Schizophrenia
Schizophrenia
is a chronic, severe, and disabling brain disorder that has affected people
throughout history. The sufferers feel that everybody tries to read and threat
his or her mind. So it make the sufferers are agitated. It influences the way
they talk because they will think very carefully before talking, so you see
them very quiet. Therefore, in families and society, they feel uncomfortable
and so do the families and society. Most of the sufferers of Schizophrenia try
to treat their self through the lives. Through it all, some researchers develop
some treatments to the sufferers that may prevent and better treat the illness.
There are three kinds of symptoms of schizophrenia,
positive symptoms, negative
symptoms, and cognitive symptoms.
1.
Positive
symptoms actually are usually seemed as “insanity” behaviors. It is divided
into four types.
a)
The
first one is Hallucinations. Hallucinations are things a person sees, hears,
smells, or feels that no one else can see, hear, smell, or feel. “Voices” are
the most common type of hallucination in schizophrenia. The voices talk about
the behaviors, warnings, or something to do.
b)
The
second one is Delusions. Delusions are false beliefs that are not part of the
person’s culture and do not change. The sufferers believe the delusions even
after other people prove that the beliefs are not true or logical. They may
have paranoid delusions and it is called “delusions of persecution.”
c)
The
third is Thought Disorder. It is unusual or dysfunctional ways of thinking. The
sufferers talk illogically and garble. If they were asked to stop talking
(Thought Blocking), they would say that the thought had been taken out of their
head. Finally, they might make up meaningless words, or “neologisms (making new
word)”
d)
The
last one is Movement Disorders. It may appear as agitated body movements. A
person with a movement disorder may repeat certain motions over and over. In
the other extreme, a person may become catatonic.
2. Negative symptoms have relationship to abnormal emotions and behaviors.
The symptoms include the following:
a)
“Flat
affect” (a person’s face does not move or he or she talks in a dull or
monotonous voice)
b)
Lack
of pleasure in everyday life
c)
Lack
of ability to begin and sustain planned activities
d)
Speaking
little, even when forced to interact.
3. Cognitive
symptoms are subtle. It often makes the life abnormal and can cause great
emotional distress. It includes the following:
a)
Poor
“executive functioning” (the ability to understand information and use it to
make decisions)
b)
Trouble
focusing or paying attention
c)
Problems
with “working memory” (the ability to use information immediately after
learning it).
Schizophrenia
can affect either men or women. Hallucination and Delusion usually start
between ages 16 and 30. Children rarely get Schizophrenia and people rarely get
schizophrenia after 45. Teenagers are difficult to diagnose getting it because
their common behaviors are same with the symptoms like withdrawing from others,
an increase in unusual thoughts and suspicions, and a family history of
psychosis. For young people who develop the disease, the stage, is called the
“Prodromal” period.
People
with schizophrenia are not usually violent but some symptoms are associated
with violence, such as delusions of persecution. Substance abuse may also
increase the chance a person will become violent. Most researchers do not
believe that substance abuse causes schizophrenia. Substance abuse can make
treatment for schizophrenia less effective. Some drugs, like marijuana and
stimulants such as amphetamines or cocaine, may make symptoms worse. The
relationship between smoking and schizophrenia is complex. Smoking may make
antipsychotic drugs less effective. Addiction to nicotine is the most common
form of substance abuse in people with schizophrenia. They are addicted 75 to 90
percent vs. 25 to 30 percent.
Actually,
Schizophrenia is caused by several factors:
1.
The first is genes and environment; Schizophrenia
is only 1 percent in the world, 10 percent is inherited from families and the
highest risk is from an identical twin with Schizophrenia, it is about 40 to 65
percent. Beside the genes factor, many environmental factors may be
involved, such as exposure to viruses or malnutrition before birth, problems
during birth, and other not yet known psychosocial factors.
2.
The second is different brain chemistry and
structure. Imbalance
brain’s chemicals like neurotransmitters (substances that allow brain cells to
communicate with each other), dopamine, and glutamate, plays a role in
schizophrenia. Some experts think problems during brain development before
birth may lead to faulty connections and it will show in the puberty because
major change happens here and could trigger psychotic symptoms.
