Scientists are unsure exactly what causes Schizophrenia but have found that genetic differences, environmental influences, and differences in brain structure and function are factors. Treatment can help relieve many symptoms of Schizophrenia. While most people who have the illness cope with symptoms throughout their lives, many are able to 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.
People with Schizophrenia tend to experience:
Signs and Symptoms
Symptoms of schizophrenia usually start between ages 16 and 30. In rare cases, children have schizophrenia too.
The symptoms of schizophrenia fall into three categories: positive, negative, and cognitive.
Positive symptoms: Positive symptoms are psychotic behaviors not generally seen in healthy people. People with positive symptoms may lose touch with some aspects of reality. Symptoms include:
Negative symptoms: Negative symptoms are associated with disruptions to normal emotions and behaviors. Symptoms include:
Cognitive symptoms: For some patients, the cognitive symptoms of schizophrenia are subtle, but for others, they are more severe and patients may notice changes in their memory or other aspects of thinking. Symptoms include:
There are several factors that contribute to the risk of developing schizophrenia.
Genes and environment: Scientists have long known that schizophrenia sometimes runs in families. However, there are many people who have schizophrenia who dont have a family member with the disorder and conversely, many people with one or more family members with the disorder who do not develop it themselves.
Scientists believe that many different genes may increase the risk of schizophrenia, but that no single gene causes the disorder by itself. It is not yet possible to use genetic information to predict who will develop schizophrenia.
Scientists also think that interactions between genes and aspects of the individuals environment are necessary for schizophrenia to develop. Environmental factors may involve:
Different brain chemistry and structure: Scientists think that an imbalance in the complex, interrelated chemical reactions of the brain involving the neurotransmitters (substances that brain cells use to communicate with each other) dopamine and glutamate, and possibly others, plays a role in schizophrenia.
Some experts also think problems during brain development before birth may lead to faulty connections. The brain also undergoes major changes during puberty, and these changes could trigger psychotic symptoms in people who are vulnerable due to genetics or brain differences.
Treatments and Therapies
Because the causes of schizophrenia are still unknown, treatments focus on eliminating the symptoms of the disease. Treatments include:
Antipsychotic medications are usually taken daily in pill or liquid form. Some antipsychotics are injections that are given once or twice a month. Some people have side effects when they start taking medications, but most side effects go away after a few days. Doctors and patients can work together to find the best medication or medication combination, and the right dose. Check the U.S. Food and Drug Administration (FDA) website: (http://www.fda.gov/ ), for the latest information on warnings, patient medication guides, or newly approved medications.
These treatments are helpful after patients and their doctor find a medication that works. Learning and using coping skills to address the everyday challenges of schizophrenia helps people to pursue their life goals, such as attending school or work. Individuals who participate in regular psychosocial treatment are less likely to have relapses or be hospitalized.
How can I help someone I know with schizophrenia?
Caring for and supporting a loved one with schizophrenia can be hard. It can be difficult to know how to respond to someone who makes strange or clearly false statements. It is important to understand that schizophrenia is a biological illness.
Here are some things you can do to help your loved one: