Treatment FAQ

scizoeffective scrizophrenia how to talkt o your therapist about changing treatment plan

by Mrs. Adelle Moore Published 2 years ago Updated 2 years ago

Once medication and therapy begin to work, these strategies can help ease the challenges of schizophrenia: Stay focused on your treatment goals. Tell family members or friends your goals so they can provide support. Stick to your treatment plan.

Full Answer

Can schizophrenia be treated?

Dec 12, 2018 · Following a routine can also help you cope with the effects of symptoms. For example, spending 8-9 hours in bed each night can help you combat either the low energy of depression or the high ...

How do you get out of a schizophrenic episode?

Schizoaffective disorder is a serious mental health condition. It has features of both schizophrenia and a mood (affective) disorder. Schizoaffective symptoms may include symptoms of mania, depression and psychosis. It’s important to get treatment as soon as possible. If you notice symptoms of schizoaffective disorder, talk to a healthcare provider.

Should I have a voice in the schizophrenia treatment process?

Dec 13, 2019 · A combination of psychotherapy and psychotropic medication is one of the most recommended treatment approaches for schizophrenia. Antipsychotic medications are often used to treat symptoms of ...

What happens if you don't get treatment for schizoaffective disorder?

During the first seven days of treatment, the goal is to decrease hostility and to attempt to return the patient to normal functioning (e.g., sleeping and eating). 2 At the start of treatment, appropriate dosing should be titrated based on the patient’s response. 2.

What should you not say to someone with schizoaffective disorder?

What not to say to someone with schizophrenia
  • Don't be rude or unsupportive. ...
  • Don't bully them into doing something they don't want to do. ...
  • Don't interrupt them. ...
  • Don't assume you know what they need. ...
  • Don't second guess or diagnose them. ...
  • Don't use words that make you seem like an enemy. ...
  • Start a dialogue, not a debate.
Jan 10, 2022

What is the most effective treatment for schizoaffective disorder?

The only medication approved by the Food and Drug Administration specifically for the treatment of schizoaffective disorder is the antipsychotic drug paliperidone (Invega). However, doctors may prescribe other antipsychotic drugs to help manage psychotic symptoms such as delusions and hallucinations.Nov 9, 2019

What is the best mood stabilizer for schizoaffective disorder?

Doctors and other mental health professionals will often prescribe medications to relieve symptoms of psychosis, stabilize mood and treat depression. The only medication approved by the FDA to treat schizoaffective disorder is the antipsychotic drug paliperidone (Invega).

What triggers schizoaffective disorder episode?

Stress. Stressful events such as a death in the family, end of a marriage or loss of a job can trigger symptoms or an onset of the illness. Drug use. Psychoactive drugs such as LSD have been linked to the development of schizoaffective disorder.

How do you care for someone with schizoaffective disorder?

How can I support my loved one?
  1. Be careful about too much prodding. Try not to overdo reminders to an adult friend or family member about things like taking medicines. ...
  2. Be patient, listen well, and speak encouraging words.
  3. Be available if your loved one wants to talk. Make an effort to acknowledge his or her feelings.

Does ECT work for schizoaffective disorder?

ECT involves transmitting short electrical impulses into the brain. Although ECT is a highly effective treatment for severe depression, it is not the first choice in treating schizoaffective disorder.

Which is better Abilify or INVEGA?

Invega (paliperidone) relieves psychotic symptoms and improves mood. Helps control your thoughts and mood. Abilify (aripiprazole) is good for treating psychosis and mania, and can help with depression. It's less likely to cause side effects than other antipsychotics.

How much Seroquel should I take for schizoaffective disorder?

The following initial titration schedule for schizophrenic patients should be adhered to: 1st day 50 mg, 2nd day 100 mg, 3rd day 200 mg, and 4th day 300 mg. After that, the dose may be gradually raised further up to 750 mg per day, the recommended high dose.

Does Lithium help schizoaffective disorder?

The results of the study show that lithium and carbamazepine appear to be highly effective in treating patients with schizoaffective disorder.

How long do schizoaffective episodes last?

