Trauma Induced Schizophrenia: Understanding Causes And Risk Factors

Medically reviewed by Melissa Guarnaccia, LCSW and Corey Pitts, MA, LCMHC, LCAS, CCS
Updated November 25, 2024by BetterHelp Editorial Team

If you’ve ever been confronted with confusing thoughts, unsettling beliefs, or changes in how you see the world, you're not alone. These experiences can be distressing, and it's understandable to feel lost or scared. 

Sometimes, these symptoms can be associated with schizophrenia, a mental health condition that can develop after experiencing traumatic events, as well as in response to genetic and other factors. While not everyone who experiences trauma will develop schizophrenia, understanding the connection between the two may offer clarity.

Knowing more about trauma-induced schizophrenia can be empowering, helping you or a loved one seek the right support. If you believe you could be living with schizophrenia or another mental health disorder, consider reaching out to a licensed therapist for guidance.

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Has trauma changed the way you experience life?

What is trauma?

Trauma doesn’t just refer to difficult experiences, but usually involves the way a challenging event impacts you. Something that is deeply upsetting for one person might not be perceived in the same way by another. Trauma is often a personal response shaped by many factors, including past experiences and support systems. 

Generally, trauma involves experiencing or witnessing an event that seems intensely threatening or harmful. This event could be a single incident, like a car accident or assault, or an ongoing situation, such as experiencing neglect or physical abuse. 

How childhood trauma can increase the risk of schizophrenia

Childhood sexual abuse and other adverse childhood experiences (ACEs) may increase an individual's risk of developing schizophrenia. These experiences can cause significant distress during a critical stage of brain development, potentially leading to changes in how the brain processes information. As a result, trauma can leave lasting emotional effects that change how you think, feel, and relate to the world around you.

The early stress of childhood trauma can also cause lasting changes in how your brain and body respond to stress. Some people may find they remain “on high alert,” easily startled, or hypervigilant long after the event has passed. 

Understanding Post-traumatic stress disorder (PTSD)

Post-traumatic stress disorder (PTSD) can be a common diagnosis associated with experiencing trauma. PTSD tends to share some similarities with schizophrenia, including the experience of fragmented thoughts, distorted beliefs, and heightened arousal.

If you or a loved one are witnessing or experiencing any form of abuse, please know that help is available. You can call the National Domestic Violence Hotline anytime at 1-800-799-SAFE (7233).

What is schizophrenia and its symptoms?

Schizophrenia can be defined as a complex mental health condition that changes how someone understands reality. Psychotic disorders like schizophrenia can affect thoughts, emotions, and perception. This condition may cause a variety of symptoms, including the following:

  • Hallucinations: Hearing, seeing, smelling, tasting, or feeling things that aren't there

  • Delusions: Strong beliefs that are not based on reality

  • Disorganized thinking: Difficulty concentrating, following conversations, or making sense of things

  • Changes in behavior: Withdrawing from social life, having trouble with self-care, or experiencing unpredictable emotional outbursts

Psychotic or “positive” symptoms like hallucinations and delusions, as well as “negative” symptoms like social withdrawal, can be disruptive to a person's life. While there may not be a cure for schizophrenia, treatment options, including therapy and medication, can improve a person’s quality of life.

The link between trauma and schizophrenia

Not everyone who experiences trauma develops schizophrenia, and not everyone with schizophrenia has a history of trauma. However, research suggests a potential link between the two. Studies indicate that people who have faced adverse life events may be more likely to develop schizophrenia later in life.

Why might this connection exist? Scientists are still working out the details, but there are a few possible explanations:

  • Brain changes: Trauma can alter the way the brain develops, especially when experienced during childhood. These changes might affect areas of the brain involved in processing information and regulating emotions, possibly increasing a person’s vulnerability to developing conditions like schizophrenia.

  • Stress response: Trauma can over-activate a person's stress response system. Over time, chronic stress may wear down the body and mind, potentially contributing to the development of mental disorders like schizophrenia.

  • Coping mechanisms: Some people who have experienced trauma might turn to ways of coping with it that, while helpful in the short term, can increase the risk of psychosis (a key feature of schizophrenia) in the long term.

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How Trauma-Induced Schizophrenia Affects Symptoms and Treatment

Trauma-induced schizophrenia may present differently than other forms of schizophrenia. Some evidence suggests that people with this type of schizophrenia may experience more severe symptoms and have greater difficulty responding to treatment.

What increases the risk of schizophrenia?

While trauma alone doesn't normally cause schizophrenia, certain factors can make someone who has faced traumatic experiences more likely to develop the condition.

  • Genetics: A family history of schizophrenia may increase a person's vulnerability, even if they haven't yet shown symptoms.

  • Age: Experiencing trauma during childhood or adolescence usually carries a higher risk.

