Schizophrenia is a severe, chronic mental disorder that affects an individual s ability to think and make decisions, as well as relationships and emotions. The illness is characterized by experiences or unrealistic thoughts, disorganized behaviour and speech, reduced participation in routine activities. A person diagnosed with schizophrenia also experiences difficulty concentrating and memorizing things.

Schizophrenia does not have a definite cure. However, psychological rehabilitation can help the patient manage the symptoms of the illness, and improve the quality of life. This is where psychosocial therapy steps in.

Rehabilitation Psychology for Schizophrenia

Rehabilitation Psychology is a speciality of Psychology that utilizes psychological skills, knowledge, and theories to evaluate and treat people diagnosed with disabilities and chronic health issues in order to maximize functional ability, independence, social participation, and overall health.

A rehabilitation psychologist individualizes services to address different patients with varying health conditions. In order to meet this goal, the discipline adopts a holistic approach and considers individuals within a broad social context.

Different Treatment Approaches

Rehabilitation psychology follows these techniques to address mental disorder like schizophrenia in people  

Individual Psychotherapy   a psychologist/therapist teaches the patient how to deal with their behaviours and thoughts. Patients learn more about the ailment and its effects   and how to distinguish between what is real and what is not. The therapy may also help them manage day-to-day life.

Cognitive Behaviour Therapy   CBT can help the patient change the way they think or behave. A psychologist can show them how to deal with hallucinations and voices. After a couple of CBT sessions, you may be able to identify what triggers psychotic episodes   delusions and hallucinations   and prevent or reduce them.

Cognitive Enhancement Therapy   CET teaches individual ways to recognize triggers, social cues better, and improve memory and attention, and the ability to organize thoughts. The therapy combines group sessions and computer-based brain training.

Social Skills Training aimed towards improving social interactions and communication
Rehabilitation procedures such as problem-solving support and job counselling

Even if the above techniques are able to improve the condition, a schizophrenic person will likely need to continue with special care and education on how to become part of the community. 




How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

Schizophrenia affects over 1% of the world s population and affects the way a person thinks, feels and behaves. In most cases, it is diagnosed when a person is between the ages of 16 to 25. This condition can be hereditary and is said to affect men more often than women. Schizophrenia is characterized by an inability to distinguish between real and imaginary which can lead to delusions, social withdrawal, hallucinations and other forms of social and occupational dysfunction.

Schizophrenia affects different people in different ways. On the basis of the type of symptoms exhibited, this disease has been categorized into 5 sub types. These are:

Paranoid schizophrenia: This type of schizophrenia is characterized by delusions and hallucinations that may make the person exhibit paranoid behaviour. These people often feel like they are being watched or followed and may have delusions of grandeur. They may also get angry quickly on minor issues and show signs of anxiety and hostility.
Disorganized schizophrenia: In such cases, the person may behave in ways that are difficult to understand or speak in broken sentences and have difficulty structuring a sentence. They may also display inappropriate behaviour and react in ways not suitable to the occasion. People suffering from disorganized schizophrenia may also neglect their personal hygiene.
Catatonic schizophrenia: People suffering from catatonic schizophrenia may swing between immobility and periods of rapid movement. They may stay quiet for hours or talk rapidly repeating everything they hear. These people have a high risk of harming themselves as they are usually unable to look after themselves and complete daily activities.
Undifferentiated schizophrenia: People suffering from this type of schizophrenia exhibit behaviour that fits into more than one type of schizophrenia. From time to time they may have hallucinations, suffer from delusions or display catatonic behaviour and disorganized behaviour or speech.
Residual schizophrenia: Even though a person may not be currently showcasing any signs of schizophrenia, they are said to have residual schizophrenia. Such people need to have had at least one schizophrenic episode. These people may exhibit symptoms later or be in complete remission.
With schizophrenia, an early diagnosis can make treatment easier and hence if you notice anyone exhibiting signs of schizophrenia, you must advise them to seek medical help immediately. Schizophrenia cannot be cured but it can be managed with a combination of typical or atypical medication and cognitive therapy. The latter can be in the form of self-help groups, housing and employment programs, counselling and therapy. 

Types Of Schizophrenia - How Can They Be Dealt With?

Schizophrenia is a very serious psychological disorder which influences how a person feels, thinks, acts and reacts. A patient suffering from schizophrenia may experience issues recognising what is real and what is nonexistent; might be lethargic or unresponsive, and may experience issues communicating ordinary feelings in social situations.

