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Karen Cifuentes

on 23 July 2014

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Transcript of Schizophrenia

Schizophrenia is a psychiatric illness. It is a chronic, severe disabling brain disorder. It interferes with a person's ability to think clearly.

Schizophrenia does not have one specific known cause. According to the National Institute of Mental Health (NIMH), research has shown it may be genetic or caused by an imbalance in brain chemistry.

DSM-5 Changes

No longer identifies subtypes

An overlap in symptoms between types made the subtypes irrelevant for clinicians

At least two symptoms must be present for six months

Impact on Families
May feel hurt and frustrated

May experience communication issues with their loved one

May retreat from their social support networks

May experience financial hardships

May feel rejected and lonely
Resources for Families
How Psycho-education helps families
Recommended as part of standard treatment

Patient and family can benefit from learning about their illness

Intended to "increase knowledge of and insight into illness and treatment"

Goal for interventions

How interventions aid clients

(Vreeland, 2012)

Family C.H.A.N.C.E.S Support Group empowers and supports the relatives (18years+) of those diagnosed with schizophrenia in the Miami-Dade area. It aims to create an emotional support system while educating the family members about mental illness in order to positively affect the family system. Members are encouraged to express their thoughts and feelings in a safe environment as they share experiences, support, and information.

Meet Our Group
Melissa, BSSW Intern

Smith Family

Hernandez Family
NAMI (National Alliance on Mental Illness)
Information HelpLine/referral service:
1 (800) 950-NAMI (6264)
namiofmiami.org or email info@nami.org
M-F, 10 a.m.- 6 p.m., EST

UM Psychological Services Center: Schizophrenia Family Project
5665 Ponce De Leon Blvd (2nd Floor)
Miami, FL 33146-0726
(305) 284-5455
8:30am-8:30pm, Mon-Thur, 8:30am-4:00pm, Fri
Appointments are available during daytime and evening hours
Individual psychotherapy
Family Education
Self-help groups
Approximately 1 in every 100 people in the world suffer from the mental illness
24 million individuals in the world
2.5 million Americans

Occurs in all ethnic groups, although it is more prevalent in lower levels of socioeconomic statuses

Men develop symptoms earlier than

$63 Billion is spent on costs
Hospitalization, lost wages, and disability benefits

15% of those diagnosed attempt suicide

Antipsychotic medications
Chlorpromazine (Thorazine)
Haloperidol (Haldol)
Clozapine (Clozaril)
Risperidone (Risperdal)
Treatment for Schizophrenia
“Portray [people with Schizophrenia] sympathetically, and portray them in all the richness and depth of their experience as people, and not as diagnoses.” —-Elyn Saks

Family Systems Therapy
(Theoretical Approach)
Murray Bowen (1974) - Bowen Family Systems Theory

A theory of human behavior that views the family as an emotional unit and uses 'systems thinking' to describe the complex interactions within the unit.

" Family members so profoundly affect each other's thoughts, feelings, and actions that it often seems as if people are living under the same emotional skin."

"A change in one persons functioning is predictably followed by reciprocal changes in the functioning of others. "

Mutual Support
Groups for Families
A strategy of teaching patients and families about mental disorders, their treatments, personal coping techniques, and resources.
Providing opportunities for family caregivers to develop knowledge and skills on caring for a relative with mental illness with peer-support, establishing a harmonious family like, and engaging professionals as collaborates instead of authoritative experts.
Family Systems

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

About Schizophrenia. (2008, November 28). SARDAA. Retrieved July 15, 2014, from http://www.sardaa.org/resources/about-schizophrenia/
Comer, R. (2009). Abnormal Psychology (7th ed.). New York: Worth Publishers.

McDonell, M. G. Burden in schizophrenia caregivers: Impact of Family Psycho-education and Awareness of Patient Sucidality. Family Process, 42. Retrieved , from http://dev.spokane.wsu.edu/researchoutreach/wimhrt/documents/McDonell_et_al_20031.pdf

Kazdin, A. E. (2000). Schizophrenia treatment. Retrieved July 2014, from American Psychological Association: http://www.apa.org/topics/schiz/treatment.aspx

Mental Health, N. (2006). Psychosocial Treatments for Schizophrenia. Psych Central. Retrieved on July 2014, from http://psychcentral.com/lib/psychosocial-treatments-for-schizophrenia/000709

Schizophrenia. (n.d.). American Psychiatric Association. Retrieved July 18, 2014, from http://www.dsm5.org/Documents/Schizophrenia%20Fact%20Sheet.pdf

The Negative Symptoms of Schizophrenia. (n.d.). The Harvard Medical School Family Health Guide. Retrieved July 18, 2014, from http://www.health.harvard.edu/fhg/updates/update0706c

The Bowen Center - Bowen Theory. (n.d.). The Bowen Center - Bowen Theory. Retrieved July 18, 2014, from https://www.thebowencenter.org/pages/theory.html

Vreeland, B. (2012). An evidence-based practice of psychoeducation for schizophrenia: A practical intervention for patients and their families. Psychiatric Times, 29(2), 34-40. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=73317593&site=ehost-live

Whale, J. (2011, June 13). Auditory Hallucinations-An Audio Representation. Retrieved July 15, 2014 from: http://youtu.be/0vvU-Ajwbok.

Zupanick, C. E. (n.d.). The New DSM-5: Schizophrenia Spectrum and Other Psychotic Disorders - DSM-5. The New DSM-5: Schizophrenia Spectrum and Other Psychotic Disorders - DSM-5. Retrieved July 18, 2014, from http://www.amhc.org/1418-dsm-5/article/51960-the-new-dsm-5-schizophrenia-spectrum-and-other-psychotic-disorders
Family C.H.A.N.C.E.S
Coping Healthy and Consistent Educational Support
A glimpse into the mind of a schizophrenic person:

Disorganized speech
Disorganized or catatonic behavior
Negative symptoms
Inexpressive faces, blank looks, monotone speech, few gestures, seeming lack of interest, or inability to feel pleasure.
(American Psychiatric Association, 2013)
Citrus Health Network
Family Health Center:
4125 West 20th Avenue Hialeah, FL 33012
(305) 424-3120 or (305) 825-0300
Hours of operation may vary

Henderson Crisis Stabilization Unit
2677 NW 19th ST
Fort Lauderdale, FL 33311
(954) 739-8066
24 hours a day, 7 days a week
(American Psychiatric Association, 2013)
(The Bowen Center - Bowen Theory, n.d.)
(McDonell, M. G., 2011)
(Comer, 2009)
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