“Schizophrenic” Meaning: Understanding Schizophrenia
Schizophrenia is a serious mental illness that can make people see or hear things that aren’t there, develop false beliefs, withdraw socially, and struggle with daily tasks. In general, there are still many myths surrounding schizophrenia, which often paint a false picture of what it means to have the disorder. For example, people often believe that schizophrenia involves having multiple personalities or that those with schizophrenia are usually violent, neither of which is true. Those with schizophrenia can often manage their symptoms with a combination of treatment methods, including therapy.
Understanding schizophrenia
Psychosis can be defined as a state in which a person becomes detached from reality. They might hear voices, see things that aren’t real, or develop false or fantastical beliefs. People with schizophrenia may go through multiple periods of psychosis during their lives.
Positive symptoms of schizophrenia
Symptoms of schizophrenia are often given labels like “positive,” “negative,” and “cognitive.” Positive symptoms can be seen as symptoms that tend to be more common during periods of psychosis. Some examples include the following:
- Delusions: False beliefs that can’t be changed, even with evidence against them
- Hallucinations: Seeing, hearing, or sensing things that aren’t there
- Disorganized thinking: Thoughts that jump around or don’t follow logic
- Disorganized speech: Talking in a way that’s hard for others to understand
Negative symptoms of schizophrenia
On the other hand, negative symptoms may be more likely to continue between psychotic episodes. Some common examples include those listed below:
- Losing the desire to interact with others
- Lacking motivation to do daily tasks
- Not experiencing enjoyment from hobbies, relationships, and activities
- Showing limited emotions
Cognitive symptoms are usually considered the final type of core symptoms. These can be viewed as changes in people’s mental functions due to schizophrenia, which may affect their ability to:
- Learn
- Make plans
- Think in abstract ways
- Remember information
- Pay attention
- Solve problems
Schizophrenia spectrum disorders: Redefining mental illness
Schizophrenia used to be broken up into different subtypes. In the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5, this is no longer the case. Now, schizophrenia falls under the category of “schizophrenia spectrum disorders.” This new definition can better account for the wide range of effects the disorder can have on people. The schizophrenia spectrum also includes other mental illnesses, like brief psychotic disorder and schizoaffective disorder.
“Schizophrenic” meaning: Debunking the myths
Many inaccurate beliefs may still surround schizophrenia. Debunking them may help us get a better understanding of this complex mental illness. With that in mind, let’s look at a few of the most common ones.
Myth: Having schizophrenia means having a “split personality”
This is perhaps one of the most persistent myths about schizophrenia. In a 2019 survey of university students on their beliefs about the disorder, nearly half the respondents believed schizophrenia caused people to develop multiple personalities. Certain schizophrenia symptoms, like changes in emotions and social habits, may seem to affect people’s personalities. However, the disorder doesn’t actually cause someone to develop multiple identities. (This is typically a symptom of a separate mental illness called dissociative identity disorder or DID.)
Myth: Being “schizophrenic” means being unintelligent
Another common myth may be that people with schizophrenia aren’t smart. This may stem from certain research, like a 2015 study that analyzed data from the medical and family records of Swedish men. Researchers found that those with lower IQ scores were typically at a greater risk of schizophrenia. Still, IQ scores may not tell the whole story. Many people known for their intelligence, like Nobel Prize-winning mathematician John Nash, have been diagnosed with schizophrenia.
Myth: People with schizophrenia are violent
There tends to be a common belief that people with schizophrenia are violent, explosive, or dangerous. People experiencing psychotic symptoms may sometimes act in unpredictable ways. However, according to the National Institutes of Mental Health, most people with schizophrenia aren’t violent. In fact, those with schizophrenia may be more likely to experience violence themselves than to be violent toward others.
Myth: Genetics are the sole cause of schizophrenia
Genetics likely play a role in a person’s likelihood of developing schizophrenia. However, it’s generally not a simple matter of whether you have a relative with the condition. Even if you have an identical twin with schizophrenia, studies have found that the risk of developing it yourself is still only around 50%. Multiple other risk factors may make a person vulnerable to the disorder, including the following:
- A low birth weight
- Illness during pregnancy
- Growing up in an urban environment
- Complications during birth
- Being born in the winter
- Having older parents
It’s likely that schizophrenia is caused by a combination of genetics, life experiences, and environmental factors like those listed above.
Myth: It’s impossible to recover from schizophrenia
There is currently no known cure for schizophrenia. This may be why some people believe it’s impossible to go back to your old life once you develop it. While schizophrenia can have significant impacts on people’s lives, it’s often treatable. With the right interventions, many people with schizophrenia can work, have relationships, and improve their quality of life. According to the World Health Organization, at least one-third of schizophrenia patients may fully recover from their symptoms.
