Schizophrenia usually appears in the late teens or twenties. We know that it affects men more than women. It is considered an incurable but treatable disease for life. The main treatment for schizophrenia and other disorders of thought is medication. Drug compliance is often considered to be the biggest problem associated with the ongoing treatment of schizophrenia. People with schizophrenia can leave the medication for a while during their lifetime. However, the consequences of loss of treatment are felt acutely not only by the individual, but also by his family and his social circle.
The effective treatment of schizophrenia depends on both medication and psychosocial / supportive therapies. While the drug controls its symptoms and psychosis (delusions, hallucinations, etc.), it does not help the person to get a job, does not treat the social relations effectively, increases the ability of the person to adapt and helps to learn how to communicate with others. If the appropriate treatment is found, the individual can lead a successful life.
During initial recovery, the individual may feel extremely lonely. Facing the beginning for the first time requires broad support from those close to you. With that social support, that understanding and that determination, the person can learn to deal with it successfully and live his life. Compliance with the treatment plan is of utmost importance. This is configured by the client and the therapist / physician while maintaining the balance between medication and therapy. If the treatment stops abruptly, it can cause a relapse of symptoms.
Psychotherapy plays an important role in the treatment of schizophrenia, which requires appropriate psychotherapeutic intervention programs. Treatment includes psychotherapy, antipsychotic medications, family support, education and case management. The individual acquires social skills and how to set weekly goals including counseling, suggestions and education with his therapist. Encouragement and reinforcement when small goals are achieved may be helpful.
Schizophrenics have difficulty mastering the skills of daily living, such as personal hygiene, cooking or social communication. Therapy helps to build confidence and lead a better life.
When schizophrenic patients are treated on an outpatient basis instead of giving them medication, the results of group therapy with drugs produce better results. Positive results will be obtained when group therapies focus on real-life issues, relationships, social interactions, side effects of drugs, and so on. Support group therapy is useful for reducing social isolation and for performing reality tests. Family therapy significantly reduces relapse rates. Encourage family members to solve problems that arise and discuss the nature of the problem by finding alternatives and choosing the best option.
Cognitive Behavioral Therapy (CBT) is very effective in the treatment of schizophrenia. A therapy known as Acceptance and Commitment Therapy (ACT) is applied in cases of psychosis. It is a mindfulness-based therapy. ACT aims to reduce the patient’s suffering by improving their ability to tolerate psychotic symptoms, including by raising awareness and accepting them, reducing the focus and impact of symptoms, and reorienting core values.
Assertive Community Treatment, also known as ACT, is a multidisciplinary approach that includes a team of psychiatrists, social workers, case managers, and other mental health professionals. It is continuous and individualized for the needs of each client. The goal is to help the client adapt to his life.
Cognitive remediation (CB) is a short-term intervention used to improve the cognitive abilities of the social functioning of schizophrenic individuals.
Cognitive adaptation therapy (CAT) acts on the cognitive barriers that hinder the daily functioning of people with schizophrenia. These can include apathy, impulsive behavior, problem-solving skills, and so on. Patients are helped to organize their environment, create checklists or reminders, or practice routines with the patient.