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Schizophrenia Disorder
Presented by Chau Nguyen-Davis
A single story
• Thuy Tran hears voices.
• Refuses to take showers
• Trust issue with families and friends
What is schizophrenia?
• Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout the history.
Symptoms
• People with the disorder may hear voices other people do not hear. They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them.
Treatment
• Helps relieve many symptoms of schizophrenia, but most people who have the disorder cope with symptoms throughout their lives.
In the 1990’s
• New antipsychotic medications were developed. Examples include:
• Risperidone, zyprexa, seroquel, geodon, abilify.
Side effects of drugs
• Some people have side effects when they start taking these medications. Most side effects go away after a few days and often can be managed successfully. Side effects of many antipsychotics include: drowsiness, blurred vision, rapid heartbeat, skin rashes, menstrual problems for women.
Schizophrenia’s statistics
• 1.2 percent of Americans have the disorder.
• 1.5 million will be diagnosed around the world.
• In the USA, 100,000 people will be diagnosed
• 7.2 people per 1,000 people within a city of 3 million who are likely to be suffer from schizophrenia.
Original name for this illness
• Demetia praecox
The onset
• During adolescence or early adulthood.
• May begin in middle or late adult life.
Median age at onset
• For men, the first psychotic episode of schizophrenia is in the early to mid 20s.
• For women, the first psychotic episode of schizophrenia is in the late 20s.
Signs and symptoms
• Social withdrawal
• Loss of interest in school or work.
• Deterioration in hygiene and grooming, unusual behavior, outburst of anger.
Symptoms of schizophrenia are divided into two major categories.
• Positive symptoms ( delusions, somatic hallucinations, hearing voices, thought insertion or withdrawal)
• Negative symptoms( alogia, avolition, anhhedonia, bluted.)
Causes
• Genetic, biochemical, development, and environmental factors.
• There is no known single cause of the disorder.
ProQuest Science Journals
• Treating Oriental Patients with Western Psychiatry: A 12- Year Experience with Vietnamese Refugee Psychiatric Patients.
• Out of the 2 million Vietnamese refugees, more than 1.5 million have been scattered around the world in many countries, such as the United States.
Cultural Perception of Mental Illness
• Vietnamese perceives mental illness as a stigma.
• Abnormal behavior is unacceptable for it shows a failure of one’s education on the control of behavior and consequently, will be a source of shame for the patient and his or her family.
• All efforts will be made until the family gives up and accepts the need to refer the patient for treatment.
Abnormalities of cognitive function
• Delusions and hallucinations are considered extrinsic to the patient’s normal mind.
• They are believed to come from spirits of relatives or others, evils, or divinity.
Abnormal emotional manifestations are
also unacceptable.
• Individual selfcontrol is a constant requirement.
• When control fails, further assistance may be provided by the elders of one’s own family.
• This lack of control is a shame and not to be revealed to outside people.
The Vietnamese Mental Health Project
• Established in 1989
• Mental health problems amongst refugees from Vietnam resettled in London.
• From 1995 the Project has changed its name to Vietnamese Mental Health Services (VMHS).
Aims
• Aims to preserve and protect the good mental health of persons from Vietnam and their dependents and to promote a quality and culturally sensitive mental health services to people from Vietnam in the UK.
Services
• Outreach and counseling services
• Training/education about mental health issues; health/social care systems to people from Vietnam.
• Publishing booklets in Vietnamese on mental health issues, and bimonthly Health Newsletter.
Counseling Services
• Individual Counseling: work on crisis; confidence building and empowerment.
• Family Counseling: helping family members coming to terms with mental illness in the family; dealing with dysfunctional family dynamics.
Supported Accommodation
• Care and support provided include: monitoring mental state of residents for early intervention, medication taking, informal counseling and advice, life stills training, socialisation, encourage residents to take part in vocational training including English class.
Training/Education/Information
• Meeting at the drop-in day centres
• Visit a home
• Health talk session
• Booklets and health newsletter published in Vietnamese.
Conclusions
• Many changes have been observed in the Vietnamese refugee’s perception of mental health after 14 years of resettlement in the USA.
• Families are more understanding and accepting.
• Young adults have started seeking professional help whenever they have emotional problems.
References:• “Vietnamese Health Mental Services” retrieved on June 14, 2012
from http://vmhs.org.uk/home2/english.php.• Psych Central. “Asian immigrants report fewer mental health
problems” retrieved on June 14, 2012 from http://psychcentral.com/news/archives/2006-11/uow-air112706.html.
• Today@UCI:Press Releases. “Older Vietnamese report more mental health problems” retrieved on June 14, 2012 from http://archive.today.uci.edu/news/release_detail_iframe.asp.
• ProQuest Science Journals. “ Treating Oriental Patients with Western Psychiatry: A 12-Year Experience with Vietnamese Refugee Psychiatric Patients” retrieved on June 11, 2012 from http://search.proquest.com
• ProQuest Central. “ Adjunctive benzodiazepine treatment of hospitalized schizophrenia patients in Asia from 2001 to 2008” retrieved on June 11, 2012 from http://search.proquest.com.
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