Schizophrenia

Schizophrenia is one of the most severe mental disorders, which is caused by a violation of mental processes, a disturbance in perception and inadequate expression of emotions. Unlike most other mental disorders, schizophrenia loses its ability to work, social adaptation. Schizophrenia often causes disability.

Of course, there are several variants of the course of schizophrenia that differ in their severity, impaired quality of life and social dysfunction.

With proper treatment at the earliest stages of the onset of this disease, the patient has every chance of recovery. But, unfortunately, there are still very few such situations in domestic psychiatry, which is associated with a late visit to a psychiatrist even in the presence of symptoms of a mental disorder.

Specialists of K + 31 Clinic call for careful attention to their health and the health of their loved ones, and if any changes in the psyche are revealed, immediately seek medical help, despite all the prejudices. Only due to timely consultation and treatment (if necessary) can serious mental pathology be avoided.

Causes of schizophrenia

Thanks to the long history of the study of schizophrenia, today many etiological factors have been discovered that, to one degree or another, contribute to the development of this pathology. Modern science more and more opens the veil of secrecy of schizophrenia, some mechanisms have already been reliably studied, others are the property of the future.

If in the recent past the main causes of schizophrenia were seen in the social environment, living conditions, personality traits, today more preference is given to the hereditary, genetic and neurobiological mechanisms of schizophrenia in humans.

It is impossible to exclude any factor in favor of another, since it is reliably known about the mutual complementation and strengthening of the reasons. Thus, various models of the origin of schizophrenia are formed: the “stress-diathesis model”, “psychodynamic model”, “biopsychosocial model” and even “sociocultural model”.

The clinical picture of schizophrenia

The symptomatology is so rich that the issue of schizophrenia has already been considered more than once, as a collective concept that includes the simultaneous presence of several different mental disorders in one person. However, this idea has not received widespread recognition, so today schizophrenia is a separate mental disorder, a separate nosological unit.

Schizophrenia is not a “split personality”, as is widely believed. The main signs are severe psychotic symptoms in the form of delirium and hallucinations (productive symptoms).

Delirium is manifested not only in the form of a chaotic, unrelated, meaningless conversation, but also delusional actions, delusional ideas. The hallucinations are overwhelmingly auditory; they are frequent and prolonged.

Obligatory symptom complex of schizophrenia are cognitive impairment, which is manifested by the restriction of society, the inability to conduct a dialogue, the loss of learning ability, decreased attention. Cognitive impairment also includes a disorder of thinking (disorganization of thoughts, openness of one’s own thoughts to others, the presence of other people's thoughts).

Productive symptoms, together with cognitive impairment, constitute a group of positive symptoms of schizophrenia.

The negative symptoms of schizophrenia include:

  • Apathy;
  • Poverty of speech;
  • Anhedonia (lack of pleasure);
  • Pathological lack of will, motivation;
  • Violations of the emotional sphere (lack of emotions or extremely weak expression).

The diagnosis of schizophrenia can only be established if all the main groups of symptoms that are present in the patient for at least one month are present.

Schizophrenia treatment

Treating schizophrenia is a very difficult task. Recognizing the extremely low probability of complete healing, psychiatry sets itself the task of fully supporting patients, increasing and prolonging periods of remission, returning or maximizing the patient’s integration into society, and, of course, stopping the most severe and severe symptoms.

Drug therapy for schizophrenia includes the appointment of antipsychotics (antipsychotic drugs), the main representative of which is chlorpromazine (trade name "Aminazin"). Antipsychotics are aimed at eliminating productive symptoms. Duration of administration, the choice of specific drugs or their combination, dosage regimens are selected strictly individually.

An important role in the treatment of schizophrenia is played by psychotherapy, the main direction of which is associated with the preservation and improvement of the patient's cognitive abilities (cognitive-behavioral therapy, cognitive training). There are also a large number of other psychotherapeutic techniques (family therapy, self-help techniques, art therapy).

Service record

Services

  • Individual therapy
  • Support for Disease Patients
  • Collective groups
  • Psychotherapist
  • Child psychotherapy