An episode of mania, major depression, or a mix of both. Symptoms of schizophrenia. At least two periods of psychotic symptoms, each lasting 2 weeks. One of the episodes must happen without depressive or manic symptoms.Sep 14, 2021

How does a person with schizoaffective disorder act?

People with schizoaffective disorder can have a wide variety of different symptoms, including having unusual perceptual experiences (hallucinations) or beliefs others do not share (delusions), mood (such as marked depression), low motivation, inability to experience pleasure, and poor attention.

Is schizoaffective a personality disorder?

Overview. Schizoaffective disorder is a mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania.Nov 9, 2019

What is the best treatment for schizoaffective disorder?

Psychotherapy. In addition to medication, psychotherapy , also called talk therapy, may help. Psychotherapy may include: Individual therapy. Psychotherapy may help to normalize thought patterns and reduce symptoms. Building a trusting relationship in therapy can help people with schizoaffective disorder better understand their condition ...

What is a psychiatric evaluation?

Psychiatric evaluation. A doctor or mental health professional checks mental status by observing appearance and demeanor and asking about thoughts, moods, delusions, hallucinations, substance use and potential for suicide. This also includes a discussion of family and personal history. Diagnostic criteria for schizoaffective disorder.

What is social skills training?

Social skills training. This focuses on improving communication and social interactions and improving the ability to participate in daily activities. New skills and behaviors specific to settings such as the home or workplace can be practiced. Vocational rehabilitation and supported employment.

What can support groups do?

Support groups can help make connections with others facing similar challenges. Support groups may also help family and friends cope. Asking about social services assistance. These services may be able to help with affordable housing, transportation and daily activities.

What to do if someone has schizophrenia?

If someone is showing symptoms of schizophrenia and a mood disorder, see a healthcare provider. The provider will do a medical history and physical examination. There are no lab tests to diagnose schizoaffective disorder.

How does schizoaffective disorder affect people?

It also affects people’s relationships with family, friends and loved ones.Many people with schizoaffective disorder have periodic episodes.

Is schizophrenia a mental illness?

Schizoaffective disorder is a serious mental health condition. It has features of both schizophrenia and a mood (affective) disorder. Schizoaffective symptoms may include symptoms of mania, depression and psychosis. It’s important to get treatment as soon as possible. If you notice symptoms of schizoaffective disorder, talk to a healthcare provider. Treatment for schizoaffective disorder includes medication and therapy. While there’s no cure for this disorder, treatment helps improve people’s symptoms and quality of life.

What is a schizoaffective disorder?

Schizoaffective disorder is a mental health condition with symptoms of schizophrenia and a mood disorder. People with schizoaffective disorder may experience depression, mania and psychosis. Schizoaffective disorder treatment often includes therapy and medications. This combination can improve symptoms and quality of life.

What are the two types of mood disorders?

The two types are based on the associated mood disorder the person has: Bipolar disorder type: This condition features one or two types of different mood changes. People with bipolar disorder have severe highs (mania) alone or combined with lows (depression).

What is the difference between bipolar and depressive?

Bipolar disorder type: This condition features one or two types of different mood changes. People with bipolar disorder have severe highs (mania) alone or combined with lows (depression). Depressive type: People who have depression have feelings of sadness, worthlessness and hopelessness. They may have suicidal thoughts.

What is the chemical imbalance in the brain?

Brain chemistry: People with the disorder may have an imbalance of brain chemicals called neurotransmitters. These chemicals help nerve cells in the brain communicate with each other. An imbalance can throw off these connections, leading to symptoms.

Can a therapist help with schizophrenia?

Much like any other mental health issue, those with schizophrenia may have days when their symptoms are better, and others when they are worse. Being there to offer support is often key. If providing care begins to cause burnout, seeing a therapist may help you develop strategies to cope, as well.

What is the best treatment for schizophrenia?

A combination of psychotherapy and psychotropic medication is one of the most recommended treatment approaches for schizophrenia. Antipsychotic medications are often used to treat symptoms of schizophrenia. These medications affect neurotransmitters such as dopamine and serotonin.

How to help someone with schizophrenia?

