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How Schizophrenia Is Treated

If you have been diagnosed with schizophrenia, you might be wondering what to do next. The great news is that there are a variety of treatment options available. An important part of this journey is to explore your options and begin treatment quickly after diagnosis. This can help get your healing and recovery process going sooner than later, bringing you a sense of direction and relief.




What is the most important information I should know about schizophrenia treatment?​

  • Antipsychotics are the first-line treatment for schizophrenia.
  • Psychotherapy can also be helpful and may be used alongside complementary approaches to improve quality of life.
  • Treatment adherence can lead to better outcomes, so it is essential to take your medications and stick to your treatment plan.

schizophrenia treatment

Verywell / Cindy Chung

Schizophrenia Medications​


Often, schizophrenia is treated with antipsychotics. Antipsychotic medications reduce the psychotic symptoms of schizophrenia and other mental illnesses, usually allowing a person to function more effectively and appropriately.




The first generation of antipsychotic medications, known as "typical antipsychotics," were introduced in the 1950s to treat psychosis.1




Antipsychotic drugs are the best treatment for schizophrenia right now, but they don't cure schizophrenia or ensure that there will be no further psychotic episodes.

Dosages​


The choice and dosage of medication can be made only by a qualified physician who is well trained in the medical treatment of mental disorders. The dosage of medication is individualized for each patient, since people may vary a great deal in the amount of drug needed to reduce symptoms without producing troublesome side effects. It is important to be patient with yourself and your providers as you learn what works well for your personalized treatment.




Side Effects​


Antipsychotic drugs can have unwanted effects along with their beneficial effects. Typical antipsychotics, which include drugs like Haldol and Thorazine, are known to increase the risk of extrapyramidal side effects, which affect movement and motor functions.2




Side effects of typical antipsychotic medications include:




  • Drowsiness
  • Restlessness
  • Muscle spasms
  • Tremor
  • Dry mouth
  • Blurred vision



Most of these side effects can be corrected by lowering the dosage or controlled by other medications. Different patients have different treatment responses and side effects to various antipsychotic drugs. Talk with your doctor about your experiences at each visit so they can better understand your reactions to medications and make adjustments to help.




Atypical Antipsychotics​


A number of new antipsychotic drugs (the so-called "atypical antipsychotics") have been introduced since 1990. The first, clozapine (Clozaril), has been shown to be more effective than other antipsychotics, although the possibility of severe side effects requires that patients be monitored with blood tests every one or two weeks. After a year of stable white blood counts, blood can be drawn monthly.3




The newer antipsychotic drugs are safer regarding tardive dyskinesia (TD)—an involuntary movement disorder—but many of the atypical drugs are more likely to contribute to metabolic side effects such as weight gain, increased glucose and lipids. Atypical antipsychotics include the following:




  • Invega (paliperidone): This option is available in three different formulations—an extended-release tablet and long-acting injectables (Invega Sustenna and Invega Trinza)
  • Risperdal (risperidone)
  • Abilify (aripiprazole)
  • Seroquel (quetiapine)
  • Zyprexa (olanzapine)
  • Caplyta (lumateperone)



Concerns About Medication​


Patients and families sometimes become worried about the antipsychotic medications used to treat schizophrenia. In addition to concern about side effects, they may worry that such drugs could lead to addiction.




Antipsychotic medications do not produce a "high" and are not habit-forming, nor do they lead to addictive behavior in people who take them.

Another misconception about antipsychotic drugs is that they act as a kind of mind control or a "chemical straitjacket." Antipsychotic drugs used in the appropriate way do not "knock out" people or take away their free will.




Compliance​


Making sure that you are taking your medications consistently can be referred to as medication compliance.4 As easy as it may sound to take medication regularly as scheduled, medication compliance is often one of the largest challenges of long-term treatment for schizophrenia.




Because of these challenges, new treatment options have become available that help make it easier for people to take their medications as prescribed. Long-acting injectables (LAI) are given to patients through an injection.5




These injections can be given every few weeks to few months, which help people experience more consistent, long-term, symptom relief.

Psychotherapy for Schizophrenia​


Therapy is an important part of treatment for schizophrenia. Often you will find that your therapist will work closely with your psychiatrist to help make sure treatment methods are effective. When someone's medication is working effectively, they are often better able to discuss and process during their therapy sessions.




Individual Therapy​


One of the most researched models of therapy used in the treatment of schizophrenia is cognitive behavioral therapy, or CBT. This model of psychotherapy addresses the connection between thoughts and behaviors, helping people to learn more about how negative patterns of thought about themselves and the world influence their decision making.




