与精神分裂症生活

Schizophreniais a chronic disease. Thesymptoms of schizophrenia影响你的许多想法,感受和行为。这severity of these symptomscan fluctuate and even someone who is quite ill can sometimes feel and appear normal, even without medication. This remission of symptoms does not mean the illness has gone away.

现代的antipsychotic medicationsgreatly reduce both the severity of your symptoms and the amount of time you spend experiencing active symptoms. Nevertheless, you should expect times of remission and times of relapse.

coping strategies for schizophrenia
Verywell / Cindy Chung

Impact of Symptoms

在您的医生,社会工作者和亲人的帮助下,这对您来说很重要,弄清楚您需要哪些支持,然后将这些支持放在适当的地方。根据您的疾病的严重程度,您可能会有很重要的技能,例如:

  • Focusing and maintaining attention
  • Remembering appointments, meetings, or past conversations
  • Having energy and动机to do normal activities
  • 感到充满希望或optimisticto try or do new things
  • Perceiving and interpreting social cues and facial expressions accurately
  • Engaging in conversation in ways that other people expect
  • Behaving socially in ways that other people expect
  • Overcoming social shyness and fear of being rejected

社会应对

It’s important to plan ahead, even when you feel relatively well, for times when you may start to experience symptoms more significantly again. Schizophrenia can make it difficult for you to recognize signs of these symptoms in yourself, so you’ll need to rely on feedback from other people that your behavior is changing. People you can ask to watch for changes include:

  • People who live with you
  • 医生或者social workersyou see regularly
  • People who work with you or go to school with you
  • 家庭成员

当你决定谁能向你留意时,请给他们医生的电话号码。您可能还想向您的医生提供可能给您打电话的批准人员列表。您的医生或社会工作者不会向任何人提供有关您的信息(您的隐私权受到强烈的联邦法律保护的),但他们可以倾听这些人提供的信息。

How Others Can Help

People often don't understand what it is like to生活在精神分裂症中。教育您的支持人员关于寻找哪些更改。因为即使您对比较健康时,您可能会遇到一些这些区域,因此他们应该观看您行为的变化。

您可以告诉您的支持人员寻找的重要变化包括:

  • 在早上更加艰难地起床
  • 迟到工作或学校
  • Seeming spacy or more easily distracted than usual
  • 似乎不太开心
  • 看似更易怒或激动
  • 记忆比平常更糟糕或者心理任务更困难
  • 变得更加反应幻觉
  • Talking obsessively about a topic that seems strange or delusional

如果在这些变化发生后,如果您在医生或社会工作者寻求帮助,则药物的临时变化可以防止全面复发。

通常,您将能够回到以前的dose after the crisis has passed, or your doctor may change your medications to something that will work better for you.

Steps You Can Take

Almost everyone desires social and emotional connections with others. Schizophrenia is an isolating illness, especially when your active symptoms make you see, hear, and believe things that no one else shares. Even when you’re not experiencing psychotic symptoms, though, your residual symptoms and passive symptoms can make social interactions more difficult.

Things you can do to improve your social experiences include:

  • 加入对等支持组。This gives you an opportunity to meet other people who understand and share the same challenges. You’ll learn strategies that work for other people, and be able to practice your social skills in a non-judgmental atmosphere. These can be found online or in your community.
  • Ask for feedback.不要害怕问你所爱的人,辅导员和亲密的朋友,以获得反馈并有助于提高你的社交技巧。您的支持小组希望您感受良好,体验您的最佳生活,并将做出他们可以帮助的事情。
  • Consider community housing.Community housing and group homes can provide social and group recreational opportunities. It’s important to shop carefully for a living situation that provides high-quality care and a safe, friendly environment.
  • 参与在social skills trainingYou might find this through your mental health services team or through a community group. Similar to the benefits of a peer group, these training classes can offer a space to share challenges and feel less alone and isolated in your experiences.
  • 匹配服务。Dating and friend matching services for people with mental health conditions are available in some areas. Ask your consumer self-help group for suggestions.

Emotional Coping

调节情绪可以挑战精神分裂症。它可能会令你沮丧,而你的支持小组,当情绪似乎越来越好。像这样的瞬间可以感到孤立,可能导致有人受伤。采取措施学习如何在这个旅程中感情地应对是重要的,并且有很多事情可以做到帮助这种过程。

治疗

A big part of learning how to regulate our emotions is to learn what they are and why we have them. Actively and consistently participating in your治疗治疗, such as individual, family and group counseling, can offer you time to explore and learn how to identify what emotions you are experiencing and how to best manage them when they begin to escalate.

