
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
Related Articles

What is the Stigma About Mental Health?
The World Health Organization (WHO) has estimated that one in four of the world’s population will experience mental illness at some point in their lives. However, a persistent stigma exists around the subject of mental illness, and it can be a deterrent to people seeking out the professional help they need. How Can a Stigma Affect Your Health? […]

6 Ways You Can Help Someone Cope with Adjustment Disorder
Adjustment disorder is a mental health condition that occurs when someone struggles emotionally or behaviorally after experiencing a stressful event. It can happen to anyone and often leads to feelings of sadness, anxiety, or an inability to cope with daily responsibilities. Life changes such as job loss, divorce, moving to a new place, or losing […]

The DSM-5 Criteria of Adjustment Disorders
Adjustment disorder is a response to a significant stressor or life change that causes emotional or behavioral symptoms that impact daily functioning Understanding Adjustment Disorder Adjustment disorder is an inability to adjust to or cope with a particular stressor. This disorder can affect anyone, regardless of age or gender, and can result from a variety of […]
Talk to Doctor
Call Us
Line BMHH