When someone you care for has schizophrenia, it can be difficult to know what to say to support them or what to do if they are having trouble acknowledging or coming to terms with their condition. Some tips for helping a loved one with schizophrenia include: 1 Talk to someone with schizophrenia the same way you would talk to anyone else. In some cases, those with schizophrenia may appear disinterested, but this may not always indicate a wish to disengage. 2 Don’t tell a person with schizophrenia to “just stop listening” if they experience auditory hallucinations, as it is not an easy matter to “tune out” from them. 3 If your loved one is hospitalized, be there to support them during and after the visit. The first days or week after leaving the hospital may be difficult to cope with alone. 4 Don’t continually remind your loved one to take their medication. If forgetfulness is an issue, work with them to develop a plan for remembering to take it. 5 If someone with schizophrenia refuses to accept treatment, you cannot force them to do so. In most cases, treatment may only be mandated by law if the person is a danger to themselves or others.

Is schizophrenia preventable?

Schizophrenia. Contrary to misconceptions about schizophrenia, it is treatable. A combination of medication and therapy, in many cases, has been found to improve the quality of life of people with schizophrenia. While it is not preventable, many resources exist to support and meet the care needs of people with schizophrenia.

Can schizophrenia be hospitalized?

In severe episodes of schizophrenia, hospitalization may occur, and it may be voluntary or involuntary based on the situation. The goal of hospitalization is to help an individual control their symptoms so they can regain the ability to function in day-to-day life.

Can you take medication for schizophrenia?

If the person is visiting the hospital for schizoph renia for the first time, doctors may prescribe medication or other treatment to help manage the symptoms. Sometimes, people with schizoph renia don’t recognize that they need help and may refuse or forget to take their medication.

What kind of medication do psychiatrists prescribe?

In certain cases they may prescribe antianxiety medications or antidepressants.

Is schizophrenia a cure?

Schi zophrenia is treatable. Currently, there is no cure for schizophrenia, but the illness can be successfully treated and managed. The key is to have a strong support system in place and get the right treatment and self-help for your needs. You can enjoy a fulfilling, meaningful life.

How to get rid of schizophrenia?

Many people with schizophrenia have trouble with sleep, but getting regular exercise, reducing sugar in your diet, and avoiding caffeine can help. Avoid alcohol and drugs.

What are some interesting facts about schizophrenia?

Encouraging facts about schizophrenia 1 Schizophrenia is treatable. Currently, there is no cure for schizophrenia, but the illness can be successfully treated and managed. The key is to have a strong support system in place and get the right treatment and self-help for your needs. 2 You can enjoy a fulfilling, meaningful life. With the right treatment, most people with schizophrenia are able to have satisfying relationships, work or pursue other meaningful activities, be part of their community, and enjoy life. 3 Just because you have schizophrenia doesn’t mean you’ll have to be hospitalized. If you’re getting the right treatment and sticking to it, you are much less likely to experience a crisis situation that requires hospitalization. 4 Most people with schizophrenia improve. Many people with schizophrenia regain normal functioning and even become symptom-free. No matter what challenges you presently face, there is always hope.

Can you live a full life with schizophrenia?

You may be struggling to think clearly, manage your emotions, relate to other people, or even function normally. But having schizophrenia doesn’t mean you can’t live a full and meaningful life.

Is schizophrenia episodic?

Since schizophrenia is often episodic, periods of remission from the severest symptoms often provide a good opportunity to start employing self-help strategies that may help to limit the length and frequency of future episodes. A diagnosis of schizophrenia is not a life-sentence of ever-worsening symptoms and hospitalizations.

Is schizophrenia a life sentence?

A diagnosis of schizophrenia is not a life-sentence of ever-worsening symptoms and hospitalizations. In fact, you have more control over your recovery than you probably realize. The majority of people with schizophrenia get better over time, not worse. For every five people who develop schizophrenia:

How long does it take for schizophrenia to get better?

For every five people who develop schizophrenia: One will get better within five years of experiencing their first symptoms. Three will get better, but will still have times when their symptoms get worse.

What is schizophrenia treatment?

Schizophrenia is a complex disorder that requires prompt treatment at the first signs of a psychotic episode. Clinicians must consider the potential for nonadherence and treatment-related adverse effects when developing a comprehensive treatment plan.

What are the side effects of schizophrenia?

