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The Truth About
 Schizophrenia


 Schizophrenia and Related Disorders
 Alliance of America
 (SARDAA)




Linda Whitten Stalters
Board of Directors
Schizophrenia and Related Disorders
          Alliance of America
               (SARDAA)


Mission:   Improve the lives of people with
           schizophrenia and related disorders by
           promoting hope and recovery through
           support programs, education and
           advocacy
Schizophrenia is NOT

• A lack of will power or self-discipline
• A result of poor parenting
• A consequence of substance abuse
• A Personality disorder
• Being evil or possessed
Schizophrenia is a
        Physical Disease
Research Indications
• Schizophrenia is a disorder of the neurochemicals
    that transmit messages between neurons in the
    brain and quantity of synapses
•   There are physical differences in the brain
•   There are differences in the cognitive processing of
    information
•   MRIs show significant changes in brain functioning
    for those with schizophrenia
•   Genetic markers that can increase a person's risk for
    schizophrenia
Brain Connectivity




Synapse
Normal             Schizophrenia




Fewer synapses
in schizophrenia
Enlarged Ventricles
Positive symptoms                       Cognitive
                     Symptoms
   Hallucinations                   Working memory
                         of
     Delusions      Schizophrenia   Selective attention
Disordered thoughts                   Anosognosia




                Negative symptoms
                     Avolition
                    anhedonia
                      anergia
                     asociality
                       Alogia
Abnormality Locations
        A                Frontal
                           B
                          Lobe
Temporal                Negative
  Lobe                 symptoms
 Positive
symptoms




        C              D
3-dimensional profile of
               gray matter loss in
               brains of teenagers
               with schizophrenia



Greatest loss in the temporal and
frontal brain regions that control
memory, hearing, motor functions,
and attention.
Genetic Risks

General population                    1%
Sibling                               5%
Child with 1 parent w/schizophrenia   10%
Dizygotic (Fraternal) co-twin         10%
Child of 2 parents w/ schizophrenia   40%
Monozygotic (Identical) co-twin       50%
Recovery Is Real
A Consumer’s Perspective

“Recovery does not mean cure…”

“…rather recovery is an attitude, a
 stance and a way of approaching the
 day’s challenges.”

Patricia Deegan PhD (1996. pp.96-97)
Barriers To Recovery

Stigma and discrimination


  “The stigma is harder to deal
   with than the illness itself.”
Barriers To Recovery
Lack of Education

Lack of Access to Effective Health Care

Lack of Resources

Lack of funding for Schizophrenia and related
  diseases

Hopelessness and shame
Putting Things In Perspective

• Schizophrenia: 3 million Americans
• Multiple Sclerosis: 400,000
• Insulin-dependent Diabetes: 350,000
• Muscular Dystrophy: 35,000
• HIV/AIDS: 1.2 million
• Two times more prevalent in the U.S. than
  Alzheimer’s

                                  Schizophrenia.com/CDC 2003
The Real Impact & Cost
Schizophrenia accounts for more hospital
 stays than any other illness

2% of GNP, nearly $70 Billion in direct
 and indirect costs

One of the 10 leading causes of disability
 in world (WHO)
Did You Know?

Lifelong morbidity and increased mortality

    Individuals with a serious mental illness die,
    on average, 25 years earlier than other
    Americans




                                Substance Abuse & Mental Health
                                        Administration (SAMHSA)
The Current Approach?

Two of the largest mental health providers
 in the country today are Cook County and
 Los Angeles County jails

  – between two and four hundred thousand or
    more persons with mental illnesses are
    confined in U.S. jails and prisons
SARDAA Sponsors Hope



Schizophrenics Anonymous
       Peer Support
Joanne Verbanic
Founder of Schizophrenics Anonymous
              • 1970 diagnosed with
                paranoid schizophrenia

              • 1985 volunteer work with
                Mental Health Association in
                Michigan

                 – Spokesperson at Mental
                   Health conferences,
                   universities, schools, clubs,
                   TV, radio in an effort to
                   educate the public
                 – Founded Schizophrenics
                   Anonymous in Michigan
“I have made a commitment to
devote the rest of my life to
helping other mentally ill…I will
continue the endeavor as long as
I live.”
                    Joanne Verbanic
Schizophrenics Anonymous


2008 – More than130 groups meeting
       throughout 31 states, as well as
       Australia, Brazil, Mexico, and
       Venezuela.
Schizophrenics Anonymous (SA)

• Voluntary
• Consumer membership driven
• No dues, governing bodies, or by-laws
• Peer support providing empowerment in working
  toward recovery
Schizophrenics Anonymous

 “While most SA participants value the help
 they receive in professional settings, SA
 provides a unique type of help in dealing
 with schizophrenia that members do not
 receive from professionals or from other
 mental health organizations.”

