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Schizophrenia Tips

Problems Of Schizophrenia!

Jitendriya Biswal. 94% (91ratings)
Medicine (MD), Psychiatry, Post Doctoral Fellowship in Clinical Neurosciences & Therapeutics in Schizophrenia
Psychiatrist, Bhubaneswar
Problems Of Schizophrenia!

Problems Of Schizophrenia!

1 person found this helpful

Schizophrenia - How To Tackle It?

MD - Psychiatry, MBBS
Psychiatrist, Bhopal
Schizophrenia - How To Tackle 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:

Genetics

Genetic factors play an important role in the development of schizophrenia.

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. 

Neurodevelopmental Factors

Schizophrenia appears to be a neurodevelopmental disorder. That is the 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 includes 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.

- Types

Schizophrenic disorder spectrum recognises a group of symptoms which can turn into full-fledged ailments. The various kinds of schizophrenia under this wide umbrella include catatonic, disorganised, paranoid, residual and undifferentiated. Paranoid schizophrenia is when a person has unreasonable fears and doubts regarding people and situations around him or her. Usually, doctors refer to this state as schizophrenia with paranoia. Patients of disorganised schizophrenia may not have delusions and hallucinations but may display instances of incoherent speech and thinking. Further, when a patient is suffering from catatonic schizophrenia, the main symptoms include a negative emotional stance. This patient will end up withdrawing as far as socialising and family go, and they may also turn mute. Residual schizophrenia refers to a state where the patient has lost all interest and motivation in life, yet does not suffer from delusions and hallucinations. Finally, schizophrenic disorder is characterised by all the major symptoms of this disorder along with a severe mood disorder.

- 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 the 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.

Also, family therapy is considered a must for the near and dear ones of such patients to cope with it.

3124 people found this helpful

How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

PHD Psychology
Psychologist, Chennai
How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

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. 


 

3029 people found this helpful

Schizophrenia - Know Ways Of Tackling It!

MBBS, DPM
Psychiatrist, Agartala
Schizophrenia - Know Ways Of Tackling It!

Are you aware of the schizophrenia and the adverse effects it inflicts on a person? Schizophrenia is a chronic and extremely severe mental disorder that affects how a person thinks, behaves, and feels. Schizophrenia patients seem like they are not aware of reality. The condition requires lifelong treatment, even after the symptoms leave. There are various types of treatments, which are used for schizophrenic patients. The treatment is usually guided by an experienced psychiatrist.

The various modes of treatments are as follows:
Medications: Medications are very important for the treatment of schizophrenia, and antipsychotic drugs are most commonly used. They help in managing the symptoms by affecting dopamine. Treatment using antipsychotic drugs aims at managing the symptoms effectively. Antidepressants and anti-anxiety drugs are also used for treatment. Several weeks are required for these medicines to show results. Most of the medications used for schizophrenia treatment are associated with severe side effects and are thus avoided by many people. The patient’s cooperation with treatment determines the choice of drug.

  • First-generation antipsychotics: These medicines are associated with adverse neurological side effects, such as the possibility of developing tardive dyskinesia, which is an irreversible movement disorder.
  • Second generation antipsychotics: These medicines are preferred because of the lower risk of adverse side effects on the body than first-generation medicines.

Psychological interventions: When the patient’s psychosis decreases, psychological and psychosocial interventions are required. They include the following:

  • Individual therapy: Psychotherapy is important for normalizing a patient’s regular thought patterns. Learning about ways to deal with stress, and identifying warning signs can help patients manage their condition better.
  • Social skills training: This aims at improving a schizophrenic person’s social interactions, communication and his/her ability to take part in daily activities.
  • Family therapyFamily therapy is important for educating the families of schizophrenic patients about the disorder, and let them know about the ways to deal with it.

Vocational rehabilitation and supported employments: Most people with schizophrenia need some kind of daily living support. Programs are offered by several communities and self-help groups for helping schizophrenic people with housing, jobs, crisis situations. With proper treatment, most schizophrenic people manage to deal with their symptoms and illness.

Hospitalization: During emergency or crisis periods of extreme symptoms, a patient may need to be hospitalized to get proper nutrition, basic hygiene, sufficient sleep, and safety.
Electroconvulsive therapy or ECT is carried out for schizophrenic patients who do not respond to drug treatment. This therapy is also beneficial for patients who have got depression. It is recommended for you to consult a doctor on experiencing any symptom of schizophrenia.
 

1411 people found this helpful

Psychiatric Problems - How Homeopathy Can Resolve It?

BHMS, MD - Medicine
Homeopathy Doctor, Ghaziabad
Psychiatric Problems - How Homeopathy Can Resolve It?

