Psychosis & Schizophrenia

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Psychosis & Schizophrenia Treatment

Psychosis is a severe mental health condition where you lose touch with reality. Schizophrenia is a common psychotic disorder. You or a loved one may hear voices, see things that aren’t there, or hold false beliefs (delusions) such as extreme paranoia. Thinking can become disorganized: you might notice confused speech or sudden shifts between topics. Emotions may become flat, and social withdrawal is typical. According to a Pakistani review, schizophrenia’s symptoms include hallucinations, delusions, disordered thinking, flat affect and social isolation. It is a chronic condition that often begins in late teens or early adulthood.

Worldwide about 1% of people are affected by schizophrenia or psychosis. In Pakistan, experts note an increasing number of cases, though exact figures are unknown. What is clear is the impact: schizophrenia is among the “top ten causes of disability” globally. Families often struggle with emotional and financial burdens. In urban Pakistan, rapid lifestyle changes and stress might contribute to rising cases. Despite these challenges, effective treatments exist.

Symptoms of Psychosis

Common psychotic symptoms include:

Hallucinations: Seeing, hearing, smelling or feeling things that are not present. Auditory hallucinations (hearing voices) are most common.
Delusions: Strongly held false beliefs. For example, believing others are plotting against you (paranoia) or that you have special powers.
Disorganized Thinking/Speech: You may jump between unrelated topics or answer questions nonsensically. Thoughts feel fragmented.
Movement Disturbances: Some people exhibit unusual movements or catatonia (remaining very still for long periods).
Negative Symptoms: These include reduced emotional expression (flat affect), lack of motivation, social withdrawal, and difficulty experiencing pleasure. You might notice a loved one becoming isolated or losing interest in activities they once enjoyed.

Medication (Antipsychotics): This is the mainstay of treatment. Antipsychotic drugs (such as risperidone, olanzapine, quetiapine, or haloperidol) help reduce hallucinations and delusions. They work on brain pathways to calm the overactive thinking. Treatment always starts with medication under close supervision, because dosing must be tailored to minimize side effects.
Psychosocial Therapies: Medication alone is not enough. Studies show that combining meds with therapy and support yields the best outcomes. Therapy can include cognitive therapy (to help challenge delusional thoughts) and social skills training. For schizophrenia specifically, supportive therapy and family education are crucial. Dr. Aftab involves families in treatment, educating them on how to help and cope. Family therapy or group therapy can reduce relapse rates and improve recovery.
Ongoing Monitoring: Psychotic illness often requires long-term follow-up. Dr. Aftab schedules regular check-ups to monitor symptoms and medication effects. He may recommend blood tests or imaging if needed to rule out other causes. If medications aren’t fully effective, he may adjust the type or add another. He also monitors for any physical side effects (like movement issues or metabolic changes) and manages them.

Symptom Control: With proper medication, most people experience a significant reduction in hallucinations and delusions. You can think more clearly and safely again.
Improved Functioning: As symptoms lessen, you can return to work or study and regain independence. Treatment aims to “increase patients’ functional aptitude” and quality of life.
Relapse Prevention: Long-term treatment (often 1-2 years or more) lowers the chance of relapse. Doctors often continue medication even after symptoms improve, because stopping abruptly often leads to recurrence.
Better Social Skills: Therapy and rehabilitation teach skills to manage daily life. Family support and psychoeducation reduce stigma and improve home environments.

About US

Dr. Naeem Aftab’s Approach

Dr. Aftab treats psychosis with sensitivity and expertise. He understands the fear and confusion that psychosis can bring, both for patients and their families. His approach includes:

Comprehensive Assessment: He uses standardized scales and interviews to assess symptoms and monitor progress. Cultural factors (like local beliefs) are also considered sensitively.
Patient and Family Education: He clearly explains the diagnosis, treatment options, and realistic expectations. He educates families about schizophrenia so they can provide a supportive home environment. He emphasizes that psychosis is a medical condition, not a character flaw.
Collaborative Care: He often works with psychologists, social workers, and occupational therapists. If needed, he refers to community rehab for skills training. For example, Dr. Aftab may recommend cognitive remediation exercises to improve memory and attention.
Continuity of Care: Because schizophrenia often requires long-term treatment, he ensures follow-up. He arranges appointments for medication refills and checks on adherence (the biggest risk to recovery is stopping meds).

FAQs

Frequently Asked Questions

Can psychosis be cured?

Schizophrenia and similar psychotic disorders are considered chronic illnesses, so a “cure” isn’t guaranteed. However, treatment can effectively control symptoms. With medication and support, many people with schizophrenia go on to lead fulfilling lives. Early intervention improves long-term outcome. Think of it as managing diabetes: with the right care, symptoms become minimal.

Are there side effects of antipsychotic medications?

Yes, there can be side effects (like drowsiness, weight gain, movement symptoms). Dr. Aftab carefully chooses medications and dosages to minimize these. He monitors you closely. Often, side effects lessen after the first few weeks. There are many antipsychotic options, so if one causes problems, he can try another. Never stop medication without talking to your doctor; sudden stopping often causes relapse.

Can online psychiatry help with schizophrenia?

For ongoing management, absolutely. Many follow-ups (reviewing symptoms, adjusting medication) can be done via secure video calls. This is especially helpful if you live in a smaller city or cannot travel. While acute episodes may require in-person care, routine care via telepsychiatry has proven effective. Dr. Aftab offers both options.

What outcomes can we expect?

Individual results vary, but many patients stabilize and improve significantly. Remission (minimal symptoms) is possible, especially with early treatment. Continuous therapy can improve social and vocational functioning over time. Even if some symptoms remain, people can learn to cope well. The goal is always to increase independence and life satisfaction.

What should I do if a loved one has a psychotic?

First, stay calm and ensure safety. Do not argue about hallucinations; instead, gently reassure the person. Seek immediate psychiatric help (Dr. Aftab can often arrange urgent consultations). Hospitalization for stabilization is sometimes needed. After the crisis, continue regular follow-up to maintain treatment. Family support is critical attending therapy sessions together can help the patient adhere to treatment and reduce relapse risk.

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Appointment & Contact

Scheduling an appointment with Dr. Naeem Aftab is easy and confidential. Use the contact information below or our online portal (calendar integration coming soon) to secure a session.