Misconception about Schizophrenia: Notes

1. What is Schizophrenia:

Schizophrenia is a severe mental disorder that affects thinking, perception, and behavior. It often involves hallucinations, delusions, and disorganized thinking, leading to impaired functioning. It usually starts in late adolescence or early adulthood and requires ongoing treatment.

Example: A person might believe that they are being watched by the government and think that everyday events, like a news report, are messages meant for them. This can make them feel very anxious and paranoid. There might be hallucinations, disorganized thinking, negative symptoms and functional impairment involved.

2. History of Schizophrenia:

Schizophrenia was first formally recognized as a distinct mental disorder in the early 20th century, with the term "schizophrenia" introduced by Swiss psychiatrist Eugen Bleuler in 1908. He derived the name from the Greek words "schizo" (to split) and "phren" (mind), emphasizing the disconnection between thought processes and reality rather than the common misconception of "split personality." Prior to Bleuler, early descriptions of related symptoms were noted by Emil Kraepelin in the late 19th century, who identified various types of psychotic states. Bleuler's work laid the foundation for modern understanding and classification of the disorder, leading to standardized diagnostic criteria established in the late 20th century.

3. Misconception about Schizophrenia

The nature of psychology refers to the fundamental characteristics and essence of the field. It describes what psychology is and how it functions as a discipline. At its core, psychology is:

1. Schizophrenia Means Split Personality:

Many people think schizophrenia means having multiple personalities. In truth, it is a mental illness that causes a person to have trouble understanding what is real, not a split between different identities.

2. People with Schizophrenia Are Violent:

Another common belief is that people with schizophrenia are dangerous or violent. Most individuals with this disorder are not violent and are more likely to be victims of violence than to hurt others.

3. Schizophrenia Cannot Be Treated:

Many believe that schizophrenia cannot be treated, but this is not true. With the right medications and therapy, many people with schizophrenia can manage their symptoms and live fulfilling lives.

4. People with Schizophrenia Cannot Work or Live Independently:

It is a misconception that individuals with schizophrenia cannot hold jobs or live on their own. Many people with this condition can work and live independently with the right support and treatment.

4. Symptoms of Schizophrenia

we will broadly catagorize symptoms of schizophrenia into three catagories. i.e Positive Symptoms, Negative Symptoms and Cognitive symptoms:

1. Positive Symptoms:

Following are the positive symptoms:

1. Delusions:

Strongly held false beliefs that are not based in reality (e.g., paranoia, grandeur).

2. Hallucinations::

These are fasle perceptions, Sensory experiences without external stimuli, most commonly auditory (hearing voices).

3. Disorganized Thinking:

Incoherent speech, trouble organizing thoughts, and difficulty communicating effectively.

2. Negative Symptoms:

1. Affective Flattening:

Reduced emotional expression or responsiveness.

2. Lack of Motivation or Avolition: :

Lack of motivation to initiate or sustain activities.

3. Anhedonia:

Inability to experience pleasure from activities once found enjoyable.

4. Social Withdrawal:

Avoidance of social interactions and relationships.

3. Cognitive Symptoms:

1. Impaired Memory:

Difficulty in remembering information or learning new tasks.

2. Attention Deficits::

Trouble focusing or paying attention.

3. Executive Dysfunction:

Difficulty in planning, organizing, and making decisions.

4. Social Withdrawal:

Avoidance of social interactions and relationships.

5. Causes and Risk Factors

1. Genetic Factors::

Family history of schizophrenia increases the risk.

Genetic mutations may contribute to the disorder.

2. Environmental Factors:

Prenatal exposure to infections or malnutrition.

Psychosocial stressors, such as trauma or abuse during childhood.

Substance abuse, particularly during adolescence.

3. Neurobiological Factors:

Imbalances in neurotransmitters (dopamine and glutamate).

Structural abnormalities in the brain, such as enlarged ventricles.

6. Diagnosis

1. Clinical Assessment:

Diagnosis is primarily based on a clinical interview and assessment of symptoms.

2. Diagnostic Criteria:

According to the DSM-5, symptoms must persist for at least six months, with at least one month of active symptoms.

3. Rule Out Other Conditions:

Important to differentiate from mood disorders, substance use disorders, and medical conditions that can mimic symptoms.

7. Treatment

medications, therapies and Rehabilitations are ways to treat schizophrenia

1. Pharmacological Treatment:

medications are given in following ways:

1. Antipsychotic Medications::

Primarily used to manage symptoms. Regular follow-ups to monitor efficacy and side effects.

2. Psychosocial Interventions:

1. Cognitive Behavioral Therapy (CBT):

Helps patients understand and manage their symptoms.

2. Supportive Therapy:

Provides emotional support and encouragement.

3. Social Skills Training:

Enhances communication and social interactions.

4. Family Therapy:

Educates and supports family members in understanding the disorder.

3. Rehabilitation

Focuses on improving social and occupational functioning. Includes job training, education, and community support services.

8. Conclusion:

Understanding schizophrenia involves recognizing its complexity as a mental health disorder that affects many aspects of a person's life. By emphasizing the symptoms, causes, and treatment options, you can provide a comprehensive understanding of this condition to your students, equipping them with the knowledge necessary to support individuals affected by schizophrenia.

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