What is Schizophrenia?
Schizophrenia is a term used to describe a complex, extremely puzzling condition - the most chronic and disabling of the major mental illnesses. Schizophrenia may be one disorder, or it may be many disorders, with different causes. Because of the disorder's complexity, few generalizations hold true for all people who are diagnosed as schizophrenic.  

In addition, schizophrenia is a very costly illness. In the United States, it costs as much as $48 billion each year. This total includes the costs of medical treatment, Social Security payments, and wages lost because of illness for every person with the disease.  

Approximately 1 percent of the population develop schizophrenia during their lives. This disorder affects men and women with equal frequency. The first psychotic symptoms of schizophrenia are often seen in the teens or twenties in men and in the twenties or early thirties in women. Less obvious symptoms, such as social isolation or withdrawal or unusual speech, thinking, or behavior may precede and/or follow the psychotic symptoms.  

Sometimes people have psychotic symptoms due to undetected medical disorders. For this reason, a medical history should be taken and a physical examination and laboratory tests should be done during hospitalization to rule out other causes of the symptoms before concluding that a person has schizophrenia. 

Schizophrenia affects the whole family!
 
 
Schizophrenia is Not:
  • "Split Personality"
  • A New Disease
  • The Parents' Fault
  • Untreatable
  • Contagious
  • Caused by Laziness
  •  
     
     
     Understanding Symptoms of Schizophrenia

         Schizophrenia is a biological disease of the brain.  There are various stages of the disease that vacillate over time.  During acute periods, patients experience an increase in sensations that is different than their usual feelings.  These additional feelings are referred to as "positive symptoms" but they are anything but  positive: hallucinations, delusions, and thought confusions.  Patients in this stage seem to respond well  to decreased stimuli, calm interactions, and anti psychotic medicine. In between the acute periods are various stages during which patients frequently experience "negative symptoms". These are lessening of the normal range of feelings:  loss of interest, loss of energy, loss of warmth, loss of humor. In general, these do not respond to medical interventions but require more difficult psychological assistance.  Clozapine has recently been introduced and can help with negative symptoms. 
     

     
     
    Alterations of the senses.  
         The alterations of the senses may be either enhancement (more common) or blunting.  The screening mechanism that allows normally functioning brains to focus, seems to be missing.  The end  result is that concentrating, even on simple things, is difficult. 
         The senses are flooded with stimuli, so the schizophrenic can't separate one from the other.  Noises can be louder, as if someone turned up the volume on life.  Colors may be brighter, sharper.  Hearing may be so sensitive, that sounds  interfering with carrying on a simple conversation.   When this over sensitivity hits all the senses, the schizophrenic may feel enlightened and give a religious meaning to what they are experiencing. Religious preoccupation is often listed as an early sign of schizophrenia.  
         Sensations may also be blunted, including those of pain.  It is not uncommon for schizophrenics to burn their fingers from cigarettes and not notice.  Occasionally, patients have broken bones, ruptured appendices, etc. without feeling it.
     
    Inability to sort and interpret incoming sensations.  
         A schizophrenic's brain is not able to sort, interpret, and respond like a normal brain; therefore, a schizophrenic's reactions often seem "inappropriate." The meaning of simple words can be difficult to comprehend because they have trouble concentrating. 
         There seems to be a "disconnectedness" to everything. At times, they may  see other people as eyes, ears, nose, each separated and not making up a whole. Therefore people with schizophrenia  
    often think they have seen someone they haven't.  
         Many persons with schizophrenia prefer to spend time by themselves, withdrawn, communicating with others as little as possible because of their inability to sort and interpret stimuli.   Inappropriate response is the root of a schizophrenic's difficulties in relating to other people.  
         Schizophrenics also have "loose associations" caused by the  jumbling of thoughts. The mind jumps from subject to subject.  Another characteristic of schizophrenic thinking is the inability to grasp abstract thoughts.   An impairment of the ability to think makes simple tasks like following directions, riding a bus, or planning meals very difficult. Making up words (neologisms) is common as the thought process gets in front of the speech process. Schizophrenics often exhibit thought blocking, which inhibits them from remembering what they are saying.   A final symptom is often ambivalence, the inability to resolve contradictory thoughts. The mind may divide on a subject and each of those pieces divides, and on and on.  More info   
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    Delusions and Hallucinations 
    These are probably the best known symptoms. Most delusions and hallucinations are an outgrowth of over acuteness of the senses and the brain's inability to interpret and respond appropriately to stimuli.  Delusions are false ideas believed by the patient but not by other people in the culture and which cannot be corrected by reason. Often this takes the form of believing that everything around them relates to them in some way.  The schizophrenic finds evidence of this  in the overloaded stimuli they receive and cannot interpret.  

