Paranoid Schizophrenia

By: Katelen Moerschel, hour 6

Basic Description

Paranoid schizophrenia is a sub type of schizophrenia in which the patient has delusions that a person or some individuals are plotting against them or members of their family.
  • Paranoid schizophrenia is the most common schizophrenia type.

Symptoms

Some schizophrenia symptoms are not prominent, such as disturbances of volition, affect, speech and catatonia.
  • Auditory hallucinations and visual hallucinations(rare)
  • Delusions(beliefs that are not real)
  • Anxiety
  • Anger
  • Detachment
  • Aggression and violence
  • Quarrels
  • Condescension
  • Suicidal thoughts and behavior
  • Mood swings
  • Socially withdrawn

Causes

  • Not fully known
  • Usually results from complex interaction between genetics and environmental factors

Diagnosis

Made based on a full psychiatric evaluation, medical history, physical exam, and lab tests.


  • Psychiatric Evaluation:Doctor will ask a series of questions about you or your loved ones symptoms, psychiatric history, and family history of mental health problems.
  • Medical History and Exam:Doctor will ask about your personal and family health history. They will also perform a complete physical exam to check for medical issues that could be causing or contributing to the problem.
  • Laboratory Tests:Simple blood and urine test can rule out other medical conditions of symptoms. They can also order a CT scan or MRI.

Treatments

Treatment with medications and psycho social therapy can help manage the problem.

  • Anti-psychotic medications are the most commonly prescribed drugs to treat symptoms.
  • Once psychosis recedes, psychological and social interventions are important to medications.

Prevalence

  • 1.1% of adults have paranoid schizophrenia=2.5 million
  • Found in every society
  • Affects men and women equally
  • Ages start between 16-30
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Prognosis

Paranoid schizophrenia has no known cure, so technically you cannot be "cured". However, there are some effective treatments such as:

  • Can reduce symptoms
  • Decrease the likelihood of new psychiatric episodes to occur
  • Shorten duration of psychiatric episodes
  • Offer a majority of people a more satisfying life

Ongoing Research

There is significant process on curing paranoid schizophrenia.

  • New medications are being developed to decrease psychiatric episodes
  • More proper treatments are being discovered
Scientists are getting closer to the cure.

Controversies

Last year, an estimated 2.2 million Americans went untreated for severe mental illnesses (such as paranoid schizophrenia).

  • Of those, 300,000 were either homeless or in prison.
  • About 4% of U.S. homicides are committed by the mentally ill
And with cut backs in government spending on health care, the situation is likely to get worse.

Interesting Facts

  1. There are more Americans with schizophrenia then there are residents of Wyoming and North Dakota combined.
  2. More mental health hospitals beds are occupied by persons with schizophrenia then any other illness.
  3. 3/100 people will experience a psychotic episode at some time in there lives.
  4. Schizophrenia comes from the Greek words, "split mind".
  • Even though people with schizophrenia doesn't give you a split mind or multiple personalities like other people think.