Even with treatment, a person with schizophrenia might still have setbacks. No one
can tell for sure how well or for how long a given medicine will work. And in many
cases, symptoms come back because the person has stopped taking the medicine as
prescribed. That’s why you and your family and friends should learn to recognize
your symptoms in case they return.
If you feel your symptoms are returning and you need help, don’t be embarrassed
or afraid to ask for it. If you tell your doctor how you’re feeling, he or she can
work with you to prevent your symptoms from getting worse.
“I stopped taking my medicine and I started hearing voices again. I said, ‘Doc,
I don’t want to live like this. I’m ready to take my medicine every day.’”
—Justin
The symptoms of schizophrenia vary from one person to another. But most people have
a combination of positive, negative, and cognitive symptoms.
Positive symptoms include:
- Hallucinations: hearing, seeing, feeling, tasting, or smelling things that
are not there
- Delusions: believing things that are not true
- Paranoia: unusual suspiciousness
- Disordered thinking: when a person has difficulty “thinking straight.” Thoughts
may come and go quickly. Or it may be hard to focus on one thought for very long
Negative symptoms include:
- Flat emotions: showing little emotion or speaking in a voice that sounds
flat, with little or no expression
- Social withdrawal
- Lack of motivation
Symptoms that affect the way a person with schizophrenia thinks are called cognitive
symptoms. They may include slow thinking, poor memory, and difficulty expressing
thoughts.
Learn to recognize the warning signs of relapse
Call your doctor right away if you think your symptoms are coming back. Some common
signs of relapse are:
- Feeling some of the same symptoms again
- Having trouble sleeping
- Feeling anxious or worried without knowing why
- Having trouble thinking clearly, remembering, or concentrating
- Feeling cranky or irritable for no reason
- Withdrawing from usual activities
Getting help in emergencies
People with schizophrenia—and their friends and family—should know that there are
times when medical attention is needed right away. This may mean calling your doctor,
calling 911, or going to the emergency room. Signs that emergency help is needed
include: thoughts of suicide, thoughts of self-harm, or violent behavior.
“I recommend patients talk with their families about what to do in case of severe symptoms. Discuss things like when to call for help, who to call, and which treatments you’re comfortable with and why.”
—Dr. Suarez†
Crisis plan
It’s important to have a plan that guides your family and friends regarding what
to do in the event of an emergency. Download the crisis plan (PDF) and fill it out,
so you and your family will be prepared in advance if you need help.
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* |
Based on conversations with real patients. |
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† |
Dr. Suarez is a practicing psychiatrist. He did not treat the patients depicted on this Web site. Dr. Suarez received compensation from Pfizer, the makers of GEODON, for his contributions to this site. |
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