Frequently Asked Questions
Schizophrenia is an extremely complex mental illness: in fact it is probably many illnesses masquerading as one. A biochemical imbalance is believed to cause symptoms.
02. What causes schizophrenia?
The precise cause of schizophrenia remains unknown. Changes in key brain functions, such as perception, emotions, and behaviour, indicate that the brain is the biological site of schizophrenia. Some researchers suspect neurotransmitters (the substances through which cells communicate) may be involved. There may be changes in dopamine, serotonin, or other neurotransmitters. The limbic system (an area of the brain involved with emotion), the thalamus (which coordinates outgoing messages), and several other brain regions may also be affected.
There is as yet no cure, but there are good and effective treatment options, and recovery of a quality of life is possible.
04. How is Schizophrenia Treated?
Currently, there is no method for preventing schizophrenia and there is no cure. Minimizing the impact of illness depends mainly on early diagnosis and, appropriate psychosocial treatment and medication.
05. Why may there be resistance to taking medication?
People with schizophrenia sometimes lack insight into their illness, thus do not see the need for medication. Also, medication sometimes has unpleasant side effects and this may discourage individuals from continuing to follow their prescription.
06. What are your chances of getting schizophrenia?
Approximately one in 100 person, or 1% of the population, is affected by schizophrenia.
07. Why is it important to get help early?
The earlier someone is stabilized on medication, the better the outcome for the illness. Early treatment can prevent unnecessary suffering and hospitalization.
08. What happens if proper medical care is not provided?
The illness gets worse. With proper medical care, recovery is possible.
09. What are the early warning signs?
Marked personality and behaviour changes that last a period of time. When a combination of symptoms persists it is crucial to seek medical attention.
Early warning signs may include:
• Withdrawal from activities and social contacts
• Irrational, angry, or fearful responses to friends and family
• Sleep disturbances
• Deterioration in studies or work
• Inappropriate use of language—words do not make sense
• Sudden excesses, such as extreme religiosity, extreme activity
• Deterioration in personal hygiene
• Difficulty controlling thoughts, difficulty concentrating
• Hearing voices or sounds others don’t hear
• Seeing people or things others don’t see
• A constant feeling of being watched
• Inability to turn off the imagination, delusions, off-the-wall ideas
• Mood swings, increased anxiety
• Somatic symptoms: weakness, pains, bizarre body sensations
10. Why don’t people with schizophrenia seek help for themselves?
There may be a variety of reasons why a person with schizophrenia does not seek help, including lack of insight due to the illness; the brain is not functioning as it should; it cannot “tell” the person what is wrong. Also, society’s prejudices about mental illness discourage people from disclosing their symptoms. There is fear of the stigma of mental illness and subsequent rejection and isolation.
11. In addition to good medical care, what other kinds of support can help a person recover and improve his/her quality of life?
Friends and family who are supportive; acceptance and understanding from society; education, rehabilitation and counselling to help cope with the illness; support to continue education; housing; and community supports and services.
12. What are some of the challenges facing individuals with Schizophrenia?
Accepting having to take medication; overcoming stigma and prejudice caused by ignorance; avoiding stress; having a social life; continuing going to school; finding a job and a place to live, establishing and maintaining relationships, and the challenges of recovery.
13. How are families affected by the illness?
The family is often in chaos. Bewildered by the symptoms, they may be in denial about the seriousness of the changes. They may be exhausted and emotionally drained from trying to get help, especially if there is a lack of appropriate information and resources in the community.
14. How can I help dispel the myths and reduce the stigma of mental illness?
Be tolerant of people who are obviously ill; don’t perpetuate old stereotypes; avoid hurtful language; get the real facts about the biological causes of mental illness; access up-to-date books and web sites; help educate others.
15. Where can I get more information and support?
Your local Schizophrenia Society or CMHA office can provide you with more information about schizophrenia. In addition, your local provincial office or chapter/branch has a variety of programs and initiatives that will help you and your ill loved one better understand this disorder and provide much need support.