Overview, Symptoms, Etiology, Dual Diagnosis and Treatment Approaches of Schizophrenia



Schizophrenia Meaning and Definition in Mental Health 

Schizophrenia is a dysfunctional behavior which includes the breakdown in the connection between thought, feeling, and practices. It promotes broken recognition, faulty perception, delusions, hallucination, rigid activity, and sentiments. It also causes withdrawal from reality along with individual connections into dream or daydreams and a feeling of mental discontinuity (Haller, Padmanabhan, Lizano, Torous, & Keshavan, 2014)

Overview

The debates on Schizophrenia pronunciation have been topic of interest for many researchers. Around 1 percent of the people have schizophrenia symptoms during their lifetime, and more than 2 million Americans experience the side effects of the sickness in a given year. Even though schizophrenia disorder influences men and women with similar recurrence, the turmoil frequently seems prior in men; for the most part in the late high school children or mid-twenties, then in ladies, who are by and large influenced in the twenties to mid-thirties. Individuals with schizophrenia simulation regularly endure dangerous side effects. 

Examples include listening to inward voices not heard by others, or trusting that other individuals are perusing their brains, controlling their considerations, or plotting to damage them. These side effects may abandon them frightful and pulled back (Patel, Cherian, Gohil,  & Atkinson, 2014). Their discourse and conduct can be disorganized to the point that they might be inconceivable or unnerving to others. It is imperative to preclude different diseases, as once in a while people endure severe mental side effects or even psychosis because of undetected, hidden therapeutic conditions.

 Thus, a restorative history ought to be taken and research center tests ought to be done to preclude other conceivable reasons for the indications before inferring that a man has schizophrenia type mental health problem. Furthermore, since usually manhandled medications may bring about side effects looking like schizophrenia, blood or pee tests from the individual can be tried at doctor's facilities or doctors' workplaces for the nearness of these medications (Haller, Padmanabhan, Lizano, Torous, & Keshavan, 2014)

Now and again, it is hard to let one know, mental turmoil from another. Case in point, a few people with side effects of schizophrenia display delayed extremes of elated or discouraged state of mind, and it is imperative to figure out if such patient has schizophrenia or has a hyper depressive (or bipolar) issue or real depressive issue. People whose side effects can't be plainly ordered are infrequently analyzed as having a "schizoaffective issue." 

Symptoms of Schizophrenia

Schizophrenia symptoms are very common but vary individual to individual. The schizophrenic report multiple symptoms. 

Distorted Perceptions of Reality. Individuals with schizophrenia may have the view of reality that is strikingly not quite the same as the truth seen and shared by others around them. Living in a world mutilated by mind flights and daydreams, people with schizophrenia may feel unnerved, restless, and confounded. To a limited extent due to the unordinary substances they encounter, individuals with schizophrenia may carry on contrastingly at different times (Patel, Cherian, Gohil,  & Atkinson, 2014). Here and there they may appear to be far off, disengaged, or engrossed and may even sit as inflexible as a stone, not moving for a considerable length of time or express a sound. Different times they may move about continually – dependably possessed , seeming wide-conscious, careful, and caution.

Illusions and Hallucination. Hallucination and delusions are the primary symptoms of schizophrenia. Hallucination symptom can be define distorted perception; a persona may hear or see such object or voices which don’t exist in reality (Haller, Padmanabhan, Lizano, Torous, & Keshavan, 2014). On the other hand, the sensory stimulus is incorrectly interpreted by the individual suffering from the delusional problem. 
 
Disorganized Speech.  Disorganized speech also known as tangential speech referred to impaired communication and unrelated answers to questions. Rarely, speech consisted of meaningless words that are difficult to understand, such words known as the salad. 

Catatonic Behavior. Catatonia refers to inappropriate body posture and gesture caused by unpredictable agitation.Catatonic behavior example is rigid to inappropriate and bizarre posture, and rigid movement or position for hours to hours (Catatonic stupor).

Negative Symptoms.  This refers to the inability or reduced ability to function appropriately. For example, the person seems emotionless, doesn’t maintain eye contact, blank facial expressions, speaking monotone, lack of body movement like nodding, and lack of hand movement in speech. The person may suffer from social withdrawal, and inability to enjoy or feel leisure in any activity or task. Paranoid schizophrenia is a type of negative symptoms, which is very common among schizophrenic patients. 

