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Kopila-Nepal 
 
23rd World Mental Health Day, 10 Oct 
2014 
“Living with schizophrenia”

Schizophrenia 
 
Presented by 
Laxman Nath 
Psychosocial and Well-being Department (HOD) 
Kopila Nepal, Bulaudi, Pokhara-6, Kaski
SCHIZOPHRENIA 
 
 Schizophrenia is a severe brain disorder in which people 
interpret reality abnormally. 
 Schizophrenia may result in some combination of 
hallucinations (मतिभ्रम), delusions (k|k+r, ;8oGqsf] cfef; x'g'), 
and extremely disordered (विकृि, c;fdfGo )thinking and 
behavior.
  Schizophrenia is a psychotic condition characterized by 
disturbance in 
 Thinking (सोच) 
 Perception (अनुभूति) 
 Emotions (भािना) 
 Preference (अभभरुचच ) 
 Abilities (क्षमिा) 
 In the presence of clear consciousness (चेिना), 
 Which usually led to social withdrawal (सामाजिक 
s[ofsnfaf6 aflxl/g] jf 6f9f /xg] _
Facts and Statistics 
 The Prevalence Rate for schizophrenia is approximately 
 
1.1% of the population over the age of 18 (source: 
NIMH) i.e. 51 million people worldwide at any time. 
 Schizophrenia has highest disability rate in mental 
problems i.e. sixty percent of its cases (It is top 10 cause 
of disability) 
 More than 50% of persons with schizophrenia are not 
receiving appropriate care and 90% of people with 
untreated schizophrenia are in developing countries 
 Mortality among people with schizophrenia is 
approximately fifty percent above that of the general 
population
 Partly as a result of an increased incidence of suicide (about 
 
ten percent die by suicide) and violent death, and partly as a 
result of an increased risk of a wide range of physical health 
problems 
 People with the condition have a 50 times higher risk of 
attempting suicide than the general population; the risk of 
suicide is very serious in people with schizophrenia. 
 In men, schizophrenia symptoms typically start in the teens 
or 20s. 
 In women, schizophrenia symptoms typically begin in the 
20s or early 30s 
Cont.
Onset 
 The onset may be acute, with seriously disturbed behavior, 
 
or insidious, with a gradual development of odd ideas and 
conduct 
 In 40% of men and 23% of women diagnosed with 
schizophrenia, the condition manifested itself before the age 
of 19 
 To minimize the developmental disruption associated with 
schizophrenia treatment of the prodromal (pre-onset) phase 
of the illness is effective, which has been detected up to 
30 months before the onset of symptoms
Artistic view of how the world feels like with 
schizophrenia 

Symptoms 

Symptoms in teenagers 
 
 Withdrawal from friends and family 
 A drop in performance at school 
 Trouble sleeping 
 Irritability or depressed mood 
 Lack of motivation 
 Compared with schizophrenia symptoms in adults, 
teens may be: 
 Less likely to have delusions 
 More likely to have visual hallucinations
Causes 
  It's not known what causes schizophrenia 
 Researchers believe that a combination of genetics and 
environment contributes to development of the disease. 
 Problems with certain naturally occurring brain 
chemicals may contribute to schizophrenia. 
 Neuroimaging studies show differences in the brain 
structure and central nervous system of people with 
schizophrenia. 
 While researchers aren't certain about the significance of 
these changes, they support evidence that schizophrenia 
is a brain disease.
RISK FACTORS 
 Having a family history of schizophrenia 
 Physical abnormality of the  
brain 
 Exposure to viruses, toxins or malnutrition while in the 
womb, particularly in the first and second trimesters 
 Poor social and coping skills 
 Poor communication skills 
 Stressful life circumstances 
 Older paternal age 
 Taking psychoactive drugs during adolescence and 
young adulthood 
 Environmental stress
PREVENTION 
 
 Taking proactive steps 
 Avoiding illegal drug use, 
 Proper management of stresses for reducing stress, 
 Assurance of getting enough sleep 
 Regular consultation with mental health professionals 
 Starting antipsychotic medications as soon as necessary
TREATMENT 
 
 Electroconvulsive therapy 
 Medication 
 Psychosocial Treatments 
 Psychosocial rehabilitation
Psychosocial treatments 
  Social skills training. This focuses on improving 
communication and social interactions. 
 Family Counseling/therapy. This provides support and 
education to families dealing with schizophrenia. 
 Vocational rehabilitation and supported employment. 
This focuses on helping people with schizophrenia find 
and keep jobs. 
 Individual counseling/therapy. Learning to cope with 
stress and identify early warning signs of relapse can 
help people with schizophrenia manage their illness
COMPLICATIONS 
 Suicide 
 
