*27 May 2011*
*
Ramya Kannan*

*CHENNAI* : Schizophrenia seems like an unlikely candidate for this column,
but then you have to listen to the psychiatrists and psychologists.
Introverts, shy, and non-communicative people are more prone to getting
schizophrenia than extroverts, says R. Mangala, psychiatrist, Schizophrenia
Research Foundation (SCARF). It is possible, right from an early age to take
steps that would lower the chances of schizophrenia, especially in cases
where there is a strong familial history.

*Better response to treatment*

Not only are extroverts less likely to get schizophrenia, but it is also
possible that they respond better to treatment once the mental disorder sets
in, she goes on to say.

R. Kannamma, clinical psychologist, Southern Railway Headquarters Hospital,
says a person who is extremely introverted right from the beginning will
definitely have problems in future – in relating to others, bonding with
family members, and friends. Their very nature is likely to bring in
feelings of distrust and suspicion, and distort their perspective as well,
she explains.

“It usually starts at a very young age, though parents possibly see the
change only during adolescence. When the child goes silent, parents feel
that their ward has become mature, and that is the reason he or she keeps to
himself,” Ms. Kannamma says.

A case in point is that of K, a young woman, 32, eldest in the family, who
was extremely shy, and introverted. She landed a job in the railways, but
found herself in the customer care division.

The going was tough, and a further stress factor – marriage – compounded her
anxiety.

Her behaviour became uncontrollable and she needed to be hospitalised.

She also developed the Capgras syndrome – a disorder in which a person is
deluded into believing that a friend, spouse or family member has been
replaced by a body-double.

Dr. Mangala says the role of the parent is huge in helping prevent a child
from developing schizophrenia later in life. “Encourage your children to
communicate better; to make more friends; have more outdoor activity,” she
advises. These days kids tend to be glued to the computer monitor,
television screen, or video games, and it has become all the more important
for parents to create social diversions for them.

“First parents must themselves communicate with the kids. Often, in a home
where both parents work, it does not happen,” Dr. Mangala says. The family
environment must be conducive for the child to be communicative. Unless
education becomes a fun activity, the stresses of performing well are likely
to push some children off the edge.

*Taking failures courageously*

“Parents must also teach the child to take failures courageously and stop
harping on topping exams and tests,” she adds.

It was to take these messages to the public that SCARF, in association with
Southern Railway, organised a day-long awareness programme at the Central
Station, here, on the occasion of World Schizophrenia Day on Tuesday. Stalls
with posters on various aspects of schizophrenia like signs and symptoms,
treatment options, myths, role of family, rehabilitation, and reintegration
into the society were set up both at the Central Station and the Mofussil
Bus Terminus at Koyambedu too.

http://www.thehindu.com/news/cities/Chennai/article2052317.ece?css=print

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