Since insights like this are not often present in those with schizophrenia, cognitive behavioral therapy can help clients gain a greater sense of empowerment in regulating their emotions and behaviors. Speaking openly and honestly with your doctor is a great first step in understanding and ultimately managing your symptoms.




Schizophrenia Discussion Guide​

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Family Therapy​


Unfortunately, family members are often uninformed about the condition and how to help a loved one through the treatment process. Family therapy can be a key component of the treatment process since it can offer space for the healing of family dynamics that may have been impacted by the condition. That time can also be used for gathering information about schizophrenia, how to navigate challenges together, and how to better express and meet the needs of all involved.




Group Therapy​


Support from peers can be a wonderful addition to the treatment process. Group therapy is a space that allows people to safely share their experiences with schizophrenia, the challenges they are facing, and what seems to be helping.




Sharing information and feedback helps to remove a sense of isolation that can often be experienced. They can also create meaningful connections with peers, learning how to develop and maintain relationships.




Social Skills Training​


Because they experience psychotic features such as delusions and hallucinations, it can at times feel unclear to the person what is real and what isn't. Symptoms of the illness can significantly impact relationships. Learning the building blocks of relationships can help people better navigate interpersonal dynamics in their family lives, their social circles and possibly even in work settings.




How to Find a Therapist



Complementary & Alternative Medicine for Schizophrenia​


There are also a number of complementary and alternative medicine (CAM) treatments that may also be useful. These treatments are intended to be used alongside traditional therapies and not in place of proven treatments.




Animal Assisted Therapy​


As with other conditions, animal assisted therapy (AAT) can help ease and manage some of the symptoms of schizophrenia. Anhedonia, which refers to not experiencing joy or pleasure, is a common symptom of schizophrenia.




Research has found that, in trials using animal-assisted therapy as part of treatment, patients rated higher levels of pleasurable feelings and greater quality of life than those who did not participate in the animal-assisted treatment group.6




Dietary Supplements​


Certain nutritional supplements have been found to have a positive impact on symptoms experienced in some patients with schizophrenia. Although there is insufficient evidence to recommend them to everyone as a treatment, some of the vitamins and nutritional supplements that have been researched in schizophrenia include things like:




  • B Vitamins
  • Omega-3 fatty acids
  • Amino acids
  • Vitamin D
  • Antioxidants



It is important to note that, although the use of these supplements have shown promise in research, it is best to speak with your doctor before taking them to make sure you are not at risk for things like medication interactions or other things that could slow or stop your progress.

CBD Oil​


Cannabidiol (CBD) is a compound found in cannabis that has been explored for its potential mental health applications, including in the treatment of schizophrenia. While more research is needed, a 2021 systematic review concluded that there was insufficient evidence to suggest that CBD could have a positive impact on schizophrenia symptoms.7




It is important to note that the legal status of CBD varies by state. On the federal level, any cannabis-product containing more than 0.3% THC is illegal.

5 Mental Health Uses for CBD



Where to Find Treatment​


If you experience symptoms of schizophrenia it is best to speak with your doctor. They may want to do blood work and run tests to make sure the symptoms are not being caused by another medical condition. From there you can meet with a psychiatrist or other qualified mental health practitioner to discuss what you are experiencing.




Keep in mind that you may need to be evaluated extensively to make sure that the diagnosis is accurate. This evaluation process involves meeting with you to talk about your experiences, as well as meeting with a spouse or other family members to gather collateral information.




The Best Online Therapy ProgramsWe've tried, tested and written unbiased reviews of the best online therapy programs including Talkspace, Betterhelp, and Regain.



Levels of Care​


Treatment can involve outpatient, intensive outpatient, partial hospital, residential, or inpatient treatment programs. The level of care that is best for your situation will be determined by the acuity and nature of your current symptoms. There are trained professionals who specialize in the treatment of schizophrenia at each level of care. If you are unsure of where to find treatment providers, it is best to start by asking your doctor for local or regional referral options.




How to Cope​


It is important to be patient with yourself and your treatment team during this process. As much as we want the symptoms to subside, everyone has a different experience of what treatment methods work well for them and what doesn't seem to work well. Part of your treatment journey will be to explore and discover the methods that work best for you and your symptoms.




Being compliant with your treatment plan is important for overall success. This means doing things like:




  • Taking medication consistently
  • Attending your appointments regularly
  • Actively participating in counseling and group therapy
  • Letting your doctor know what you are experiencing
  • Asking your support group for help if needed
  • Being patient with yourself and your providers
  • Reminding yourself that this is a journey



Even if the path feels challenging, remember there are plenty of things you can do to help the process go more smoothly. The main thing is to be patient and talk with your doctor about your experiences. They need to understand your symptoms in order to help develop a treatment plan that works well for you.
 

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