The reason for schizophrenia is still hazy. A few theories and speculations about the reason for this disorder include genes (hereditary qualities), biology of the body (the unevenness in the brain s functioning); or persistent viral infections and immune disorders. Some of the problems faced by schizophrenics are as follows:

Delusions: People may feel that somebody is keeping an eye on him or her, or that they are somebody well known and famous.
Development and movement problems: These include behaving in a strange manner, pacing around, posturing or shaking forward and backwards for no reason.
Thought issue: Jumping from one topic to another in an unreasonable manner is also one of the symptoms or challenges of this condition. People may make up their own particular words or sounds.
Hallucinating: Seeing, smelling, tasting, hearing or feeling something that does not generally exist. The most widely recognised symptom is listening to nonexistent voices that give orders or commands to the patients.
Absence of feelings and emotions: An irregular feeling or expression may be experienced. For instance, crying at a joke when a typical reaction would be to laugh at it.
Despite these, some of the other very common problems faced by schizophrenic patients are as follows:

Social withdrawal from family and friends
Problems affecting in the ordinary exercises of life, for example, at work or school
Poor hygiene and lack of cleanliness
Mental shock
Loss of proper sentence formation
Issues deciding
Overlooking or losing things
Issues understanding ordinary sights, sounds, and sentiments.
Moving rapidly starting with one thought then onto the next.
Pacing and strolling in circles
Unreasonable written work, yet without any meaning.
A person with schizophrenia is twice as likely to end up diabetic or experience the ill effects of the chronic obstructive pneumonia disease (COPD) than the general population. Individuals with schizophrenia regularly commit the normal error of attempting to overlook the sickness thinking that it does not exist.

Schizophrenia has crushed a considerable amount of lives throughout the years. The indications of schizophrenia can be exceptionally scary and unnerving. There are different treatment techniques that one can access to improve the lives of the people who experience the ill effects of schizophrenia. Treatment of schizophrenia has, however essentially enhanced throughout the years, and there is no motivation to trust that it will not keep on doing so. In case that you or someone close to you has schizophrenia, look for treatment in light of the fact that your odds of recovery are good and your odds of change are great.

Schizophrenia - Common Problems Faced By A Person Suffering From It!

Neurological disorders are an enigmatic bunch. There are various ongoing researches to identify the exact cause and how to treat them. While some argue that schizophrenia is a chronic brain disorder, others do not agree with it and debate that the origin is yet to be identified and the factors which produce it are yet to be identified.

Factors supporting it to be a brain disease are listed below.

Scan images (MRI and PET scans) of people who have had schizophrenia are different and have a reduced volume of grey matter, especially in the frontal and temporal lobes. In some people, this loss could be as high as 25%. Serial images have shown that the loss begins in the outer (parietal) region and gradually spreads to the rest of the brain. There is a strong correlation between the extent of this grey matter loss and the severity of the symptoms more the loss, worse the symptoms. Severe symptoms include hearing voices, psychotic thoughts, delusions, hallucinations and severe depression. This grey matter reduction does not depend on whether the person has undergone treatment or not for the condition. 

The counter argument is that grey matter loss is not seen in patients with schizophrenia alone. A number of neurological disorders, including normal ageing, manifest as grey matter loss on the scan images. Also, another consoling news is that this grey matter loss is completely reversible.

The way neurotransmitters respond to stimuli in people with schizophrenia is also slightly different. There are two variations to this debate: that schizophrenia is caused by excessive amounts of dopamine or increased sensitivity to dopamine. There are two proofs for this hypothesis first, dopamine suppressants are useful as antipsychotic drugs and secondly drugs which produce the same effect as dopamine can cause hallucinations similar to those seen in schizophrenics. There could be other neurotransmitters involved too, but the dopamine connection is more strongly established.

The electrical activity of the brain as seen in EEG is very different and abnormal in schizophrenic people. This reduced brain activity is another indication of the fact that schizophrenia is another brain disorder. There is also a strong genetic component to schizophrenia. Family history correlation is also very strong. The correlation extends to the point that where there is a neurologic disorder in the first-degree relatives, the chances of developing schizophrenia is increased.

There are specific genes, mutations of which are also attributed to schizophrenia. While the risk factors are in place (as mentioned above), the environmental conditions (brain infections, head trauma, family/social stressors and toxins can all lead to the manifestation of the symptoms. With medications and support therapy, both prevention and symptom management are possible.

Schizophrenia - Is It Really a Brain Disease?

Both schizophrenia and autism are considered to be neurological disorders resulting from atypical neural development, occurring due to a variety of causes. Both these disorders have a genetic predisposition that may be due to environmental factors. However, there are a few basic differences between the two disease conditions.

