A mental health disorder, a severe
disruptive condition which impairs a
person's sense of reality and disturbs
emotion. A psychotic illness.
Causes of Schizophrenia
Too much dopamine in the brain,
very stressful or life changing event,
using cannabis, genetic
component, differences in brain
development.
Symptons
Positive Symptoms- a change in behaviour,
hearing voices, delusions, disorganised
thoughts, impaired concentration, agitation.
Negative Symptoms- a lack of function,
neglecting personal hygiene, being withdrawn
socially, lack of interest in life.
Medical Interventions
Antipsychotic drugs- given either as a tablet or an injection.
Lifestyle Changes
Avoid alcohol/drugs, take
medication regularly, attend
meetings with community
mental health team, eat
healthily.
Counselling
Cognitive Behavioural Therapy-
aims to help identify the thinking
patterns which cause them to
have unwanted thoughts and
behaviour. Family Therapy-
helps a patient and their family
cope with the condition.
Potential Impacts
P-risk of suicide/self harm, lack of personal
hygiene, lack of energy I-may find it difficult to
concentrate, E-upset/angry/ confused and
suspicious of others S-friends/ family may be
reluctant to interact with the patient. May find it
hard to retain a relationship
P- Side effects of psychotic drugs(weight gain),
when they feel better, may want to stop taking drugs
(relapse) I-will learn about treatment of
schizophrenia, E-may worry about side effects,
depression, S-may become withdrawn, may inly
have contact with community mental health team. F-
if they miss time off work may not get paid/ may find
it hard to get a job
Patient Put at Centre of Care
Patient involved with decisions about their care as an equal partner-since schizophrenia is a mental health disorder, sometimes the final decision
cannot be left to the patient. Practitioner will show compassion and understanding- a patient who is having a schizophrenic episode may become
angry if they are not treated with understanding. Help them to make appropriate lifestyle changes- attending meetings with community health mental
health team. Enable patient to make informed choices and give informed consent- to therapy. Empowered to access further sources of support-
MIND- a mental health charity
Patient Care Pathway
Patient will go to the GP or be taken by a family member. GP will ask question/observe patient to see if patient is suspicious, has odd
beliefs, has become withdrawn from people, has an unusual manner or if they are distressed but cannot explain why. GP will perform a
full psychiatric assessment: psychiatric History- assessment of symptoms, medical and social history. Patient who are undergoing an
acute schizophrenic episode will be assessed for the risk to themselves and others. If there is no immediate risk, the treatment can be
lead by the Community Mental Health Team-psychiatrist, social workers, psychologist and mental health nurses. Psychiatrist will
prescribe antipsychotics, social worker will help with housing or employment, counsellor or psychologist will support the patient
emotionally. Regular monitoring- patient in remission kept on medication for a minimum of 2 years. Approximately 75% of patients will
experience a relapse.