Etiology of Schizophrenia

If anyone has schizophrenia around you, you might be interested to know why they have it. Honestly, specialists don't generally realize what causes this emotional instability. To understand the schizophrenia psychology, ethological factors must be divided into three main categories. The biological factors, psychological factors and social factors. Schizophrenia causes has been categorised into three basic factors.

Biological Factors

The biological causes of Schizophrenia has been divided into two factors, which are listed below. 

Genetic factors:
 Genetic factor definition in psychology is very important to know as many students get stuck with the questions such as what is genetic factor definition in psychology. how genetic factors are interlinked with psychology and what are the examples of genetic factors. Te answer for all question can be seen as under. It has for quite some time been realized that schizophrenia keeps running in families. Individuals who have a nearby relative with schizophrenia will probably build up the confusion that are individuals who have no relatives with the ailment. For instance, a monozygotic (indistinguishable) twin of a man with schizophrenia has the most astounding danger 40 to 50 percent – of building up the ailment. A kid whose guardian has schizophrenia has around a 10 percent shot  (Tamminga, & Medoff, 2000). By examination, the threat of schizophrenia in the all-inclusive community is approximately 1 percent. 

A few locales of the human genome are being researched to distinguish qualities that may present powerlessness for schizophrenia (Akerman, Brunette, Noordsy, & Green, 2014). The most grounded proof to date prompts chromosomes 13 and six yet stays unverified. Recognizable proof of particular qualities required for the improvement of schizophrenia will give critical insights into what turns out badly in mind to deliver and maintain the ailment and will manage the advancement of new and better medications.

Brain Dysfunction: There have been emotional advances in neuroimaging innovation that license researchers to study mind structure and capacity in living people. Numerous investigations of individuals with schizophrenia have discovered brain dysfunction symptoms such as irregularities in cerebrum structure (for instance, the extension of the liquid filled holes, called the ventricles, in the inside of the mind, and diminished size of certain cerebrum districts) or capacity (for instance, diminished metabolic action in specific mind locales), (Haller, Padmanabhan, Lizano, Torous, & Keshavan, 2014). Brain dysfunctions leads to brain disorders or brain dysfunction learning disability and focal brain dysfunction which further leads to schizophrenia. 

It ought to be stressed that these variations from the norm are entirely unpretentious and are not healthy for all individuals with schizophrenia, nor do they happen just in people with this ailment. Minuscule investigations of mind tissue after death have likewise demonstrated little changes in dissemination or number of cerebrum cells in individuals with schizophrenia (Tamminga, & Medoff, 2000). It gives the idea that numerous (however likely not all) of these progressions are available before an individual turns out to be sick, and schizophrenia might be, to some extent, a turmoil being developed of the mind.

Psychological Factors in Mental Health

 A list of psychological factors contribute to schizophrenia. The psycho-social factor that influence behavior are lack of job satisfaction, aggression and delinquency, depression, anxiety, and internalizing factor, and Perfectionism as excessive thinking about such stressors leads to misconceptions in thinking which further leads to delusions hallucination and disorganized thinking (Patel, Cherian, Gohil,  & Atkinson, 2014).

Social Factors

    Many social factors affecting health are considered to be the risk factor of schizophrenia-like urban-rural differences, social stressor, deprivation, poor residential stability, family structure, poor ethnic composition, social stratification, parent-child relationship and social competence etc. if the basic needs are not fulfilled then such deprivation leads to disorganized behaviors which is an alarming sign of schizophrenia (Patel, Cherian, Gohil,  & Atkinson, 2014).

Treatment for Schizophrenia

Schizophrenia treatment comprised of multiple approaches. 

 Medication.  Different types of medicine used for schizophrenia may cause rare side effects, but can be effective for temporary time duration. According to medication dictionary the antipsychotic medications are more effective and commonly prescribed to a schizophrenic patient. They're thought to the activity of neurotransmitters, e.g., dopamine and serotonin. The most commonly prescribed medicine list includes Aripiprazole (Abilify) Asenapine (Saphris), Clozapine (Clozaril), Iloperidone (Fanapt), Lurasidone (Latuda), Olanzapine (Zyprexa), Paliperidone (Invega), Quetiapine (Seroquel), and Risperidone (Risperdal), (Akerman, Brunette, Noordsy, & Green, 2014). 