Autism is also known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder characterized by a spectrum of abnormal behaviour. They include persistent deficits in social communication and interaction, along with restricted and repetitive patterns of behaviour, interests or activities.

Signs of autism in babies

By 6 months - No social smiles or other warm, joyful expressions; limited to no eye contact
By 9 months - No sharing of vocal sounds
By 12 months - No babbling or use of gestures to communicate; not responding to one s name when called
By 16 months - No use of words
By 24 months - No meaningful or two-word phrases
Signs of autism at any age

Avoids eye contact and wants to be alone
Finds it difficult to understand other people s feelings
Speaks very less or has delayed language development
Echolalia - Repeats words or phrases
Cannot accept change in routine or surroundings
Performs repetitive behaviours like flapping or rocking
Has restricted interests and hobbies
Reacts unusually intense to sounds, smells, tastes, lights, colours etc.
Schizophrenia
Schizophrenia is a neuropsychiatric disorder that begins during late adolescence and early adulthood. It is characterized by delusions, hallucinations, disorganized speech and behavioural changes that cause social and occupational dysfunctions.

Signs of Schizophrenia

The symptoms of schizophrenia are usually observed between ages 16 and 30, such as e.g. delusions, hallucinations, thought disorders, movement disorders etc.
Delusions are false beliefs of the patient that may take many forms like delusions of persecution or grandeur. You may feel somebody is controlling you or may think you have extraordinary powers and abilities.
Hallucinations are when the patient hears voices more than seeing, feeling, tasting or smelling random things, which are not actually there.
Thought disorders are when the person jumps from one subject to another for no logical reason.
Some negative symptoms i.e. these are symptoms which are normally present in a healthy individual, but are absent in a schizophrenic patient. E.g. absence of facial expressions, lack of motivation etc.
Cognitive symptoms affect the individual s thought process. They can be positive or negative based on their expression. E.g. poor  executive functioning  which deals with the ability to understand information and make decisions using them, finding it difficult to focus etc.
Although both Autsim spectrum disorder and schizophrenia are interlinked in their causes and neurological background, the symptoms for each disorder are different. 
Consult your physician if you happen to observe any of these symptoms in your loved ones.

Autism & Schizophrenia - What Is The Difference?

What is schizophrenia?
We all know it as a debilitating mental illness that plagues people across the globe. Schizophrenic patients often feel like they are being overtaken by situations and events that are beyond their control. They may complain of seeing people who are not there or hearing voices where there are none. This happens because the neurotransmitters in the brain of the patient do not function appropriately. There are various types, causes and symptoms of this disease. Read up to know more.

Symptoms: psychotic symptoms like delusion are common in patients suffering from this disease. Also, the patient may be severely blunted in the emotional sense, and may bear a lost look and wear a feeling of loss or absence at all times. The thought process or cognition of the patient may also suffer in such cases. Poor concentration and lack of coordination are some symptoms of this kind of suffering. Hallucinations and distorted thought processes also characterise the patient to a great extent. The patient may also display certain typical symptoms like social withdrawal, extreme apathy, and lack of motivation. The patient will also be in an emotionally numb state once the delusions have lessened.

Causes: so what causes schizophrenia, really? while no tests or conclusive examinations exist to pin point the exact diagnosis or cause of the disease, there are many factors that can contribute to the development and progression of the same. Hereditary factors play up in many cases while chemical imbalances in the brain also lead to this condition. The serotonin levels and the functioning of the neurotransmitters are the most significant causes of this disease, in such cases. Excessive abuse of drugs like lsd and cannabis can also contribute to this condition, while family relations and a dysfunctional environment can also lead to this disease.

Types: there are many different kinds of schizophrenia. One of them is paranoid schizophrenia, which makes the patient highly suspicious. Disorganised schizophrenia can lead to incoherence in speech and thought. Catatonic schizophrenia can cause social withdrawal while residual schizophrenia can lead to a complete lack of motivation. Finally, schizoaffective disorder can lead to major mood swings.

The various kinds of schizophrenia are characterised by varying degrees of mood swings, depression, paranoia and delusional thinking. The progression of the disease can be checked with the help of cognitive behavioural therapy, which can help in reprogramming the brain of the patient to a great degree. Rehabilitation programs as well as case management can help in the long run. But the key here is to recognise the symptoms early on and get the treatment or counselling started to reduce the symptoms and their spread.

Schizophrenia: Types, Causes and Symptoms

Don't wait any longer, manage your Schizophrenia online with a Lybrate doctor today

Consult for Schizophrenia - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES