World Mental Health Day 2014: Tackling The Stigma Surrounding Schizophrenia

Why We Need To Learn The Truth About Schizophrenia
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Do you believe schizophrenia is about people with multiple personalities?

If the answer is yes, you may be in a broad majority, but that doesn't mean it's true, which is why events such as World Mental Health Day are critical to assert the facts and dispel myths.

"Schizophrenia is not a 'split personality', says Dr Sheri Jacobson, clinical director at Harley Therapy.

"People with schizophrenia don't act normal and then suddenly turn into someone else, like a Dr. Jekyll and Mr. Hyde act. A schizophrenic has one personality, it's their perception of their world that splits."

It's thought that around 26 million people across the world will experience schizophrenia in their lifetime. It's also estimated that one in 100 people in the UK are living with the mental illness.

Despite these high figures, many people living with the condition will not receive a formal diagnosis.

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Misinformation in the media about the illness has led to a lack of understanding around it, meaning many suffering do not seek the support they need.

"It is perhaps more important to look at what schizophrenia isn't, than what schizophrenia is, as films and media often portray it in ways that aren't helpful views of the condition,"

Schizophrenia affects the way people think and perceive the world around them. Symptoms can include hearing voices or seeing things that aren’t real, depression or becoming withdrawn.

A schizophrenic may also experience delusions, which may start based in truth, but become more complex as the illness progresses.

Nigel Campbell, associate director of communications at Rethink Mental Illness, says: "As you can imagine, it can be very frightening for people when they first start to experience symptoms like hearing voices, or extreme paranoia.

"It can also be hard for people to differentiate between what they’re going through, and reality.

"This can also be very difficult and confusing for their families and friends, who might not understand what is happening to their loved one, or where to turn for support."

Campbell says one of the biggest problems that people with schizophrenia face is the stigma around the illness - some sufferers still lose relationships with family and friends after opening up to them about what they're experiencing, while others will struggle to find employment.

"Many employers assume that if you have a mental health problem, you won’t be able to hold down a job. It is a disgrace that only around 8% of people with schizophrenia in this country are in employment," Campbell adds.

Shockingly, people with schizophrenia or other severe mental illnesses die on average 20 years earlier than the general population, mostly from preventable illnesses.

According to Rethink's 20+ campaign, this is because people with serious mental illness do not get regular physical health checks, and signs of physical health problems are often missed when they seek help.

Clearly we still have a long way to go before schizophrenia is universally understood, but attitudes towards mental health do at least seem to be slowly changing.

A recent survey from Time to Change (a mental health anti-stigma programme), found 79% of people now acknowledge that those with a mental illness have for too long been the subject of ridicule.

Sue Baker, director of Time to Change, says: “In recent years we’ve seen thousands of people starting to speak out, challenging big high street brands that have fuelled stigma and sharing their own experiences to help shift perceptions, including MPs, high profile sportspeople and people in business.

"However, we shouldn’t underestimate the task ahead of securing long lasting, irreversible and far-reaching changes in attitudes, behaviour, policies and systems.

"We will have reached our goal when someone can openly share their diagnosis of depression, schizophrenia or bipolar on a first date or at a job interview without fear of a negative reaction.”

There isn't one specific cure for schizophrenia, a combination of medication and talking therapy are often prescribed. If you believe you, or a loved one, may be experiencing symptoms, the first step should be to visit a GP.

Dr Fiona Morrison, consultant psychiatrist at the Priory Hospital Glasgow, says well-controlled symptoms can allow a person to function fully in the community, and work.

"Psychiatry and psychology assessments can help with diagnosis and early management. The Hearing Voices Network can be very good for those who wish to use other ways [than medication] to take back control of voices," she adds.

As well as being frightening for the person experiencing symptoms, schizophrenia can also be challenging for that individual's friends and family.

Dr Jacobson warns that if you're helping someone with schizophrenia, it's advisable to get some help for yourself as well.

"Don't blame yourself if things become more challenging than you can handle if a loved one suffers from schizophrenia, and don't blame yourself that your loved one has the condition – it is nobody's fault.

"Schizophrenia is a challenge for all those involved, and the feelings of fear, frustration and helplessness it can cause can lead to stress and anxiety that can take over your life is you let it," she says.

Perhaps the most important thing to remember about schizophrenia is that is is not a life sentence.