                             Salem, Reischl, & Randall, 2000
                                   Michigan State University
Qualitative Findings

 Involvement in SA helps members:
 – Increase understanding of schizophrenia and
   how to cope with it.
 – Promotes change in self-esteem
 – Provides opportunities for participation in
   meaningful social roles.
 – Helps to combat feelings of loneliness and
   social isolation.
                         Salem, Reischl, & Randall, 2000
                               Michigan State University
SARDAA Philosophy


 With treatment , support, public education
 and awareness every person with
 schizophrenia can have the opportunity to
 recover to their potential and live a full life
 in the community, free from stigma and
 discrimination.
What Can You Do?

Contact us to learn how.
Schizophrenia and Related
   Disorders Alliance of America

                     SARDAA
                 PO Box 941222
            Houston, Texas 77094-8222
                 www.sardaa.org

Linda Whitten Stalters, MSN,APRN,BC,PMH,MTAPA,FAPA
                   Board of Directors
               linda.stalters@sardaa.org
                    (240) 423-9432
Schizophrenia Quiz

1. Schizophrenia is a way of describing a
   “split personality.”



  False.   It is a disease with a physical cause,
           like cancer or heart disease.
2. No one can recover from schizophrenia.



  False.   With proper treatment and support,
           the majority of people do recover.
3. Schizophrenia is a common mental
   illness.


  True.   About 1% of the world’s population
          and about 3 million U.S. citizens have
          the disease.
4. Schizophrenia most commonly begins in
   people over age 50.


  False.   The onset of schizophrenia normally
           begins between the ages 15 and 25.
5. Schizophrenia can be caused by bad
   upbringing, or personal or moral
   weakness.


  False.   It is a disease with a physical cause.
6. Schizophrenia can be diagnosed through
   a series of medical tests.


  False.   There are, currently, no medical tests
           for schizophrenia but several tools are
           used by trained professionals to
           evaluate and diagnose the disorder.
7. Approximately 1 of every 10 people with
   schizophrenia completes a suicide
   attempt.

  True.   And about 20%-40% of people
          with schizophrenia attempt to
          commit suicide.

          Suicide is the number one cause of
          death for young people with
          schizophrenia.
8. Like diabetes, schizophrenia has a
   genetic pattern.


  True.   There is a hereditary tendency.
Hereditary Tendency Rates

General population                    1%
Sibling                               5%
Child with 1 parent w/schizophrenia   10%
Dizygotic (Fraternal) co-twin         10%
Child of 2 parents w/ schizophrenia   40%
Monozygotic (Identical) co-twin       50%
9. People with schizophrenia are often
   violent.

   False: People with schizophrenia are no
          more likely to be violent than their
          neighbors. In fact they are the
          victims of murder 6 times the
          general population
          (Lancet, 2001)

