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Do you know someone who seems like he or she has
"lost touch" with reality? Does this person talk
about "hearing voices" no one else can? Does he or
she see or feel things no one else can? Does this
person believe things that aren't true? Sometimes
people with these symptoms have Schizophrenia, a
serious illness. |
Schizophrenia
(Disambiguation)
Schizophrenia is a mental disorder characterized by
a breakdown of thought processes and by impaired
emotional responses. Common symptoms include
Delusions, such as paranoid beliefs; hallucinations;
disorganized thinking; and negative symptoms, such
as blunted affect and avolition. Schizophrenia
causes significant social and vocational
dysfunction. Symptom onset typically occurs in young
adulthood, with a global
lifetime prevalence of about 0.3–0.7%. Diagnosis is
based on observed behavior and the person's reported
experiences.
Genetics, early environment, neurobiology, and
psychological and social processes appear to be
important contributory factors; some recreational
and prescription drugs appear to cause or worsen
symptoms. Current research is focused on the role of
neurobiology, although no single isolated organic
cause has been found. The many possible combinations
of symptoms have triggered debate about whether the
diagnosis represents a single disorder or a number
of discrete syndromes. Despite the origin of the
term from the Greek roots skhizein , Schizophrenia
does not imply a "split personality", or "multiple
personality disorder" (which is known these days as
dissociative identity disorder)—a condition with
which it is often confused in public perception.
Rather, the term means a "splitting of mental
functions", because of the symptomatic presentation
of the illness.
The mainstay of treatment is antipsychotic
medication, which primarily suppresses dopamine (and
sometimes serotonin) receptor activity.
Psychotherapy and vocational and social
rehabilitation are also important in treatment. In
more serious cases—where there is risk to self and
others—involuntary hospitalization may be necessary,
although hospital stays are now shorter and less
frequent than they once were.
The disorder is thought mainly to affect cognition,
but it also usually contributes to chronic problems
with behavior and emotion. People with Schizophrenia
are likely to have additional (comorbid) conditions,
including major depression and anxiety disorders;
the lifetime occurrence of substance use disorder is
almost 50%. Social problems, such as long-term
unemployment, poverty, and homelessness are common.
The average life expectancy of people with the
disorder is 12 to 15 years less than those without,
the result of increased physical health problems and
a higher suicide rate (about 5%).
Schizophrenia is a serious brain illness. Many
people with Schizophrenia are disabled by their
symptoms. People with Schizophrenia may hear voices
other people don't hear. They may think other people
are trying to hurt them. Sometimes they don't make
any sense when they talk. The disorder makes it hard
for them to keep a job or take care of themselves.
Schizophrenia is a chronic, severe, and disabling
brain disorder that has affected people throughout
history. They may believe other people are reading
their minds, controlling their thoughts, or plotting
to harm them. This can terrify people with the
illness and make them withdrawn or extremely
agitated. About 1 percent of Americans have this
illness.People with Schizophrenia may not make sense
when they talk. They may sit for hours without
moving or talking. Sometimes people with
Schizophrenia seem perfectly fine until they talk
about what they are really thinking.
Families and society are affected by Schizophrenia
too. Many people with Schizophrenia have difficulty
holding a job or caring for them-selves, so they
rely on others for help.
Treatment helps relieve many symptoms of
Schizophrenia, but most people who have the disorder
cope with symptoms throughout their lives. However,
many people with Schizophrenia can lead rewarding
and meaningful lives in their communities.
Researchers are developing more effective
medications and using new research tools to
understand the causes of Schizophrenia. In the years
to come, this work may help prevent and better treat
the illness.
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