Schizophrenia is Manageable: Family Therapy Can Aid in Treatment

Schizophrenia, or psychosis, is a common psychiatric disorder in Thailand. Patients often exhibit symptoms such as auditory hallucinations, delusions, abnormal and aggressive behavior, and bizarre beliefs, such as thinking that others intend to harm them. Schizophrenia is typically a chronic condition with periodic relapses, and even with treatment, some residual symptoms may persist. This disorder not only harms the patients but also causes significant distress to their families and those around them.

Primary Treatment Approaches

Psychiatrists evaluate and diagnose schizophrenia through conversations with the patient. The primary treatment involves the use of antipsychotic medications, which act by blocking dopamine receptors to alleviate psychotic symptoms. In addition to medication, psychotherapy for the patient and family involvement can enhance treatment outcomes.

Family Therapy in Schizophrenia Treatment

Family therapy for schizophrenia is not about identifying a problem member within the family but rather about leveraging family strengths to support the patient. This therapy helps the family understand how to manage the patient’s symptoms effectively.

Family therapy includes:

• Educating the family about the disease and the patient’s symptoms and teaching them how to handle these symptoms.
• Providing a platform for family members to express their concerns and care for the patient and others involved.
• Utilizing the family’s strengths to improve the quality of life for the patient and their loved ones.
• Collaboratively devising problem-solving strategies and effective communication methods.

Caring for Schizophrenia Patients

Caring for someone with schizophrenia starts with understanding the patient, recognizing that their disruptive behavior is not intentional. It is essential to be forgiving and not to blame the patient. Instead of arguing about their psychotic symptoms, showing empathy towards the distress caused by these symptoms is crucial. Offering help with patience and encouraging but not forcing the patient to engage in self-care or simple household tasks can be beneficial. It is also important to avoid unnecessary criticism and to ensure the patient adheres to their prescribed medication regimen.

Nacharin Phiphopthatsanee, M.D.
Adult Psychiatrist