Schizophrenia medications can cause a variety of other adverse effects, including the following: 1 Antipsychotic medications with anticholinergic effects have been shown to worsen narrow-angle glaucoma, and patients should be appropriately monitored.49Chlorpromazine is most commonly associated with opaque deposits in the cornea and lens.2Because of the risk of cataracts, eye examinations are recommended for patients treated with quetiapine.50Those using thioridazine at doses exceeding 800 mg daily are at risk of developing retinitis pigmentosa.2 2 Low-potency FGAs and clozapine have been associated with urinary hesitancy and retention.2The incidence of urinary incontinence among patients taking clozapine can be as high as 44% and can be persistent in 25% of patients.2,51 3 FGAs and risperidone have a greater tendency to cause sexual dysfunction compared with SGAs.2,52 4 Treatment with antipsychotics can cause transient leukopenia.2,53 5 The three antipsychotics with the greatest risk for hematological complications are clozapine, chlorpromazine, and olanzapine.54Clozapine is associated with an especially high risk for the development of neutropenia or agranulocytosis.54 6 On rare occasions, dermatological allergic reactions have occurred at approximately eight weeks after the initiation of antipsychotic therapy.2 7 Both FGAs and SGAS can cause photosensitivity, leading to severe sunburn.2 8 Clozapine has been reported to cause sialorrhea in approximately 54% of patients with schizophrenia.2The mechanism of this effect is unknown.2

What is schizophrenia?

Schizophrenia is a complex, chronic mental health disorder characterized by an array of symptoms, including delusions, hallucinations, disorganized speech or behavior, and impaired cognitive ability. The early onset of the disease, along with its chronic course, make it a disabling disorder for many patients ...

Is schizophrenia a split personality disorder?

Contrary to portrayals of the illness in the media, schizophrenia does not involve a “split personality.”.

Is Clozapine safe for seizures?

However, as indicated earlier, clozapine has a problematic safety profile. For example, patients treated with this drug are at increased risk of developing orthostatic hypotension, which can require close monitoring.2Moreover, high-dose clozapine has been associated with serious adverse effects, such as seizures.2.

Does Clozapine cause sialorrhea?

Clozapine has been reported to cause sialorrhea in approximately 54% of patients with schi zophrenia.2The mechanism of this effect is unknown.2. The varying safety profiles of antipsychotic medications may be due to their effects on various neuroreceptor systems. 33,34,55. Progress Evaluation.

What is neuroleptic malignant syndrome?

Neuroleptic malignant syndrome (NMS) is a rare but life-threatening side effect of antipsychotic drug therapy, occurring in 0.5% to 1.0% of patients treated with FGAs.2 Since the introduction and increased use of SGAs, however, the treatment-related occurrence of this disorder has diminished.2.

How does therapy help with schizophrenia?

Therapy: In addition to medication, therapy provides guidance and support to people with schizophrenia and their families: 1 Individual therapy (“talk therapy”) helps people normalize thought patterns, notice early warning signs of relapse, and handle stress. 2 Family therapy offers support, insight, and awareness to families coping with schizophrenia.

What is schizophrenia?

Schizophrenia is a severe, chronic brain disorder that causes people to interpret reality abnormally—the y don’t know what sights, sounds, and experiences are real or what they are imagining. Schizophrenia usually involves delusions (false beliefs), hallucinations (seeing or hearing things that don’t exist), unusual physical behavior, ...

How do you know if you have schizophrenia?

The signs of schizophrenia involve: 1 Delusions: false beliefs that a person does not change, even when presented facts. 2 Hallucinations: seeing or hearing things that do not exist, such as a voice making commands. 3 Disorganized thinking and speech: impaired communication, including shifting from one thought to the next without a logical connection, or speaking in sentences that do not make sense to others. 4 Disorganized or abnormal physical behavior: inappropriate or strange actions, a complete lack of movement or talking, acting with a childlike silliness, unpredictable agitation, repetitive or excessive movements. 5 Negative symptoms: a reduced or lack of the ability to function normally, such as ignoring personal hygiene or not showing emotion.

What are the symptoms of schizophrenia?