Because
the causes of schizophrenia are still unknown, treatments focus on eliminating
the symptoms of the disease. Treatments include antipsychotic medications and various
psychosocial treatments.
1.
Antipsychotic
medications have been available since the mid-1950’s. The older types are
called conventional or “typical” antipsychotics. Some of the more commonly used
typical medications include Chlorpromazine (Thorazine), Haloperidol (Haldol), Perphenazine
(Etrafon, Trilafon), and Fluphenazine (Prolixin).
2.
“Atypical”
Antipsychotics developed in the 1990’s. One of these medications, Clozapine
(Clozaril) is an effective medication that treats psychotic symptoms,
hallucinations, and breaks with reality. However, Clozapine can sometimes cause
a serious problem called Agranulocytosis (a loss of the white blood cells that
help a person fight infection). Besides that, Clozapine is potentially helpful
for people who do not respond to other antipsychotic medications. The other medications
include Risperidone (Risperdal), Olanzapine (Zyprexa), Quetiapine (Seroquel),
Ziprasidone (Geodon), Aripiprazole (Abilify), and Paliperidone (Invega). People
who are taking antipsychotics have some side effects like Drowsiness, Dizziness
when changing positions, Blurred vision, Rapid heartbeat, Sensitivity to the
sun, Skin rashes, and menstrual problems for women. It also disturbs metabolism
and risks of getting cholesterol, suggested to check the weight, glucose
levels, and lipid levels to a doctor. Typical antipsychotic medications can
cause side effects related to physical movement, such as Rigidity, Persistent
muscle spasms, Tremors, and Restlessness. Long-term use of typical
antipsychotic medications may lead to a condition called Tardive Dyskinesia
(TD) and it causes muscle movements a person cannot control. Therefore, Antipsychotics is usually
in pill or liquid form and shots once or twice a month.
Symptoms
of Schizophrenia may have a relapse and get worse. Usually, relapses happen
when people stop taking their medication without recommendation of the doctor. The
sufferers should be aware with the other medicines because Antipsychotics can
produce unpleasant or dangerous side effects when taken with certain
medications. To find out more about how antipsychotics work, the National
Institute of Mental Health (NIMH) funded a study called CATIE (Clinical
Antipsychotic Trials of Intervention Effectiveness). The study found the older
typical antipsychotic Perphenazine (Trilafon) that worked as well as the newer,
atypical medications.
Psychosocial treatments also can help people with
schizophrenia that is already stabilized on antipsychotic medication. There are six psychosocial treatments:
a)
Illness
management skill, it giving the knowledge all about Schizophrenia, and it makes
the patients can learn to prevent relapses.
b)
Integrated treatment for co-occurring substance
abuse.
When schizophrenia treatment programs and drug treatment programs are used
together, patients get better results.
c)
Rehabilitation. It emphasizes
social and vocational training to help people with schizophrenia function
better in their communities.
d)
Family education. Family should know about the
disease because after discharging from hospital they have to treat.
e)
Cognitive behavioral therapy. Cognitive
behavioral therapy (CBT) is a type of psychotherapy that focuses on thinking
and behavior. The therapist teaches people with schizophrenia how to test the
reality of their thoughts and perceptions, how to “not listen” to their voices,
and how to manage their symptoms overall.
f)
Self-help groups. It is not included the
professional therapy, people in self-help groups know that others are facing
the same problems, which can help everyone feel less isolated.
People
with schizophrenia may not think they need help because they believe their
delusions or hallucinations are real. Family and friend should give support,
and if they were dangerous, just call the police to take them to hospital. The
doctor will need some information from family and friends to help a mental
health of the sufferers. After he or
she leaves the hospital, family and friends can help for the treatment. If
patients stop taking their medication or stop going to follow-up appointments,
their symptoms likely will return. Sometimes symptoms become severe for people
who stop their medication and treatment. Giving them some supports about life
is one solution.
The
outlook for people with schizophrenia continues to improve. Although there is
no cure, treatments that work well are available. Many people with
schizophrenia improve enough to lead independent, satisfying lives.