*Produced by "Lotus Root Health" science popularization team Review of this issue Dr. Peng Liangfu (Deputy Chief Physician, Department of Neurology)
Schizophrenia is a more severe mental illness, most patients develop in young adulthood, the cause is not clear. Patients in daily interaction with people, may be excluded or even discriminated against, whether it is for the patient or the family, are greatly troubled, today the doctor will come to tell you about schizophrenia.
Serious detachment from reality, serious impairment of social functioning and lack of self-awareness are the three characteristics of schizophrenia, patients often see or hear something that does not actually exist in life, they will believe that these things are not true, generally unconscious and intellectually impaired.
There are hallucinations, "brain holes" to delusional, in addition to a certain speech disorder, speech disorders, speech is not on the edge or the preface is not matched with the afterword, usually obvious catatonic behavior can be seen.
The most concerned question for family members or patients should be: How long does it take to get schizophrenia to be cured? Will there be a recurrence after discontinuation of the drug?
The efficacy of schizophrenia is related to the slowness of onset, age, course, recurrence, types of antipsychotic drugs, and specific symptoms of the disease.
If it is the first attack, the onset is relatively urgent and the course of the disease is short, the patient's age is between 20-35 years old, the general prognosis is better, the condition can be stabilized after taking the drug for about 30 days, and it is recommended to continue to take the drug for 1-3 years to prevent recovery after the symptoms disappear.
For some patients with a long onset of chronic disease and multiple recurrences, the prognosis of patients with an early onset age is generally relatively poor, so most of the patients have a poor personality foundation, and it is recommended to extend the medication time as much as possible.
The probability of recurrence in patients within one year of discontinuation is 70%, and the recurrence rate within two years is 80%-90%, and patients generally do not relapse immediately after discontinuation.
However, if the patient has a bad personality foundation such as sensitivity and suspiciousness, it is easy to recur in the case of unpleasant things in life after stopping the drug and there is no drug control, and antipsychotic drugs can make the patient think less about things to a certain extent by acting on the dopamine circuit, thereby reducing its sensitivity.
A small number of patients have better family support, and those whose personality has improved on a certain basis can slowly stop the drug under the guidance of a doctor.
Recurrence of schizophrenia is generally a precursor, and it is necessary to find and deal with it in time, adjust the drug and dose under the guidance of the attending doctor, or prevent recurrence.
In addition, the recurrence of schizophrenia has a great impact on the patient's self-withdrawal of drugs, so patients and their families should pay attention to disease treatment, can not stop the drug at will, and go to the hospital on time for follow-up consultation, so that doctors can understand the condition.
As a family member, we should help patients arrange daily life, study, work, etc., chat with patients more, let patients treat diseases correctly, face real life, give patients confidence, and as others, we must also reduce prejudices against schizophrenic patients and learn to understand and tolerate them.
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