 Any type of self-injury 
 Anxiety and phobias 
 Depression 
 Abuse of alcohol, drugs or prescription medications 
 Poverty 
 Homelessness 
 Family conflicts 
 Inability to work or attend school 
 Social isolation
Living with Schizophrenia 


d] !) af6 d}n] Ps PlG6 l8k|]z]G6df l;ldt ag], ToxL eP/ d w]/} 
;'lt/x]sf] 5}g . d]/f] lbdfun] clt j]udf ljrf/x? k|zf/0f ul/x]sf] 
h:tf] b]lvG5 / d}n] s]xL u/f} eg] s'g} s'/f klg d]/f] lgoGq0fdf 
g/x]sf] h:tf] b]lvG5 . d}n] lo ;a} s'/fx?nfO{ d]/f] lbdfudf 
7nf] d'vsf] ?kdf agfP/ k|:t't u/]sf] 5' . h;n] :jtGq ?kdf sfd 
ul//x]sf] 5 . ;xL xf] sL unt t/ dnfO{ nfU5 lo ;d:of d]/f] bfFof 
lt/sf] 6's]|sf] d'6'af6 cfO{/x]sf 5g . To;nfO{ k|:t't ug]{ d}n] 
To; efudf uf8f /utsf] 7'nf] /fz b]vfPsf] 5' . of] ;Fu hf]l8Psf] 
v'§fn] ljrf/ k|zf/0f ug{ To;nfO{ ws]ln/x]sf] 5 . dnfO{ ;w} d d 
k|lt g} ljeflht ePsf] h:tf] nfU5 . d]/f] d'vdf ePsf] lsnfsf6Ln] d 
;dfhdf cof]Uo /x]sf] hgfFp5 / ;dflhs/0f x'g c;Ifd ePsfn] d ;w} 
gL;fgf alg/x]sf] x'G5' . t/ klg d alnof] j}olSts xnrn lb/x]sf] 5' 
h:tf] dnfO{ nfU5, Tolx eP/ d]/f] 6fpsf]af6 t/+udo /]vf 
lgSnL/x]sf] 5g . 
 
Self Portrayal by Bryan Charnley
Questions 
 
 Is it not our duty as human to care for those who have 
difficulties caring themself? 
 How much a smile and a pinch of love and care cost? 
 Does neglecting or denying solves the problem? 
 Are we ready to accept other as they are when we want 
to be accepted as we are?
 
Are we Mentally Healthy?
 
