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Those affected by schizophrenia are also more inclined to develop numerous physiological and psychological conditions. Most notably, they experience higher rates of substance abuse and suicidality; where more than half of people with schizophrenia have reported suicide ideation or attempts, and nearly half experience substance abuse or dependence. [19]
Most antipsychotics can take around 7 to 14 days to have their full effect. Medication may improve the positive symptoms of schizophrenia, and social and vocational functioning. [6] However, antipsychotics fail to significantly improve the negative symptoms and cognitive dysfunction.
And while antipsychotics can help schizophrenia’s “positive” symptoms, such as hallucinations, they have a minimal impact on the “negative” symptoms, which are arguably more devastating. People who have schizophrenia can lose the ability to focus, to sustain effort, to carry on a conversation or to maintain eye contact.
Schizophreniform disorder is a type of mental illness that is characterized by psychosis and closely related to schizophrenia.Both schizophrenia and schizophreniform disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), have the same symptoms and essential features except for two differences: the level of functional impairment and the duration of symptoms.
Onset over the age of 60, which may be difficult to differentiate as schizophrenia, is known as very-late-onset schizophrenia-like psychosis. [55] Late onset has shown that a higher rate of females are affected; they have less severe symptoms and need lower doses of antipsychotics. [ 55 ]
A study done over a two-year time period shadowing patients with schizophrenia and monitoring their depression was unable to locate possible triggers such as the ones previously listed, so it is possible the nature of schizophrenia itself is the primary cause of post-schizophrenic depression. [11]
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