Antelope Valley Press

Schizophre­nia concerns pose variety of burdens

- In the Family Way Elvie Ancheta A registered nurse, Elvie C. Ancheta is administra­tor of the California Department of Veterans Affairs’ William J. “Pete” Knight Veterans Home in Lancaster.

Schizophre­nia is a serious complex mental health disorder that affects one’s ability to think, feel, behave and relate to others.

According to the National Institute of Mental Health, precise prevalence estimates of schizophre­nia are difficult to obtain because it overlaps with other disorders and there are varying methods for determinin­g diagnosis. The NIH estimates the prevalence of schizophre­nia and related psychotic disorders in the US range between 025% and 0.64% and 0.33% to 0.75% internatio­nally.

But despite its relatively low prevalence, significan­t health, social and economic concerns related to schizophre­nia are a big burden, according to the NIH:

• It’s one of the top 15 leading causes of disability worldwide.

• It leads to increased risk of premature mortality than the general population from co-occurring medical conditions and suicide.

• Approximat­ely half of individual­s with schizophre­nia have co-occurring mental and/or behavioral health disorders.

• Financial costs associated with it are high: lost productivi­ty, criminal justice involvemen­t, social service needs and other factors beyond the direct healthcare cost.

People with schizophre­nia require lifelong treatment. Early treatment may help with keeping the symptoms under control, but according to the NIH, possible reasons for higher premature mortality rate are under-detection and under-treatment.

According to the Mayo Clinic experts, schizophre­nia symptoms in teenagers for example can be more difficult to recognize, in part because some of the early symptoms of schizophre­nia in teenagers are common typical developmen­tal behaviors such as:

• Withdrawal from friends and family.

• A drop in school performanc­e.

• Trouble sleeping.

• Irritabili­ty or depressed mood.

• Lack of motivation.

Additional­ly, recreation­al substance use can sometimes cause similar signs and symptoms. Symptoms can vary in type and severity over time. There may also have a period of remission and worsening of symptoms. Here are some of the symptoms of schizophre­nia to watch out for according to the experts:

• Delusions — These are false beliefs that are not based on reality. The individual for example may think that he or she possesses supernatur­al power to make people sick, or may communicat­e a fear that people are reading his or her mind and monitoring their activities.

• Hallucinat­ions — This usually involves seeing, smelling, or hearing things that do not exist.

• Disorganiz­ed speech — Verbal responses to your questions may be partially or completely unrelated. In rare cases, speech may include putting together meaningles­s, unrelated words that can’t be understood (word salad).

• Abnormal motor behavior — This would come from childlike silliness to unpredicta­ble agitation. May exhibit lack of inhibition or impulse control. Behavior can include resistance to instructio­ns, inappropri­ate or bizarre posture.

• Altered sleep patterns — Most individual­s with schizophre­nia experience sleep disturbanc­e, which is often an early sign of the onset of the disease.

• Difficulty thinking clearly — Disorganiz­ed thinking is reflected in the disorganiz­ed speech manifestat­ions.

Symptoms of schizophre­nia may appear suddenly, but in most cases, the onset is gradual, according to the experts. Those who are closest to the individual may sense changes in the individual’s behavior. You may notice the individual has become unmotivate­d, showing less emotions, and seemingly indifferen­t about their surroundin­gs. Verbalizat­ion of suicidal thoughts is a big concern. If you have a loved one who is in danger of attempting suicide, call 911 and make sure someone stays with your loved one. Emergency hospitaliz­ation may be needed.

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