There are a number of psychological disorders such as bipolar disorder, depression, schizophrenia, and many more. The homeopathic cures for these disorders are given based on the patient’s condition and their history. These medicines need to be prescribed by a doctor only. However, the most common homeopathic cures for psychiatric disorders are as follows:

  1. Belladonna: Belladonna is a solution for delusions and should be given where there is restlessness, anxiety, and a desire to tear their own clothes. Such patients tend to spring out of bed and hurt people around him. They seem to be scared and see objects when they shut their eyes. The speech and actions of the patients are hasty.
  2. Hyoscyamus: This is a cure for intense insanity with a lot of excitation of the senses and abnormal impulses. Hyoscyamus is for patients who mostly imagine that they are being followed by some evil presence or that somebody is attempting to kill him. The patient keeps running from an imaginary enemy. They are very talkative and usually jumpy.
  3. Cimicifuga: In depressed states, this is one of our best cures. The patient is covered in a dull, dark and mental environment. He or she doubts people and items that seem unusual and unnatural.
  4. Stramonium: This cure is for patients who suffer from insanity and act in the most alarming manner. They usually have pipe dreams and see rats, mice, snakes and different creatures moving towards him or her.
  5. Sepia: Another cure is Sepia for the patients who have dull premonitions about their ailment, powerless memory, and feeling of weakness and vulnerability. They fear almost every situation, give up easily, and fear separation.
  6. Aurum metallicum: This is a cure for those with mental depression and sadness. They feel as if they have lost the companionship of their friends and are destined to stay alone. Their memory is frail, they are usually outraged, or feel the need to debate about everything.
  7. Ignatia: Most instances of depression at some time of the treatment require Ignatia. It suits women better while Arsenicum and Nux vomica are more appropriate for men. Ignatia is for patients who are always gloomy and tend to murmur with an inclination to sob. They conceal their sadness and are usually quiet.
  8. Sulfur: Sulfur is used as a cure for mental conditions that are broad and usually related to religious depression. They turn out to be on edge about their own life. They are additionally distracted and these patients will stop for quite a while to think about how words are spelt.
  9. Cannabis indica: This cure is for those who have heavenly vivid dreams and fantasies that cannot possibly exist in reality; however, they seem real to the patient. A moment appears to be a great many years, and a thing might seem to appear yards away.
1857 people found this helpful

Schizophrenia - Know Types Of it!

MD - Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Vijayawada
Schizophrenia - Know Types Of 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:

Genetics

Genetic factors play an important role in the development of schizophrenia.

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. 

Neurodevelopmental Factors

Schizophrenia appears to be a neurodevelopmental disorder. That is the 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 includes 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.

- Types

Schizophrenic disorder spectrum recognises a group of symptoms which can turn into full-fledged ailments. The various kinds of schizophrenia under this wide umbrella include catatonic, disorganised, paranoid, residual and undifferentiated. Paranoid schizophrenia is when a person has unreasonable fears and doubts regarding people and situations around him or her. Usually, doctors refer to this state as schizophrenia with paranoia. Patients of disorganised schizophrenia may not have delusions and hallucinations but may display instances of incoherent speech and thinking. Further, when a patient is suffering from catatonic schizophrenia, the main symptoms include a negative emotional stance. This patient will end up withdrawing as far as socialising and family go, and they may also turn mute. Residual schizophrenia refers to a state where the patient has lost all interest and motivation in life, yet does not suffer from delusions and hallucinations. Finally, schizophrenic disorder is characterised by all the major symptoms of this disorder along with a severe mood disorder.

- 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 the 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.

Also, family therapy is considered a must for the near and dear ones of such patients to cope with it.

1904 people found this helpful

Schizophrenia - What Should You Know?

MBBS, MD, DNB (PSYCHIATRY)
Psychiatrist, Agra
Schizophrenia - What Should You Know?

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.

  1. Hallucinating
  2. Delusional
  3. Emotionally dull and disconnected with their loved ones
  4. Negative social life and academic performance
  5. Dementia
  6. 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:

  1. 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.
  2. Neurotic reason- this reason includes brain chemistry and important brain chemical such as- dopamine and glutamate.
  3. 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:

  1. Antipsychotic medication
  2. Psychotherapies Self-help groups
  3. Nursing care
2027 people found this helpful

Split Personality Disorder - How To Track It?

