According to the World Health Organization (WHO), the decline in life expectancy among people with more severe mental illness ranges from 10–25 years . Most studies of schizophrenia show a life expectancy reduction of 10–20 years.
Schizophrenia treatment includes medication, therapy, social and family support, and the use of social services. Treatment must be ongoing, as this is a chronic illness without a cure. When schizophrenia is treated and managed over the long-term, most people can live normal, productive, and fulfilling lives.
Schizophrenia can subtract an average of 14.5 years from a person's life expectancy. The decline in life expectancy among people with severe mental health conditions ranges from 10 to 25 years , according to the World Health Organization (WHO).
The last stage is the residual phase of schizophrenia. In this phase, you're starting to recover, but still have some symptoms.
The age of onset in men and women
In general, schizophrenia is diagnosed in late adolescence through the early 30s. Men are usually diagnosed between the late teens and early 20s, with a peak at 21-25 years of age. Women are diagnosed a few years later, at 25-30 or again after menopause.
Schizophrenia does not have a sudden onset—meaning a person does not wake up one day with schizophrenia. Instead, the illness usually develops slowly over months or years and often comes with warning signs. These warning signs often appear when a person is becoming an adult, between the ages of 16-30.
In the past, it was accepted that schizophrenia can worsen as people age. However, research in recent years suggests that although some symptoms may get worse with age, others will remain stable, and some symptoms may actually improve with age.
Older adults with schizophrenia have significant cognitive deficits in executive functioning, speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning, and problem-solving.
“Adults with schizophrenia are about 10 times more likely to die of COPD and 7 times more likely to die of diabetes,” says a co-author of the study, Mark Olfson, MD, a psychiatrist at Columbia University Irving Medical Center in New York City.
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
Newman adds that with support, parents with schizophrenia can provide for their children by working, as well as teaching and loving them just like parents without mental health conditions.
Loneliness is a highly prevalent experience in schizophrenia. Theoretical models developed in the general population propose that loneliness is tantamount to a feeling of being unsafe, is accompanied by enhanced environmental threat perception, and leads to poor physical, emotional, and cognitive functioning.
Dementia is commonly found in chronic schizophrenic patients who underestimate their ages by 5 years or more, a symptom known as “age disorientation”.
Driving with Schizophrenia
A letter from the treating doctor may be required stating the person is capable of driving safely. An additional challenge is that a physician's-office-based assessment of a person's driving skills correlates only minimally with scores on standardized road tests.
Drug and alcohol use
If you already have schizophrenia, research shows that using recreational drugs may worsen your symptoms. Some studies suggest that people who use high-potency cannabis ('skunk') when in recovery are more likely to have a relapse too.
Schizophrenia has been described as the “worst disease” to afflict mankind. It causes psychosis, which is an abnormal state of mind marked by hyperarousal, overactivation of brain circuits, and emotional distress. An untreated episode of psychosis can result in structural brain damage due to neurotoxicity.
Unfortunately, most people with schizophrenia are unaware that their symptoms are warning signs of a mental disorder. Their lives may be unraveling, yet they may believe that their experiences are normal. Or they may feel that they're blessed or cursed with special insights that others can't see.
Left untreated, schizophrenia can result in severe problems that affect every area of life. Complications that schizophrenia may cause or be associated with include: Suicide, suicide attempts and thoughts of suicide. Anxiety disorders and obsessive-compulsive disorder (OCD)
People with schizophrenia experience difficulties in remembering their past and envisioning their future. However, while alterations of event representation are well documented, little is known about how personal events are located and ordered in time.
Most commonly though, people diagnosed with schizophrenia will hear multiple voices that are male, nasty, repetitive, commanding, and interactive, where the person can ask the voice a question and get some kind of answer.”
You're more likely to get schizophrenia if someone in your family has it. If it's a parent, brother, or sister, your chances go up by 10%. If both your parents have it, you have a 40% chance of getting it.