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Schizophrenia: The Truth

  • 1. The Truth About Schizophrenia Schizophrenia and Related Disorders Alliance of America (SARDAA) Linda Whitten Stalters Board of Directors
  • 2. Schizophrenia and Related Disorders Alliance of America (SARDAA) Mission: Improve the lives of people with schizophrenia and related disorders by promoting hope and recovery through support programs, education and advocacy
  • 3. Schizophrenia is NOT • A lack of will power or self-discipline • A result of poor parenting • A consequence of substance abuse • A Personality disorder • Being evil or possessed
  • 4. Schizophrenia is a Physical Disease
  • 5. Research Indications • Schizophrenia is a disorder of the neurochemicals that transmit messages between neurons in the brain and quantity of synapses • There are physical differences in the brain • There are differences in the cognitive processing of information • MRIs show significant changes in brain functioning for those with schizophrenia • Genetic markers that can increase a person's risk for schizophrenia
  • 7. Normal Schizophrenia Fewer synapses in schizophrenia
  • 9. Positive symptoms Cognitive Symptoms Hallucinations Working memory of Delusions Schizophrenia Selective attention Disordered thoughts Anosognosia Negative symptoms Avolition anhedonia anergia asociality Alogia
  • 10. Abnormality Locations A Frontal B Lobe Temporal Negative Lobe symptoms Positive symptoms C D
  • 11. 3-dimensional profile of gray matter loss in brains of teenagers with schizophrenia Greatest loss in the temporal and frontal brain regions that control memory, hearing, motor functions, and attention.
  • 12. Genetic Risks General population 1% Sibling 5% Child with 1 parent w/schizophrenia 10% Dizygotic (Fraternal) co-twin 10% Child of 2 parents w/ schizophrenia 40% Monozygotic (Identical) co-twin 50%
  • 14. A Consumer’s Perspective “Recovery does not mean cure…” “…rather recovery is an attitude, a stance and a way of approaching the day’s challenges.” Patricia Deegan PhD (1996. pp.96-97)
  • 15. Barriers To Recovery Stigma and discrimination “The stigma is harder to deal with than the illness itself.”
  • 16. Barriers To Recovery Lack of Education Lack of Access to Effective Health Care Lack of Resources Lack of funding for Schizophrenia and related diseases Hopelessness and shame
  • 17. Putting Things In Perspective • Schizophrenia: 3 million Americans • Multiple Sclerosis: 400,000 • Insulin-dependent Diabetes: 350,000 • Muscular Dystrophy: 35,000 • HIV/AIDS: 1.2 million • Two times more prevalent in the U.S. than Alzheimer’s Schizophrenia.com/CDC 2003
  • 18. The Real Impact & Cost Schizophrenia accounts for more hospital stays than any other illness 2% of GNP, nearly $70 Billion in direct and indirect costs One of the 10 leading causes of disability in world (WHO)
  • 19. Did You Know? Lifelong morbidity and increased mortality Individuals with a serious mental illness die, on average, 25 years earlier than other Americans Substance Abuse & Mental Health Administration (SAMHSA)
  • 20. The Current Approach? Two of the largest mental health providers in the country today are Cook County and Los Angeles County jails – between two and four hundred thousand or more persons with mental illnesses are confined in U.S. jails and prisons
  • 21. SARDAA Sponsors Hope Schizophrenics Anonymous Peer Support
  • 22. Joanne Verbanic Founder of Schizophrenics Anonymous • 1970 diagnosed with paranoid schizophrenia • 1985 volunteer work with Mental Health Association in Michigan – Spokesperson at Mental Health conferences, universities, schools, clubs, TV, radio in an effort to educate the public – Founded Schizophrenics Anonymous in Michigan
  • 23. “I have made a commitment to devote the rest of my life to helping other mentally ill…I will continue the endeavor as long as I live.” Joanne Verbanic
  • 24. Schizophrenics Anonymous 2008 – More than130 groups meeting throughout 31 states, as well as Australia, Brazil, Mexico, and Venezuela.
  • 25. Schizophrenics Anonymous (SA) • Voluntary • Consumer membership driven • No dues, governing bodies, or by-laws • Peer support providing empowerment in working toward recovery
  • 26. Schizophrenics Anonymous “While most SA participants value the help they receive in professional settings, SA provides a unique type of help in dealing with schizophrenia that members do not receive from professionals or from other mental health organizations.” Salem, Reischl, & Randall, 2000 Michigan State University
  • 27. Qualitative Findings Involvement in SA helps members: – Increase understanding of schizophrenia and how to cope with it. – Promotes change in self-esteem – Provides opportunities for participation in meaningful social roles. – Helps to combat feelings of loneliness and social isolation. Salem, Reischl, & Randall, 2000 Michigan State University
  • 28. SARDAA Philosophy With treatment , support, public education and awareness every person with schizophrenia can have the opportunity to recover to their potential and live a full life in the community, free from stigma and discrimination.
  • 29. What Can You Do? Contact us to learn how.
  • 30. Schizophrenia and Related Disorders Alliance of America SARDAA PO Box 941222 Houston, Texas 77094-8222 www.sardaa.org Linda Whitten Stalters, MSN,APRN,BC,PMH,MTAPA,FAPA Board of Directors linda.stalters@sardaa.org (240) 423-9432
  • 31. Schizophrenia Quiz 1. Schizophrenia is a way of describing a “split personality.” False. It is a disease with a physical cause, like cancer or heart disease.
  • 32. 2. No one can recover from schizophrenia. False. With proper treatment and support, the majority of people do recover.
  • 33. 3. Schizophrenia is a common mental illness. True. About 1% of the world’s population and about 3 million U.S. citizens have the disease.
  • 34. 4. Schizophrenia most commonly begins in people over age 50. False. The onset of schizophrenia normally begins between the ages 15 and 25.
  • 35. 5. Schizophrenia can be caused by bad upbringing, or personal or moral weakness. False. It is a disease with a physical cause.
  • 36. 6. Schizophrenia can be diagnosed through a series of medical tests. False. There are, currently, no medical tests for schizophrenia but several tools are used by trained professionals to evaluate and diagnose the disorder.
  • 37. 7. Approximately 1 of every 10 people with schizophrenia completes a suicide attempt. True. And about 20%-40% of people with schizophrenia attempt to commit suicide. Suicide is the number one cause of death for young people with schizophrenia.
  • 38. 8. Like diabetes, schizophrenia has a genetic pattern. True. There is a hereditary tendency.
  • 39. Hereditary Tendency Rates General population 1% Sibling 5% Child with 1 parent w/schizophrenia 10% Dizygotic (Fraternal) co-twin 10% Child of 2 parents w/ schizophrenia 40% Monozygotic (Identical) co-twin 50%
  • 40. 9. People with schizophrenia are often violent. False: People with schizophrenia are no more likely to be violent than their neighbors. In fact they are the victims of murder 6 times the general population (Lancet, 2001)