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Schizophrenia

Schizophrenia is a chronic mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and behavior. The illness typically involves a combination of positive symptoms (delusions, hallucinations, disorganized speech or behavior), negative symptoms (alogia, flattened affect, avolition, anhedonia), and cognitive impairments (attention, memory, executive function). Symptoms may fluctuate in intensity and are present for a significant portion of time during a 1-month active phase, with continuous signs for at least 6 months.

Onset generally occurs in late adolescence to early adulthood and affects men somewhat earlier than women.

The exact cause is unknown, but a combination of genetic, neurobiological, and environmental factors increases risk.

Diagnosis is clinical, based on criteria from major manuals such as DSM-5 or ICD-11, requiring at least

Treatment is typically multimodal. Antipsychotic medications (typical and atypical) reduce psychotic symptoms, though side effects vary.

Prognosis ranges from substantial recovery to persistent impairment, with many achieving symptom control and improved functioning

The
course
is
variable;
some
individuals
experience
a
single
episode
with
full
remission,
while
others
have
a
lifelong
fluctuating
illness
with
relapses.
Family
history
is
the
strongest
risk
factor.
Other
factors
include
perinatal
complications,
psychosocial
stress,
urban
upbringing,
cannabis
use,
and
prenatal
exposures.
two
characteristic
symptoms
for
a
significant
portion
of
time
during
a
one-month
period,
with
ongoing
signs
for
at
least
six
months,
and
the
absence
of
mood
disorder
with
psychotic
features
or
substance-induced
psychosis.
Neuroimaging
is
supportive
but
not
diagnostic.
Psychosocial
interventions,
including
cognitive-behavioral
therapy
for
psychosis,
family
education,
supported
employment,
and
case
management,
improve
functioning
and
adherence.
Early
intervention
programs
can
improve
long-term
outcomes.
with
ongoing
treatment.
Stigma
reduction
and
social
support
are
important
components
of
care.