What You Can Do. References and Relevant Resources. Schizophrenia usually involves delusions (false beliefs), hallucinations (seeing or hearing things that don’t exist), unusual physical behavior, and disorganized thinking and speech. It is common for people with schizophrenia to have paranoid thoughts ...

How do antipsychotics help?

Medication: Antipsychotic medications help get symptoms under control— making them less intrusive and disturbing . A psychiatrist may need to try different medications, at different doses, before finding the most effective medication with the least amount of side effects.

How long does it take for ECT to work?

It can take several weeks to notice an improvement in symptoms. For people who do no respond to medication, Electroconvulsive therapy (ECT) may be an option.

What is brain stimulation therapy?

This brain stimulation technique passes small electric currents through the brain to ease the symptoms of schizophrenia. Therapy: In addition to medication, therapy provides guidance and support to people with schizophrenia and their families:

Should schizoaffective disorder be ignored?

People with schizoaffective disorder shouldn’t ignore recurrent symptoms, even when they seem to be minor. They should be open and honest with their family about what they’re thinking and experiencing, and they must be even more honest during sessions with their therapists.

Is schizoaffective disorder a life-altering condition?

Schizoaffective disorder is a life-altering condition for all involved. Residential treatment for schizoaffective disorder is the best option for successful long-term healing and management of symptoms, but you’ll have to continue the healing process once you finish treatment and return home to your normal life.

Can bipolar disorder be a psychotic disorder?

Since bipolar disorder can in some instances produce psychotic behavior during manic episodes, schizoaffective disorder is sometimes misclassified under the bipolar category as well.

What is schizoaffective disorder?

This distinctive pattern allows mental health experts to identify schizoaffective disorder as the cause of the trouble, despite its similarity to other serious mental health disorders. There are two classifications of schizoaffective disorder, based on the type of mood swings experienced. Those who have depression exclusively will be diagnosed ...

Is mania a bipolar disorder?

Those who have depression exclusively will be diagnosed with schizoaffective disorder of the depressive type, while those who experience both depression and mania (or mania alone) will be diagnosed with schizoaffective disorder of the bipolar type. This is a complex condition regardless of what type is present.

Does schizophrenia overlap with depression?

Schizoaffective disorder shows significant overlap with other conditions. For example, it causes mood swings that can manifest as depression or mania, possibly both in an alternating pattern. Sometimes deep depression is the only mood change observed, causing psychiatrists to misdiagnose the condition as major depression.

Does loneliness cause depression?

Loneliness is a breeding ground for depression. Being in the company of loved ones, on the other hand, increases a person’s energy, breeds a sense of optimism, and can even boost immune system functioning.

What is the psychotic symptoms of Millie?

Millie experiences many psychotic symptoms as a result of her diagnosis of schizophrenia. These psychotic symptoms are well managed on medication but Millie has a history of nonadherence to her medication regiment in part because she has limited insight into her illness. Her nonadherence to medications causes distress for the client and her family as the client has a well-established pattern of entering the psychiatric hospital, becoming stabilized on medications, getting discharged from the hospital, managing for a short period of time before ceasing her medications, then the client decompensates and is placed in the psychiatric hospital again. Millie and her family are lacking a holistic approach to her treatment and are being given one solution for her psychiatric issues: medication. Medication is necessary in Millie’s case as part of her treatment, but in order to successfully rehabilitate Millie a more holistic approach needs to be taken with her care. My role as the clinical case manager will be to explore with Millie her goals, connect her with other psychiatric supports such as a therapist, as well as to provide support and advocacy for Millie and her family.

Does Millie have mental health issues?

Millie has limited insight into her illness and does not see herself as experiencing a serious mental illness. This has presented issues for Millie in the past as she does not recognize any issues and her motivation to change is nearly nonexistent. This results in Millie frequently being noncompliant with medications.

What is cognitive behavioral therapy?

Cognitive behavioral therapy (CBT), is a treatment modality that , when preformed in conjunction with medication, is effective for patients with schizophrenia in improving treatment adherence and symptom management (Turkington et. al, 2004).

What is assessment in treatment planning?