寻找支持

Just like for anyone else, it can be helpful to talk with a support person when our emotions escalate or we are having a hard time processing our experiences. Being able to turn to a support person is courageous and can be helpful in our journey. Simply taking the time to slow down and talk through our experience can help us deescalate and find a sense of calm again.

日记

You might experience times when your emotions feel too overwhelming or you don't feel comfortable turning to someone in that moment. A wonderful alternative is journaling. As with talking through an experience, writing in a journal helps us to slow down what is happening for us and allows us an opportunity to learn about our emotions and patterns of behavior.

自我护理

这idea of self-care can be challenging for most of us. However, it can be even harder when you struggle with the symptoms of schizophrenia. Remembering to take time for your wellness and well-being is important. These could be simple things, such as:

  • Enjoying coffee or tea
  • 坐在外面
  • Watching wildlife
  • 在你的期刊上写作
  • Exercising
  • Spending time with friends

Practical Daily Living

Everyone needs help at times to keep up with the tasks of daily life. For example, most people have to use calendars or smartphones to help them remember appointments and keep track of the things they need to do. Some people rely on a spouse to pick out their clothes for them or to help them remember chores. There’s no right answer to how much help a person “should” need.

与精神分裂症的人独立生活涉及许多明确的技能。社会工作者称这些日常生活或ADL的活动称为这些活动。技能可能需要改进的可能包括:

  • 每天服用适当的时间
  • 洗澡,洗头发,刷牙,修剪钉子
  • 制作床,在需要时更换床单
  • 准备健康的膳食和定期进食
  • Cleaning your living space such as the kitchen and bathroom
  • Grocery shopping and running errands
  • 管理资金并坚持预算
  • 使用公共交通

您可能希望花时间反思某个任务对您的对您感觉更难。对于您定期找到更具挑战性的事情,招聘支持系统成员有助于获取帮助和问责制。与他们谈论在这些领域设定个人目标,并讨论它们如何帮助您。

避免的错误

不要等待寻求帮助

Symptoms of schizophrenia often build gradually so it can be difficult for people to recognize patterns until they become obvious. Talking with a doctor right away helps you better understand what is happening and allows you to start the treatment process sooner.

Schizophrenia Discussion Guide

获取我们的可打印指南,以帮助您在下一次医生预约时询问正确的问题。

Mind Doc Guide

Don't Let Schizophrenia Define You

Schizophrenia involves experiencing some significant symptoms. However, it is important to remember that this condition, alone, is not all of who you are. Connection with family and friends are so important to remind us we are not alone and there is nothing to feel ashamed of.

不要试图自己解决问题

Even when we notice patterns in our behavior that are concerning, it can be easy to want to try to keep them hidden from other and "fix" it on our own. Schizophrenia involves complex symptoms that can increase in intensity if not addressed through propertreatment methods

Don't Skip Treatments or Appointments

When your symptoms start to decrease in intensity you might feel like it isn't necessary to go to your therapy appointments, group therapy sessions or your medication management appointments. Not attending treatment appointments consistently can have a negative impact on your overall success in this journey. It is important to be consistent.

For Caregivers

Educate Yourself

Caring for a loved one with schizophrenia can be challenging, but it doesn't have to feel impossible. The first step is to learn what you can about the condition. Many people find schizophrenia intimidating because there can be so many different symptoms experienced. Learning from mental health professionals and other resources can help you gain helpful information.

找到支持

尽管您的角色是在其治疗之旅中支持您所爱的人,但请记住您也需要支持。许多次的照顾者在帮助他人忽视自己的福祉时,照顾者都集中了很多。找到本地支持小组甚至在线组支持资源可以是分享经验并找到鼓励的美妙插座。

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Article Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our社论过程to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Holubova M,Prasko J,Hruby R等人。精神分裂症的应对策略和生活质量:横截面研究。neuropsychiatr解除治疗。2015;11:3041–3048. Published 2015 Dec 10. doi:10.2147/NDT.S96559

Additional Reading
  • Meuser, K. and Gingerich, S.这Complete Family Guide to SchizophreniaNew York: The Guilford Press, 2006.
  • Torrey,E.F.(2006)存活精神分裂症:家庭,患者和提供者,第5版手册。纽约:Harpercollins出版商。