thinking clearly.
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.
Bipolar disorder.
Some people with severe bipolar disorder have delusions or hallucinations. That's why they may be misdiagnosed with schizophrenia.
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.
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.
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.
Auditory hallucinations, “hearing voices,” are the most common in schizophrenia and related disorders. Disorganized thinking and speech refer to thoughts and speech that are jumbled and/or do not make sense.
Of the different types of schizophrenia, residual schizophrenia is the mildest, characterized by specific residual schizophrenia symptoms.