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 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!

Schizophrenia is a debilitating mental and emotional condition that is characterised by a heavily distorted thought process as well as hallucinations and even extreme fear that borders on paranoia. Let us find out more about this debilitating disease:

Causes:
1. Genetics: genetic factors play an important role in the development of schizophrenia.
2. Environment: possible environmental factors include obstetric complications, the mother's exposure to influenza during pregnancy or starvation. It has also been suggested that stress, trauma even migration can lead to the emergence of schizophrenia. 
3. Neurodevelopmental factors: schizophrenia appears to be a neurodevelopmental disorder. That is changes that cause the illness have been occurring from the earliest stages of development even in utero, and may continue to influence the development of the brain over the first 25 years of life. 

Symptoms: 
This disease has a variety of symptoms include cognitive and emotional ones that can vary in the degree and severity. One of the most common symptoms included hallucinations and delusions where the patient may end up imagining things that do not really exist. The patient may also be gripped by sudden and crippling fear like paranoia, which can be debilitating as far as everyday functioning of the person goes. The symptoms can also interfere with the way a person deals with situations and life skills on a cognitive basis. Withdrawal and hopelessness are also a part of this disease.

Treatment: 
The earliest signs and symptoms must be referred to a psychiatrist. The treatment involves the management of the case of an individual basis along with psychological rehabilitation programs and inclusion of the patient in self-help groups. Housing and employment programs must also be availed so as to keep the patient busy. Also, behaviour therapy will be required in such cases. The mode of counselling should usually be on a one on one basis, although many doctors also suggest that group therapy can help in showing examples of progress so as to encourage the patient to change and get a new lease of life.

Schizophrenia: Causes, Symptoms and Treatment

Schizophrenia is a mental disorder which is characterized by disturbed mental thoughts in the patient, paranoia, phobias, hallucination, slow dementia and etc. As it is clear from this brief definition, Schizophrenia is a serious mental illness which can leave a patient stranded from performing basic day-to-day activities or even keeping healthy relationships with their close ones. 

Even though there is no particular age where people are vulnerable from suffering from this disease, yet from a common observation and study conducted on the patients, it has been observed that schizophrenia hit men in their early 20 s and early 30 s in case of women. The study also feels that it is impossible for a schizophrenic to be of age younger than 12 or older than 40. According to another study conducted by the universities, the life of a schizophrenic patient is not guaranteed. 

Symptoms of Schizophrenia:

As mentioned above, there is a common pattern in each schizophrenic patient, however, it is next to impossible to diagnose schizophrenia in teenagers since the onset of the disease is symbolized by the patient's constant change of friends or decrease of performance in school, both of which is normal in teen years. Schizophrenics also isolate themselves and become moody which again, is a common instinct of the teenager. However, apart from these, there are other differentiating symptoms as mentioned below which help in the accurate diagnosis of the disease. 

Hallucinating
Delusional
Emotionally dull and disconnected with their loved ones
Negative social life and academic performance
Dementia
Disability of remembering easy-to-learn and remember things
Causes of Schizophrnia

According to the researchers, there are more than one reasons for this disease. Read them all below:

Genetic mutation and inheritance- genetics play an important role in this disease. It needs more than one mutational combination of schizophrenia to happen and that is why it is observed in less than 1% of the population only. Those who have had a family history of schizophrenia are very hard to inherit the disease because patients hardly ever reach the stage of life called marriage. But a family history of psychosis is sure a determining factor. 
Neurotic reason- this reason includes the brain chemistry and important brain chemical such as- dopamine and glutamate.
Drug abuse- it has been revealed that consuming hallucinating and mind-altering drugs during teenage years are greatly responsible for the increase in the number of schizophrenia cases in early 20 s.
Treatment

As it was mentioned above, there is absolutely no way to cure schizophrenia known to man as of yet. However, the only way to approach it medically is by managing its symptoms separately. Such as:

Antipsychotic medication
Psychotherapies Self-help groups
Nursing care

Schizophrenia - What Causes 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?

Chronic health disorders like schizophrenia affect not only the patient, but also the life of their care givers. Though schizophrenia can be treated to improve the patient's quality of life, it cannot be cured. Hence, it falls on the care giver's shoulders to watch out for symptoms of this disease and manage the person and their disorder. What should one do in such a case?

1. Educate yourself: the first step towards looking after a person with schizophrenia is to know the symptoms of the disease. With treatment, these may become better or worse so if you notice any change in the symptoms, bring it to your doctors notice at once.

2. Reduce stress: your goal as a schizophrenic person's caregiver should be to give them a calm environment and boost their confidence. Stress has a negative effect on all people and in schizophrenics this effect is much worse. Hence reduce stress and create an effective support system and structured environment for your loved one.

3. Do not ask the patient to change'his reality: when a person is suffering from schizophrenia, you should not force them to change their behaviour and reality, in order to adjust in the society at large. You should rather support the patient to accept his reality, to be at peace, since there is a very strong genetic component involved in its aetiology. Also, it is important that, both the patient and the family in particular should opt for regular counselling sessions.

4. Regular exercise: schizophrenics need not be cooped up in the house all day. Encourage the patient to go outside and exercise regularly. Exercise reduces stress and produces endorphins that make a person feel energized and happy. This should be complemented by a healthy diet. Minimize the amount of carbs and sugar intake and increase the amounts of omega 3 fatty acids in the patient's diet.

5. Join a support group: joining a support group is a very good idea for both the patient and the caregiver. For the patient, this provides a form of social interaction and for the caregiver is a platform to meet people with similar first hand experiences

6. Encourage treatment: convincing a schizophrenic person to seek treatment can be quite challenging. Suggest treating symptoms of the disorder such as insomnia and lack of energy rather than the disease itself to make the patient feel more comfortable. Give the patient options to choose from to make them feel more in control of the situation.

7. Monitor medication: once the treatment has started, ensure that the patient sticks to the prescription. Maintain a regular schedule by using weekly pill boxes and alarms. Also keep an eye on the possible side effects of these medicines. Ensure that your doctor has a complete list of medicines that the patient takes so that there is no chance of medicines interacting negatively with each other.

8. Prepare for crisis situations: it is always a good idea to have an emergency plan in place. Keep emergency contact details of all the doctors and therapists at hand along with the address and phone number of the closest hospital. Share your situation with friends and family so that in case of an emergency, they can be relied upon to take care of your children and other dependants.

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