"With the right support people can recover, " Campbell says. "About half of all people who are diagnosed with schizophrenia recover after one or two episodes. The key is to get treatment as quickly as possible."

World Mental Health Day is on 10th October 2014. Rethink's Schizophrenia Awareness Week runs from the 6th – 10th October. Visit www.rethink.org or www.mentalhealth.org.uk for more information and advice.

Help your child suffering from mental health problems
Listen and try to be understanding(01 of10)
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"Listen to your child and don’t judge them. My own family told me I could talk to them about anything and having them there to talk to really helped me come to terms with what was going on in my own mind."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Show them affection(02 of10)
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"Try to tell them and show them how much you care. Since my diagnosis my parents have told me many times how much they love and care for me and this has made me feel wanted and loved. It has also helped me to feel a part of the family and I now know that I have somewhere and someplace to belong."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Research the condition(03 of10)
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"There are many different mental illnesses, read up on your child’s specific condition. This will help you better understand not only the condition but also what helps recovery and what can prevent relapses in the future. "My dad purchased books to learn more about my condition and how to help. This made me feel like my parents were on my side and were doing all they could to help me. It also made me feel like I wasn’t going through it alone."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Don’t be afraid to seek advice from mental health professionals(04 of10)
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"Please don’t be afraid to seek help or advice from mental health professionals. They have a vast amount of experience in dealing with people suffering from mental health issues and are an excellent source to get help and advice from. "There are also support groups available for parents, guardians and carers to help deal with the whole situation, such as, carer support groups."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Let them know they can talk to you anytime about anything(05 of10)
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"I have been fortunate in this respect as my family have been so understanding and just want me to stay well. They are always there for me when I need to talk to them, whether it’s to do with mental health issues or anything else. "My dad doesn’t talk very much but he always listens to me about whatever I want to talk about and this has helped me to get things off my chest and feel relaxed. Your child may not want to talk at first, or may only say a few words, but always reassure them they can talk to you as little or as much as they want in their own time."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Do activities together(06 of10)
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"When my sister comes to visit, she, my brother and I always do at least one activity together. Activites we’ve done together include going to the cinema, restaurants, the zoo, the sealife centre, amongst many other things. I have found that doing these activities has brought everyone in my family closer together and has caused us to bond so much more."Ask your child what they would like to do. Enjoy the time you spend together but understand that your child might take time before they start enjoying activities again."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Encourage social interaction with friends and family(07 of10)
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"My parents encouraged me to go out and meet people and also to maintain contacts. I found this extremely helpful. Also, the Early Intervention team set up regular social groups and I have made many friends through this and participated in a variety of fun activities. "There are schemes such as Uthink which is run by Rethink Mental Illness as well as other youth groups run by various charities. The key thing though is to not rush your child into anything, it will take time."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Don’t blame yourself (08 of10)
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"It is easy for a parent to blame themselves, somehow thinking they have caused the illness either through genetics or the environment they have raised their child in. "This, however, in many circumstances, is not the case at all. The only thing you can do is be there for your child and help them."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Know that recovery will occur over time and will not happen overnight(09 of10)
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"In my case the effects of psychosis, after taking medication for it, took four to five months to completely wear off. Also, I had been depressed for a much longer period of my life but the medication prescribed to me has been amazing and has completely lifted my mood. I stopped feeling depressed extremely quickly, within a matter of days. "However, I have been told by several mental health professionals that medication does not work for everyone. Mental health issues can be extremely complex and recovery can take anything from a few days to months to years. In some cases, the illness may be lifelong but coping strategies/different therapies and/or medication can be used to manage it."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)
Provide a peaceful and loving environment(10 of10)
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"A loving environment can be so helpful for your child’s recovery and wellbeing. My parents have provided me with a very calm and peaceful home environment since I left the hospital and purposely refrain from any arguing or conflicts, which I really appreciate and am massively grateful for. "The whole mood and atmosphere of my household has improved and, not only me, but everyone is a lot happier and more cheerful."Ziaul Choudhury, volunteer for Time to Change, shares his own experiences. Time to Change is England’s leading mental health anti-stigma campaign run by Mind and Rethink Mental Illness. It is funded by Comic Relief and the Department of Health. The new pilot campaign aims to challenge attitudes and behaviour around mental health problems amongst young people. (credit:Alamy)