Schizophrenia

Schizophrenia is a severe and chronic mental disorder characterized by persistent or recurrent episodes of psychosis, including hallucinations, delusions, disorganized thinking and behavior, and negative symptoms such as social withdrawal and flattened affect. It typically emerges in early adulthood and is associated with significant impairment in daily functioning, cognitive deficits, and reduced quality of life. The disorder has a lifetime prevalence of approximately 1%, is highly heritable but genetically complex, and involves disruptions in brain function affecting perception, thought, and emotion regulation. While distinct from mood disorders and dementias, schizophrenia can co-occur with mood symptoms, leading to a schizoaffective disorder diagnosis in some cases. Core symptoms must persist for at least one month for diagnosis, with continuous or relapsing course lasting at least six months. Treatment includes antipsychotic medication, psychotherapy, family education, rehabilitation, and skills training. Genetic factors, such as variants in the MTHFR gene, and neurobiological pathways involving neurotransmitter systems and brain regions like the prefrontal cortex are implicated. Additional features may include sleep disturbances, photophobia, personality changes, EEG abnormalities, and movement problems.