Health services and resources for people with schizophrenia
Recovery can depend on having the proper support. If you’ve recently been diagnosed, you may want to talk to your doctor about treatment options. They may recommend a combination of treatments, such as antipsychotic medications, social support programs, or other mental health services.
In addition, therapy can often help those with schizophrenia better manage their symptoms. Through counseling, it may be possible to adjust negative thought patterns, improve relationships, and develop the tools to navigate daily life in a healthy way.
Seeking online health services for a mental illness
Commuting to in-person therapy may not always be easy with schizophrenia, which can often affect motivation, mood, and the desire to socialize. With online therapy, you can work with a therapist directly from your home. This may be an easier option for people whose symptoms make it hard to leave the house.
Effectiveness of managing symptoms of schizophrenia
Online interventions can be helpful for people with schizophrenia. In a 2016 study, a group of veterans with schizophrenia who were at risk of suicide participated in a telehealth treatment program. After three months, the majority experienced improvements in their symptoms. However, individuals experiencing acute psychosis may require in-person care.
If you are experiencing suicidal thoughts or urges, contact the National Suicide Prevention Lifeline at 988. Support is available 24/7.
Takeaway
What does a schizophrenic person do?
A person with schizophrenia may exhibit unusual behaviors if they are experiencing a psychotic episode. These can range from withdrawing socially to childlike silliness. Their occupational functioning might be inhibited, and they may have unusual body movements.
Someone who has schizophrenia needs to follow their treatment plan closely. Furthermore, they should make self-care a priority and refrain from alcohol or substance misuse (formerly called substance abuse).
What are the symptoms of schizophrenia?
Schizophrenia is a psychotic illness, or a thought disorder. The main symptoms of schizophrenia are hallucinations, delusions, disorganized thought and speech, disorganized behavior, and negative symptoms.
No one knows the exact cause of schizophrenia or related psychotic disorders, but it is believed to be a combination of genetic (family history), environmental (trauma), and biological (brain development and brain structure) factors. The Mental Health Services Administration provides information on schizophrenia on their website, as does the National Alliance on Mental Illness. The World Health Organization reports that about 1 in 300 people in the general population develop schizophrenia.
What age does schizophrenia start?
Most people who develop schizophrenia experience its onset in early adulthood. For men, it typically starts in the late teens or early twenties. For women, it starts in the twenties or early thirties.
The first signs that schizophrenia or other psychotic disorders may develop are changes in mood, thought, and behavior. These can include reduced motivation for school and other activities, loss of interest in friends and a social life, depression, trouble sleeping, and trouble speaking. This early phase can develop into a more severe psychotic episode in which the person has delusions (bizarre beliefs) and hallucinations (hears or feels things that aren’t there) and is unable to engage in everyday activities. If any of these symptoms occur, it's critical that the person see a health care provider to receive a diagnosis and treatment. Patients who receive early treatment have better outcomes.
Can people recover from schizophrenia?
While schizophrenia is a chronic, lifelong condition, people can recover successfully from psychotic episodes and live happy, productive lives.
What is the main cause of schizophrenia?
No one knows the exact cause of schizophrenia, but it is believed to be a combination of genetic, environmental, and biological factors.
What is psychotic behavior?
Psychotic behavior is behavior that is not related to conventionally understood reality, in which a person thinks unusual or impossible things to be true.
What should a person with schizophrenia avoid?
A person with schizophrenia should avoid consuming alcohol and recreational drugs.
Can people with schizophrenia live alone?
Many people with schizophrenia can live alone, but it depends on the severity of their symptoms and how well they manage their symptoms. People who are not able to live alone may live in group homes.
What is the life expectancy of someone with schizophrenia?
According to research studies, for people with schizophrenia, the average life expectancy is 64.7 years. Men’s average age of death is 59.9, and women’s average age of death is 67.6. According to a systematic review and meta analysis in World Psychiatry, the mortality rate of people with schizophrenia is derived from the fact that they tend to live 15–20 years less than people in the general population. Heart disease is the leading cause of death for people with schizophrenia. This is one of the many reasons why mental health services are so important for people with schizophrenia.
What is the main drug used to treat schizophrenia?
Schizophrenia is typically treated with an antipsychotic drug, the most common being haloperidol. Can help make treatment decisions.
Medication should be administered in tandem with therapy. And in addition to therapy, education of family members is important. Some people with schizophrenia also attend support groups or engage in supported employment.
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