Psychiatrist, Mumbai

Previously known as multiple personality disorder or simply, split personality disorder, dissociative identity disorder is a very serious and unpleasant form of dissociation. It is based on a lack of connection, or rather a discontinuity in thought, action, feeling, memory or even a misplaced sense of identity. It is usually considered to be a result of severe traumatic experiences in early childhood, varying from extremely physical to repeated emotional or sexual abuse. It is thought to be a self-defence mechanism where the person dissociates himself from any such experience or situation that would deem to be harmful to his or her conscious self. It is, however, not to be confused with schizophrenia

Symptoms

There are innumerable indicators that point towards dissociative identity disorder. Some of them include:

- Severe depression
- Sleeping problems such as insomnia or sleep apnea
- Alcohol or drug abuse
- Anxiety attacks and phobias
- Suicidal tendencies
- Abnormal rituals and compulsions
- Visual or auditory hallucinations
- Self-persecution and self-sabotage tendencies
- Time-loss and amnesia
- Mood swings
- Headaches and migraines
- Inability to remember important personal information
- 'Switching' of identities

Causes

The main causes of split personality disorder are unfortunately still unclear and vague although 99% of persons who suffer from this disorder have a severe traumatic history or background. The causes need not necessarily be physical or sexual abuse. It could also stem from emotional abuse like insistent neglect. Studies have also shown that children may become dissociative if their parents are either too strict or unpredictable.

4701 people found this helpful

5 Silent Signs Of A Psychiatric Disorder

Dr.P. Madhurima Reddy 86% (10ratings)
M.Ed., M.A - English, M.Sc - Psychology
Psychologist, Hyderabad
5 Silent Signs Of A Psychiatric Disorder

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. But an early detection of any irregularity proves to be more beneficial for the patient in the long run.

It is important to know the telltale symptoms of mental disorder to distinguish between what is regular and what is not.

  • Withdrawal

Everyone needs some quiet time to cool off and relax but if a person continuously withdraws him/herself from social occasions and avoids meeting or speaking to friends, it could be a sign that something is wrong. Losing interest in life, work and people are symptoms of depression and psychotic disorder.

  • Thinking problems

Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.

Excessive stress and anxious behavior for a prolonged period are not normal. Frequent heart palpitations, headache, shortness of breath, racing mind and restlessness are cries of help that need to be heard.

  • Emotional outbursts

Sudden dramatic outbursts for no apparent reason, frequent mood swings and feeling distressed are potent signs of mental illnesses. These kinds of behavior are seen as part of a person's nature and so they are often unnoticed.

  • Changes in appetite and sleeping patterns

Oversleeping may be a sign of depression and insomnia could be a sign of anxiety. Changes in appetite and not caring about oneself or the world are indicators of a mental problem.

5130 people found this helpful

Schizophrenia - How To Identify It?

MD - Psychiatry, MBBS
Psychiatrist, Dehradun
Schizophrenia - How To Identify It?

When you hear the word “schizophrenia”, the first thing that comes to mind are those serial killers shown on the TV or you call it split personality. But that is not the true meaning of it. It is not a split personality or some kind of violent illness. Schizophrenia is a severe chronic mental illness which makes it difficult to differentiate between what is real and what is false.

As this is a mental illness, you will not be able to see any changes physically. You need to understand the symptoms of schizophrenia in order to know if a person is suffering from this problem. There are different kinds of symptoms that are used for diagnosing schizophrenia, but they all differ from person to person. Also, the symptoms that you see now, may not be seen later as the disease progresses. There are different types of schizophrenia and each has different symptoms.

Here is a list of the different types of schizophrenia and the most predominant and significant symptoms of each type.

  1. Paranoid Schizophrenia: People suffering from paranoid schizophrenia are characterized by strong auditory hallucinations and of being persecuted. However, they are very normal and function normally. But they are not ready to discuss their feelings openly and the symptoms are not observable. Other symptoms include anger, hostility and disorganized speech.
  2. Disorganized Schizophrenia: As the name suggests, people with disorganized schizophrenia exhibit disorganized thoughts. Delusions and hallucination may not be seen in this type of schizophrenia. The behavior of the affected person is quite disorganized or it is difficult to understand what they are saying. In fact, some emotions exhibited by the affected person are hard to understand or they are not at all relevant to the current situation. Their daily routine and activities will also be affected.
  3. Catatonic Schizophrenia: People with catatonic schizophrenia are characterized by increased or decreased movement. This symptom actually varies from person to person. Some people stay at a place for a long time without any kind of movement and some people keep moving for hours and do not stop. They do not speak for hours and sometimes they keep repeating the same thing over and over again. This has to be treated immediately as they will not be able to manage even their daily routine with this kind of behavior.
  4. Undifferentiated Schizophrenia: Undifferentiated schizophrenia is a condition where the symptoms do not fall into any of the above three types. You will also be able to observe hallucinations, delusions, anger, disorganized speech or catatonic behavior.
  5. Residual Schizophrenia: As the name suggests, it is the residue of schizophrenia behavior, but it is less severe as compared to the past. Delusions, hallucination and disorganized speech may still be present but compared to the past, the patient would be doing better.
4222 people found this helpful
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