  • Severity and type of trauma: Experiences involving violence, abuse, or prolonged or repeated trauma may have a stronger link to schizophrenia.

  • Environmental factors: Poverty, social isolation, and discrimination can all contribute to stress and increase the risk of schizophrenia.

  • Other mental health conditions: Pre-existing conditions, like anxiety or depression, might increase the risk of schizophrenia.

Recognizing possible signs of trauma-induced schizophrenia

You may find it challenging to distinguish the early signs of schizophrenia from other mental health challenges. In the aftermath of a difficult or frightening event, it can be even more complicated. If you or a loved one have had a traumatic experience, you may notice the following changes:

  • Withdrawal: Losing interest in usual activities, becoming more isolated

  • Unusual thinking: Expressing unusual or illogical ideas or struggling to make sense of everyday events

  • Suspiciousness: Sensing that others are out to get them or that they are being watched

  • Sleep or appetite changes: Significant changes in sleeping or eating patterns

  • Emotional changes: Becoming less expressive or having unpredictable mood swings

If you notice these changes, professional help may be warranted. While these changes don't necessarily mean that someone has schizophrenia, a mental health evaluation can rule out other possibilities and identify the right support for the individual who's been affected.

How to move forward

Understanding the potential connection between trauma and schizophrenia can offer a path forward. If you suspect that you or a loved one could be experiencing trauma-induced schizophrenia, the first step toward healing is often seeking professional help. 

  • Accurate diagnosis: A mental health professional can accurately diagnose schizophrenia or identify another mental health condition that might explain the symptoms.

  • Personalized treatment: Treatment for schizophrenia often combines doctor-prescribed medication and therapy. A therapist specializing in trauma-informed care can help you address the root causes of the condition and develop healthy coping mechanisms.

  • Support system: Connecting with support groups or meeting others who have been diagnosed with schizophrenia can offer perspective and fight feelings of isolation.

How to support someone with trauma-induced schizophrenia

You may experience a variety of emotions when watching someone you love manage the effects of schizophrenia. If someone you care about has been diagnosed, here are some ways to offer support.

  • Educate yourself: Learning about schizophrenia and how trauma can affect mental health can be empowering. This knowledge can help you understand your loved one's experiences and offer better support.

  • Practice patience: Schizophrenia can be a difficult condition to experience. Being patient and understanding as your loved one learns to manage their symptoms can positively impact their recovery.

  • Encourage treatment: There may be many ways to gently encourage your loved one to stick with their treatment plan and attend therapy sessions. For example, attending a therapy session with them or helping them find additional support can make the process less intimidating.

  • Focus on the person: Remember, schizophrenia is just one part of who your loved one is. When you maintain respect and see them as a whole person, it can reduce the stigma surrounding schizophrenia and help them feel understood and supported. 

  • Take care of yourself: Supporting someone with a mental health condition often takes time and energy. Prioritizing self-care and setting healthy boundaries can help you better support your loved one on their journey.

Resources for help and mental health recovery

A diagnosis of schizophrenia doesn't have to mean a life without hope. With the right treatment and support, many people with schizophrenia manage their symptoms, regain stability, and lead fulfilling lives.

 Managing trauma and psychosis for healing

Understanding the possible link between trauma and schizophrenia can be a turning point. This information can equip individuals and their loved ones with knowledge, replace fear with understanding, and empower them to navigate a path toward healing. 

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Has trauma changed the way you experience life?

Additional resources can open the door to finding supportive communities and tools that can guide you or your loved one toward recovery:

The benefits of online therapy for trauma-related conditions

Online therapy can be helpful for individuals living with trauma-related conditions, including schizophrenia. For someone hesitant to seek in-person help due to fear or stigma, online therapy can be a less intimidating first step. Online therapy generally removes barriers like transportation and the need to find a local specialist, providing convenient mental health support from the comfort of one’s own home.

Research regarding online therapy for individuals with trauma-induced schizophrenia is still limited. However, emerging evidence suggests the potential effectiveness of digital interventions for individuals with schizophrenia spectrum disorders, particularly in promoting continuity of care. Online platforms can reduce barriers to consistent therapy sessions and offer ongoing support between appointments. While more research is needed, the promise of online therapy for addressing the complexities of schizophrenia warrants further exploration. Please note that individuals experiencing acute psychotic symptoms may need to seek in-person care.

Takeaway

Trauma and schizophrenia usually have a complex relationship. While not everyone who experiences trauma develops schizophrenia, it can be a risk factor. Even with a diagnosis, there's hope. The right treatment, including therapy and strong support systems, can help individuals with schizophrenia manage their condition and live fulfilling lives. Online therapy may offer a more convenient and flexible way for individuals to receive consistent support.
Taking steps toward treatment is brave
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