Psychosocial Interventions.  The psychosocial interventions in mental health are important in the management of schizophrenic symptoms. A list of psychosocial intervention for depression or hallucinations found to be effective in literature. 

Social Skills Training Program. This focuses on improving communication and social interactions. Multiple social skill training examples are available in literature that highlight the effectiveness of social skill training for adults diagnosed with schizophrenia. 

Family Therapy.  Family therapy provides moral support and psycho-education to families of schizophrenia’s patient.

Vocational Rehabilitation and Supported Employment. This therapy aims to make the patient independent in their professional life (Tamminga, & Medoff, 2000). Vocational rehabilitation center provides different types of vocational rehabilitation services to the client for keeping them engaged in vocational activities. In vocational rehabilitation vocational therapy is given to client to make them independent. 

Behavior Modification. Behavior modification process refers to the learning principle (classical and operant conditioning) to modify the undesirable behaviors. There is the number of behavior modification techniques for adults or children such as reinforcement, punishment, differential reinforcement, task analysis, contingency management, chaining, and shaping to develop the social and self-help skills among clients (Picchioni, & Murray, 2007). 

Group Therapy.  To spread awareness, the client belongs to same problems introduced to each other so that they may b able to understand the perspectives of other people and realize that they are not the one who is suffering from trauma, but there are other people who have same issues (Haller, Padmanabhan, Lizano, Torous, & Keshavan, 2014). Group therapy benefits are enormous, as it is helpful to make client realize that how other people are coping with their stressors.

Introduction of Individual Therapy: Individual therapy allows an individual to discuss the struggles dealt with as a result of having schizophrenia or for other psychological disturbances. It helps the client to develop skills for solving their problems and teach coping mechanisms against stressors. Literature suggested the individual therapy benefits on a high scale, while some controversial studies highlights the disadvantages of individual therapy for the treatment of schizophrenia. Despite of criticism on individual therapies, the individual therapy techniques are widely used in clinical setting. 

Social workers: According to social theory, Schizophrenics do not respond appropriately to the social environment like their normal counterparts (Patel, Cherian, Gohil,  & Atkinson, 2014). In this way shortfall in regard for social environment prompts the absence of legitimate affiliation and aggravations in the perspectives of the people with schizophrenia. Additionally, absence of legitimate thoughtfulness regarding the jolts originating from the social environment makes the individual seem pulled back. As per Picchioni, & Murray (2007), schizophrenia is fundamentally a response to the support it gets inside the mental healing center. 

The healing center staff takes care of the patients increasingly when their discourse is indistinguishable and conduct nonsensical. Endeavors have been made to check social learning hypothesis by Picchioni, & Murray (2007) by directing a study to look at whether hospitalized patients can control to make an impact on others through the organization of M.M.P.I, which has been firmly reprimanded. Many community centers and counseling centers were established by social workers. In the past patients with schizophrenia were treated in inhuman ways. But with the gradual modern civilization, and the work of social workers the situation improved a lot.

Dual Diagnosis

Dual diagnosis meaning can be define as a term used to portray people who have a medication or liquor issue furthermore have emotional well-being turmoil, similar to sadness or uneasiness.
The two issues frequently go as an inseparable unit; as indicated by the National Institute on Mental Illness (2013), around 33% of individuals with emotional sickness additionally encounter substance misuse. More than 23.5 million Americans — or one in 10 Americans over age 12 — battle with dependence on medications or liquor (Akerman, Brunette, Noordsy, & Green, 2014).  The dual diagnosis statistics are very high world widely, therefore needs the significant attention of researchers. The dual diagnosis clinics are working for the management of the mental health issues.

What is Dual Diagnosis Treatment?

There are much behavioral therapies used for dual diagnosis recovery or dual diagnosis treatment, which is listed below
Assertive community treatment (ACT) — for those with schizophrenia
Exposure therapy — for anxiety disorders
Multi-systemic therapy (MST) — for antisocial personality disorder
Cognitive behavioral therapy (CBT) — for anxiety and mood disorders
Dialectical behavioral therapy (DBT) — for borderline personality disorder
Integrated group therapy (IGT) — for bipolar disorder
Brief strategic family therapy (BSFT) — for antisocial personality disorder