Schizophrenia

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Schizophrenia

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Important skills for a person with schizophrenia include:

• Learning to take medications correctly and how to manage side effects
• Learning to watch for early signs of a relapse and knowing how to react when they occur
• Coping with symptoms that are present even while taking medications. A therapist can help persons with schizophrenia test the reality of thoughts and perceptions.
• Learning life skills, such as job training, money management, use of public transportation, relationship building, and practical communication

Family members and caregivers are often encouraged to help people with schizophrenia stick to their treatment.

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The outlook for a person with schizophrenia is difficult to predict. Most people with schizophrenia find that their symptoms improve with medication, and some can get good control of their symptoms over time. However, others have functional disability and are at risk for repeated episodes, especially during the early stages of the illness.

To live in the community, people with schizophrenia may need supported housing, work rehabilitation, and other community support programs. People with the most severe forms of this disorder may be too disabled to live alone, and may need group homes or other long-term, structured places to live. Some people with milder forms of schizophrenia are able to have satisfying relationships and work experiences.

• People with schizophrenia have a high risk of developing a substance abuse problem. Use of alcohol or other drugs increases the risk of relapse, and should be treated by a professional.
• Physical illness is common among people with schizophrenia due to an inactive lifestyle and side effects from medication. Physical illness may not be detected because of poor access to medical care and difficulties talking to health care providers.
• Not taking medication will often cause symptoms to return.

Call your health care provider if:

• Voices are telling you to hurt yourself or others.
• You feel the urge to hurt yourself or others.
• You are feeling hopeless and overwhelmed.
• You are seeing things that aren't really there.
• You feel like you cannot leave the house.
• You are unable to care for yourself.

Review Date: 02/07/2010
Reviewed By: David B. Merrill, MD, Assistant Clinical Professor of Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).