Assessment is a key component of treatment planning. Assessment allows the practitioner and client to identify treatment and rehabilitations needs, provides a space in which to assess the strengths and weaknesses of an individual and their broader support network, informs the creation of a rehabilitation or treatment plan, and creates structure for the monitoring of progress and adaptation of the treatment plan (Corrigan, 2016). In addition, there are key values of assessment and treatment planning that include collaboration, shared decision making, and consumer centered goals (Corrigan, 2016).

What is the objective of CBT?

Objective: Client will gain understanding and insight of diagnosis of schizophrenia.

How to help anxiety?

Keep environment calm, quiet and as free of stimuli as possible. Keep anxiety from escalating and increasing confusion and hallucinations/delusions.

Who is Paul Martin?

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them.

Diagnosis

  • Diagnosis of schizoaffective disorder involves ruling out other mental health disorders and concluding that symptoms are not due to substance use, medication or a medical condition. Determining a diagnosis of schizoaffective disorder may include: 1. Physical exam.This may be done to help rule out other problems that could be causing symptoms and to check for any relat…
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Treatment

  • People with schizoaffective disorder generally respond best to a combination of medications, psychotherapy and life skills training. Treatment varies, depending on the type and severity of symptoms and whether the disorder is the depressive or bipolar type. In some cases, hospitalization may be needed. Long-term treatment can help to manage the symptoms.
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Coping and Support

  • Schizoaffective disorder requires ongoing treatment and support. People with schizoaffective disorder can benefit from: 1. Learning about the disorder.Education about schizoaffective disorder may help the person stick to the treatment plan. Education can also help friends and family understand the disorder and be more compassionate. 2. Paying atten...
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Preparing For Your Appointment

  • If you think you may have schizoaffective disorder or that your loved one may have it, take steps to prepare for the appointment, whether it's with a primary care doctor or a mental health professional, such as a psychiatrist. If the appointment is for a relative or friend, offer to go with him or her. Getting the information firsthand will help you know what you're facing and how you …
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Prognosis

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Getting a diagnosis of schizophrenia can be devastating. You may be struggling to think clearly, manage your emotions, relate to other people, or even function normally. But having schizophrenia doesnt mean you cant live a full and meaningful life. Recovery is possible. Early diagnosis and treatment can prevent complication…
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Treatment

  • A schizophrenia treatment plan that combines medication with self-help, supportive services, and therapy is the most effective approach. The earlier you catch schizophrenia and begin treatment with an experienced mental health professional, the better your chances of getting and staying well. So, if you suspect you or a loved one is exhibiting schi...
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Results

  • While schizophrenia treatment should be individualized to your specific needs, you should always have a voice in the treatment process and your needs and concerns should be respected. Treatment works best when you, your family, and your medical team all work together. As well as helping to relieve stress, having the support of others can make a huge difference in the outlook …
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Goals

  • Set and work toward life goals. Having schizophrenia doesnt mean you cant work, have relationships, or experience a fulfilling life. Set meaningful life goals for yourself beyond your illness.
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Management

  • Connecting face-to-face with others is the most effective way to calm your nervous system and relieve stress. Since stress can trigger psychosis and make the symptoms of schizophrenia worse, keeping it under control is extremely important. Find someone you can connect with face to face on a regular basissomeone you can talk to for an uninterrupted period of time who will li…
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Resources

  • Take advantage of support services in your area. Ask your doctor or therapist about services available in your area or contact hospitals and mental health clinics, or see the Where to turn for help section below for links to support services.
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Quotes

  • Know your limits, both at home and at work or school. Dont take on more than you can handle and take time for yourself if you feel overwhelmed.
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Symptoms

  • Making simple lifestyle changes can have a huge impact on the way you feel as well as your symptoms.
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Prevention

  • Avoid alcohol and drugs. It can be tempting to try to self-medicate the symptoms of schizophrenia with drugs and alcohol. But substance abuse complicates schizophrenia treatment and only worsens symptoms. If you have a substance abuse problem, seek help. Eat a healthy, balanced diet. Eating regular, nutritious meals can help avoid psychosis and other schizophreni…
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Risks

  • You should not have to put up with disabling side effects. Schizophrenia medication can have very unpleasanteven disablingside effects such as drowsiness, lack of energy, uncontrollable movements, weight gain, and sexual dysfunction. Your quality of life is important, so talk to your doctor if youre bothered by side effects.
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