Understanding Schizophrenia

Two leading schizophrenia researchers present an accessible and comprehensive guide to dealing with the disease. They provide key information on the integration of drugs and psychological treatments and discuss how family members can be a helpful part of the treatment process.

Written by two physicians with decades of clinical and research experience in the field, this volume helps readers face schizophrenia by understanding what it is and how it is managed. Schizophrenia is a devastating illness that affects more than two million Americans. Written to help anyone who is faced with managing schizophrenia, whether as a patient, friend, or family member, this accessible book is an ideal first stop for practical, up-to-date information. It includes an overview of schizophrenic disorder and provides answers to common questions that arise at different phases of the illness. This brief and to-the-point guide focuses on dealing with many aspects of schizophrenia—complying with treatment, managing crises, being a caregiver, communicating with the care team, and coping skills. The book also provides practical approaches to common issues, such as financial support, housing, employment, interacting with the legal system, stress management, socialization, and negative emotions. Included are useful forms, lists, and a comprehensive collection of resources to access help and information. The goal of this book is to assist patients and their loved ones to effectively face schizophrenia, achieve maximal recovery, and enjoy a good quality of life.

The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management. This is an authoritative text written by a team of highly respected authors for psychiatrists, neurologists, primary care practitioners and health care professional working in psychiatry. Drawing from their experience, the presentation and assessment of the first psychotic episode are discussed, details regarding antipsychotic drugs and their appropriate use are reviewed and psychosocial approaches are examined. The resulting book offers a concise and valuable guide to those wishing to review the latest proposals for the treatment of first-episode psychosis supported by up-to-date references, in a single publication.

This book challenges professional and public misconceptions of schizophrenia as an illness with intractable symptoms and inexorable mental deterioration, educating clinicians and researchers on the effectiveness of treatment to change the course of or prevent the onset of illness. The authors illustrate such effectiveness through fifteen case studies examining psychosis in diverse clients. These case studies are divided into the three phases of the illness—prodromal/clinical high risk, first-episode, chronic, and treatment-refractory—with accompanying analyses of the causes, symptoms, interventions and treatments. By depicting patients at different clinical stages of the illness, with accompanying explanations of how they got to that point, what might have been done to avoid – or has been done to achieve – this outcome, the reader will gain an appreciation of the nature of the illness and for the therapeutic potential of currently available treatments. Readers will learn about the various clinical aspects of schizophrenia and treatment including diagnosis, prognosis, clinical presentation, suicide risk, cognitive deficits, stigma, medication management, and psychosocial interventions.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Today most of us accept the consensus that madness is a medical condition: an illness, which can be identified, classified and treated with drugs like any other. In this ground breaking and controversial work Richard Bentall shatters the myths that surround madness. He shows there is no reassuring dividing line between mental health and mental illness. Severe mental disorders can no longer be reduced to brain chemistry, but must be understood psychologically, as part of normal behaviour andhuman nature. Bentall argues that we need a radically new way of thinking about psychosis and its treatment. Could it be that it is a fear of madness, rather than the madness itself, that is our problem?

I personally know some people in my immediate circles who have been diagnosed with schizophrenia, so I decided to analyze this disorder and really align the most important things you need to know about it. I don’t know what prompted you to pick up this book; whether you already know people with a schizophrenic mind or just got curious, just in case you do meet someone who is dealing with this disorder. Let me assure you that schizophrenia is prevalent enough that you’ll be confronted with an individual or two at some point in life, and that is does help to learn more about it. With this book, you’ll deepen your understanding, and you’ll be more inclined to comprehend the complicated processes in a person’s mind who innocently gets haunted by some of the difficult symptoms of schizophrenia. The information in this book is correct and accurate, and you will find that it will make sense, especially when you observe these symptoms in an individual you know or meet. Additionally, I will provide possible solutions for handling the disorder. As with many disorders, every person is different, and some solutions may only minimize the negative effects of the brain’s malfunctioning. Others may help you work “miracles” as you notice significant process in the individual’s happiness and fulfilment in life. I encourage you to read through the pointers and notes in this comprehensive guide to understanding schizophrenia.