Thank You

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Schizophrenia

  • 1. Kopila-Nepal  23rd World Mental Health Day, 10 Oct 2014 “Living with schizophrenia”
  • 2.
  • 3. Schizophrenia  Presented by Laxman Nath Psychosocial and Well-being Department (HOD) Kopila Nepal, Bulaudi, Pokhara-6, Kaski
  • 4. SCHIZOPHRENIA   Schizophrenia is a severe brain disorder in which people interpret reality abnormally.  Schizophrenia may result in some combination of hallucinations (मतिभ्रम), delusions (k|k+r, ;8oGqsf] cfef; x'g'), and extremely disordered (विकृि, c;fdfGo )thinking and behavior.
  • 5.   Schizophrenia is a psychotic condition characterized by disturbance in  Thinking (सोच)  Perception (अनुभूति)  Emotions (भािना)  Preference (अभभरुचच )  Abilities (क्षमिा)  In the presence of clear consciousness (चेिना),  Which usually led to social withdrawal (सामाजिक s[ofsnfaf6 aflxl/g] jf 6f9f /xg] _
  • 6. Facts and Statistics  The Prevalence Rate for schizophrenia is approximately  1.1% of the population over the age of 18 (source: NIMH) i.e. 51 million people worldwide at any time.  Schizophrenia has highest disability rate in mental problems i.e. sixty percent of its cases (It is top 10 cause of disability)  More than 50% of persons with schizophrenia are not receiving appropriate care and 90% of people with untreated schizophrenia are in developing countries  Mortality among people with schizophrenia is approximately fifty percent above that of the general population
  • 7.  Partly as a result of an increased incidence of suicide (about  ten percent die by suicide) and violent death, and partly as a result of an increased risk of a wide range of physical health problems  People with the condition have a 50 times higher risk of attempting suicide than the general population; the risk of suicide is very serious in people with schizophrenia.  In men, schizophrenia symptoms typically start in the teens or 20s.  In women, schizophrenia symptoms typically begin in the 20s or early 30s Cont.
  • 8. Onset  The onset may be acute, with seriously disturbed behavior,  or insidious, with a gradual development of odd ideas and conduct  In 40% of men and 23% of women diagnosed with schizophrenia, the condition manifested itself before the age of 19  To minimize the developmental disruption associated with schizophrenia treatment of the prodromal (pre-onset) phase of the illness is effective, which has been detected up to 30 months before the onset of symptoms
  • 9. Artistic view of how the world feels like with schizophrenia 
  • 11. Symptoms in teenagers   Withdrawal from friends and family  A drop in performance at school  Trouble sleeping  Irritability or depressed mood  Lack of motivation  Compared with schizophrenia symptoms in adults, teens may be:  Less likely to have delusions  More likely to have visual hallucinations
  • 12. Causes   It's not known what causes schizophrenia  Researchers believe that a combination of genetics and environment contributes to development of the disease.  Problems with certain naturally occurring brain chemicals may contribute to schizophrenia.  Neuroimaging studies show differences in the brain structure and central nervous system of people with schizophrenia.  While researchers aren't certain about the significance of these changes, they support evidence that schizophrenia is a brain disease.
  • 13. RISK FACTORS  Having a family history of schizophrenia  Physical abnormality of the  brain  Exposure to viruses, toxins or malnutrition while in the womb, particularly in the first and second trimesters  Poor social and coping skills  Poor communication skills  Stressful life circumstances  Older paternal age  Taking psychoactive drugs during adolescence and young adulthood  Environmental stress
  • 14. PREVENTION   Taking proactive steps  Avoiding illegal drug use,  Proper management of stresses for reducing stress,  Assurance of getting enough sleep  Regular consultation with mental health professionals  Starting antipsychotic medications as soon as necessary
  • 15. TREATMENT   Electroconvulsive therapy  Medication  Psychosocial Treatments  Psychosocial rehabilitation
  • 16. Psychosocial treatments   Social skills training. This focuses on improving communication and social interactions.  Family Counseling/therapy. This provides support and education to families dealing with schizophrenia.  Vocational rehabilitation and supported employment. This focuses on helping people with schizophrenia find and keep jobs.  Individual counseling/therapy. Learning to cope with stress and identify early warning signs of relapse can help people with schizophrenia manage their illness
  • 17. COMPLICATIONS  Suicide   Any type of self-injury  Anxiety and phobias  Depression  Abuse of alcohol, drugs or prescription medications  Poverty  Homelessness  Family conflicts  Inability to work or attend school  Social isolation
  • 19.
  • 20. d] !) af6 d}n] Ps PlG6 l8k|]z]G6df l;ldt ag], ToxL eP/ d w]/} ;'lt/x]sf] 5}g . d]/f] lbdfun] clt j]udf ljrf/x? k|zf/0f ul/x]sf] h:tf] b]lvG5 / d}n] s]xL u/f} eg] s'g} s'/f klg d]/f] lgoGq0fdf g/x]sf] h:tf] b]lvG5 . d}n] lo ;a} s'/fx?nfO{ d]/f] lbdfudf 7nf] d'vsf] ?kdf agfP/ k|:t't u/]sf] 5' . h;n] :jtGq ?kdf sfd ul//x]sf] 5 . ;xL xf] sL unt t/ dnfO{ nfU5 lo ;d:of d]/f] bfFof lt/sf] 6's]|sf] d'6'af6 cfO{/x]sf 5g . To;nfO{ k|:t't ug]{ d}n] To; efudf uf8f /utsf] 7'nf] /fz b]vfPsf] 5' . of] ;Fu hf]l8Psf] v'§fn] ljrf/ k|zf/0f ug{ To;nfO{ ws]ln/x]sf] 5 . dnfO{ ;w} d d k|lt g} ljeflht ePsf] h:tf] nfU5 . d]/f] d'vdf ePsf] lsnfsf6Ln] d ;dfhdf cof]Uo /x]sf] hgfFp5 / ;dflhs/0f x'g c;Ifd ePsfn] d ;w} gL;fgf alg/x]sf] x'G5' . t/ klg d alnof] j}olSts xnrn lb/x]sf] 5' h:tf] dnfO{ nfU5, Tolx eP/ d]/f] 6fpsf]af6 t/+udo /]vf lgSnL/x]sf] 5g .  Self Portrayal by Bryan Charnley
  • 21. Questions   Is it not our duty as human to care for those who have difficulties caring themself?  How much a smile and a pinch of love and care cost?  Does neglecting or denying solves the problem?  Are we ready to accept other as they are when we want to be accepted as we are?
  • 22.  Are we Mentally Healthy?