*23 May 2011*

*VIZAG* : At any point of time, the Government Institute of Mental Health
(GIMH) has 350-400 in-patients. Among them, at least 300 are schizophrenic.
Among the out-patients suffering from various kinds of neurosis and
psychosis, 60-70 per cent of psychosis cases are again those of
schizophrenia.

One to two per cent of the population suffers from this chronic ailment and
experts on the occasion of World Schizophrenia Day (May 24) say that early
detection, proper medication, treatment and rehabilitation are keys to
better or total recovery from the disease. Schizophrenia, which usually
affects men in the age group of 15-25 years and women in the age group of
25-35 years, is caused due to a functional impairment of neuro-hormones like
dopamine and serotonin. The disease has a biological base or genetic
predisposition.

“It happens due to a split of the functional component of thought and
personality. Multiple genes are responsible for causing changes in the areas
of the brain and making one prone to schizophrenia. Environmental and social
stress and trauma can trigger schizophrenia in those who are already
genetically predisposed. Also, abuse of hallucinogenic drugs like cannabis,
bhang and LSD can also lead to schizophrenia-like psychosis,” said Dr G.
Prasad Rao, director (schizophrenia and psychopharmacology division), Asha
Hospital, Rehabilitation Centre and Schizophrenia Clinic. He added that
there’s a 40 per cent risk of monozygotic or identical twins getting
schizophrenia if one of them is schizophrenic and seven per cent chance if
the twins are fraternal.

Dr S.R.R.Y. Srinivas, assistant professor of GIMH and secretary of Hyderabad
Psychiatry Society, said, “If pruning of needless neurons doesn’t happen at
adolescence or if the necessary neurons develop abnormally in the
biochemical and structural level, chances of developing such neurological
disorders go up. Early symptoms include abnormal changes in behaviour and
sleep patterns, speaking and smiling to oneself, withdrawal and depression,
incoherent and disjointed thoughts and inability to differentiate the real
from the unreal. The patient also tends to use neologism or coins new
words.”

Elaborating on the other symptoms of schizophrenia, Dr Rao said, “Symptoms
include hallucinations and delusions, a patient also hears voices all around
criticising and abusing him and strongly suspect that someone is trying to
persecute or harm him. Most patients are suicidal and around 10 per cent die
under the influence of commanding hallucinations and depression.”

However, unlike earlier days, facilities are better and about 20-30 types of
low cost anti-psychotic drugs are available. Continuous research in this
field and in psychopharmacology is also on. The support system provided by
caregivers or family members in India is good. With early detection, proper
treatment and continuous medication, many patients can fully recover and
most can live a socio-economically productive life if properly
rehabilitated.

http://www.deccanchronicle.com/channels/cities/hyderabad/rehabilitation-key-better-life-all-schizophrenics-684

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