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Mental Illness> Schizophrenia

     

Schizophrenia is the most complex, chronic and disabling of the major mental illnesses.  Because of the disorder’s complexity, few generalizations hold true for all people diagnosed as schizophrenic.  Approximately 1 % of the population will develop schizophrenia during their lives.  This disorder affects men and women with equal frequency.  The first psychotic symptoms of schizophrenia are often seen in the teens or twenties in men and in the twenties or early thirties in women.  Less obvious symptoms, such as social isolation or withdrawal or unusual speech, thinking, or behavior may precede and/or follow the psychotic symptoms.

With schizophrenia a person may see and feel things that other people don’t experience.  Not everyone with this condition will feel and act the same way.  But, usually will have one or more of the following signs:
 
Hallucinations A person may sense things that in reality do not exist, such as hearing voices telling the person to do certain things, seeing people or objects that are not really there, or feeling that something is touching their body.  Hearing voices is the most common type of hallucination in schizophrenia.
Delusions Delusions are false perceptions, which the person believes to be true, even in the face of reason.  Such as, believing that someone or group is out to get them, that their mind is being controlled by another, or the TV is sending them messages.  These are common symptoms of schizophrenia.
Disorganized Thinking Often the schizophrenic person’s thinking is affected by the disorder.  The person may not be able to concentrate on one thought and may be easily distracted, and unable to focus attention.  The lack of logical continuity of thought can make conversation very difficult and contribute to social isolation.
Emotional Expression Persons with Schizophrenia sometimes exhibit what is called “inappropriate effect.”  This means showing emotion that is inconsistent with the person’s speech or thoughts.  A “flat” or “blunted” effect is a severe reduction in emotional expression.  A schizophrenic person may not show signs of normal emotion, and use a monotonous tone of voice and diminished facial expression.  Even though the diagnosis of schizophrenia can be devastating to the person and the family, it is important to remember that with appropriate treatment, a person with schizophrenia may be able to live a normal productive life.

 

© Oakland County Community Mental Health Authority
Funded in part by the Michigan Department of Community Health

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