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Schizophrenia

Schizophrenia is a severe mental disorder characterized by distorted thinking, perceptions, and emotions. Symptoms include hallucinations, delusions, and disorganized behavior, impacting daily functioning. While there is no cure, treatment often involves antipsychotic medications and therapy, aiming to manage symptoms and help individuals lead fulfilling lives.

Key Facts

  • Prevalence: Affects about 1 in 100 people globally.

  • Onset: Typically begins in late teens to early 30s.

  • Gender differences: Men often show symptoms earlier (late teens to early 20s); women typically present later (mid-20s to early 30s).

Causes and Risk Factors

Schizophrenia doesn’t have a single cause—it’s influenced by a combination of genetic, brain chemistry, and environmental factors:

  • Genetics: Strong hereditary component

  • Brain structure and function: Abnormalities in neurotransmitters like dopamine and glutamate; altered brain structure seen in imaging

  • Prenatal factors: Malnutrition, viral infections during pregnancy

  • Psychosocial stress: Trauma, abuse, or extreme stress may trigger symptoms in vulnerable individuals

  • Substance use: Especially marijuana, LSD, or amphetamines in adolescence

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Treatment and Management

Schizophrenia is treatable but not curable. Early diagnosis and continuous treatment are key.

1. Medications

  • Antipsychotics (first-line treatment)

    • Examples: Risperidone, Olanzapine, Clozapine

  • Long-acting injectables (help with medication adherence)

2. Psychosocial Therapies

  • Cognitive Behavioral Therapy (CBT)

  • Social skills training

  • Supported employment or education

  • Family therapy and psychoeducation

3. Lifestyle and Support

  • Stable daily routine

  • Stress management

  • Healthy relationships and community support

  • Avoidance of drugs/alcohol