Schizophrenia is a mental health condition that belongs to a group of disorders known as psychotic disorders. It is characterised by hallucinations, delusions, and disorganised thinking or behaviour.
The most common type of hallucination in schizophrenia is auditory—hearing voices when no one is around or perceiving sounds such as footsteps or knocking.
Delusions, or fixed false beliefs, often take the form of feeling watched or followed, usually by someone with harmful intent (referred to as persecutory delusions). Delusions may also involve a belief in having unique powers or being selected for a special mission.
Disorganised behaviour manifests as erratic or unusual actions that seem out of character. A person’s ability to think clearly may also be compromised, leading to disorganised speech, including the use of unfamiliar or nonsensical words.
Schizophrenia also includes negative symptoms, such as social withdrawal, emotional flatness, loss of motivation, and neglect of personal hygiene. These symptoms often develop gradually, over months or years, and affect the individual’s ability to function at work or in social settings.
The exact cause of schizophrenia is not fully understood, but it is believed to be a combination of genetic and environmental factors, including stressful life events. The condition typically starts in late adolescence or early adulthood. For women, it may also happen in their thirties or around the time of menopause.
Treatment for Schizophrenia
Schizophrenia is primarily managed with antipsychotic medications, which are dopamine blockers. These medications are not addictive and the latest generation of medications have a lot less side effects. They also come in the form of injectables so that patient can remain well with only 1 injection per month. It is recommended that patients continue their medication for at least two years. If they wish to stop, always consult your doctor before doing so, or it may lead to relapse.
In addition to medication, therapy such as Cognitive Behavioural Therapy (CBT) can help address residual symptoms that persist despite medications. Occupational therapy can be helpful for those who are not coping well at work or at home.
Early Treatment and Support
If someone you know is showing signs of schizophrenia, it’s important to encourage them to seek professional help early, as many studies have confirmed that early treatment leads to much better long-term outcomes.
For expert evaluation and compassionate care, contact Private Space Medical. Our team of skilled psychiatrists is here to guide you or your loved one through the process of managing schizophrenia, providing personalised treatment and support every step of the way.
Dr. Ashwin Chee
Senior Consultant Psychiatrist
Senior Consultant Psychiatrist