    • Paranoid Delusions:  common; may believe he is being watched, controlled, manipulated or hypnotized; and may be dangerous if acted upon.
    • Grandiose Delusions:  quite common; believes he controls the world, has a close and personal relationship with powerful, even historical figures  
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    Hallucinations are common and represent the end of the spectrum that begins with over acuteness of senses. The person may hear them occasionally or continuously. The voices and auditory hallucinations are almost always unpleasant. 

    • Auditory Hallucinations:  most common; hears a swishing or thumping sound, a repetitive phrase, a voice, choirs, or multiple voices.
    • Visual Hallucinations:  common; sees things that aren't there;
    • Smell or Touch Hallucinations:  smells things that don't exist; feels things that are imagined.  
    More info:   Hallucinations    Delusions   

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    Altered Sense Of Self.  
    Ordinary individuals have a clear sense of self. They know where their bodies stop and inanimate objects begin. This is not true for many schizophrenics who are unable to distinguish themselves from other people, distinguish individual body parts from  
    each other.  Trying to rectify this can have severe problems if they attempt to physically correct their perceived problems (i.e. through self mutilation.)   
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    Changes in Emotion 
    Changes in emotion is one of the most common symptoms of  schizophrenia. It results in individuals who appear to be  
    unable to feel emotions at all. Initially experiencing widely fluctuating and exaggerated emotions, overwhelming guilt, extensive, pervasive, nameless fear.  
    Exaggerated feelings are usually only present early in the disease and then go away.   In advanced stages, there are no emotions at all. It is the retention of such feelings and emotions which is the single sharpest dividing line between schizophrenia and manic depression. 
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    Changes in Movement  
         Some changes in movement are the result of medicines. Repetitive movements such as ticks, tremors, tongue movement and sucking movements are often the side effects of medicine.  Symptomatic changes include increased awkwardness and belabored movement.  Catatonia , the total absence of movement, is another form of movement impairment. 
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    Changes in Behavior  
    Changes in behavior are secondary symptoms. A response to what is going on in the brain.  Withdrawing, catatonia, mutism (not speaking) are all common.  Ritualistic, repetitive behavior like walking in circles, repeating a movement are common. Repetitive gestures or adopting an unusual posture are widely seen. Echolalia (repeating, or parroting what others say) is a common occurrence. Inappropriate behavior (disrobing or urinating in public, spitting, etc.) is comparatively rare and can be fixed with medicine.

     
     

    Symptoms
     
    Alteration of the Senses 
     
    Inability to Sort and Interpret 
     
    Delusions and Hallucinatio ns
     
    Altered Sense Of Self
    Changes in Emotion 
     
    Changes in Movement
     
    Changes in Behavior
     

    What Causes Schizophrenia?

    ?Heredity - One possible cause of schizophrenia may be heredity, or genetics. Experts think that some people inherit a tendency to schizophrenia. In fact, the disorder tends to "run" in families, but only among blood relatives.  

    ?Environment- Some researchers believe that events in a person' environment trigger schizophrenia. Some studies have shown that influenza infection or improper nutrition during pregnancy and complications during birth may increase the risk that the baby will develop schizophrenia later in life.  

    ?Combination -Many researchers believe schizophrenia is likely caused by a complex combination of gene and environmental factors. Certain people are born with a tendency to develop the disease.  But the disease only appears if these people are exposed to unusual stresses or traumas.  

     
     

     
     
    Links
    Schizophrenia
     
    National Institute of Mental Health

    Schizophrenia Home Page
     
    Schizophrenia Self-diagnosis Test
     
    Various Articles from NAMI/NYC
     
    Family and Friends Schizophrenics

    Handbook for Families
     
    Coping and Support Resources for Families

    NARSAD
     

     
     
     

    Warning:  The Internet is a wonderful way to get info. But you must be wary. On the internet you often do not know where the info is coming from, or the "views" of the person disseminating the info. The links I have provided appear to be very knowledgeable. Here is a list of reliable sources:  
     

    National Alliance for the Mentally Ill (NAMI) 
      
    National Depressive  and Manic-Depressive Association   
      
    National Foundation For Depressive Illness, Inc. 

    National Institute of Mental Health 

    National Institute of Neurological Disorders 
     

      
    Support Groups, Newsletters, Seminars (In NY: 212-684-FAMI; 
    Elsewhere: 1-800-950-NAMI)

     
    If you are dealing with Schizophrenia, you may want to read the next page!

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