Schizophrenia & Addiction

What is schizophrenia?

Schizophrenia is a mental health disorder that affects how a person thinks, feels and behaves. According to the DSM-V, it’s characterised by a range of symptoms, including delusions, hallucinations (often hearing voices), disorganised speech and abnormal motor behaviour.

Some may also experience a lack of motivation, difficulty with everyday tasks and emotional flatness. The condition can significantly disrupt daily life, making it hard for someone to distinguish between what is real and imagined.

Schizophrenia typically emerges in late adolescence or early adulthood and affects people differently, with symptoms often fluctuating in intensity. Early diagnosis and treatment can help manage the condition and improve the quality of life.

Schizophrenia Addiction

Are there different types of schizophrenia?

Schizophrenia is a very complex disorder that can manifest in different ways. To make it easier for medical professionals to give continued care and understand the severity of each case, schizophrenia is often placed into categories. These categories help in creating tailored treatment plans and offer a better understanding of how the condition affects an individual.

Paranoid schizophrenia

Paranoid schizophrenia is one of the more common subtypes. Individuals with this type often experience delusions and auditory hallucinations that revolve around themes of persecution or grandiosity. These delusions can be distressing, causing the person to believe they are being targeted or that they possess special powers. Despite these intense experiences, cognitive function and emotional responses can often remain intact, allowing individuals to continue with day-to-day tasks with relative normalcy.

Disorganised schizophrenia

Disorganised schizophrenia, also known as hebephrenic schizophrenia, is characterised by disordered thinking, speech and behaviour. A person of this type may struggle to communicate clearly, and their actions can appear erratic or inappropriate. This subtype often leads to difficulties in daily functioning as the person may exhibit extreme emotional reactions or seem to lack emotional expression entirely. Their thoughts and conversations may seem fragmented or hard to follow, making maintaining relationships or a consistent routine challenging.

Catatonic schizophrenia

Catatonic schizophrenia involves disturbances in a person’s movement. Individuals with this type may alternate between extreme immobility and excessive, repetitive movements. In some cases, they may remain in a fixed position for hours or resist movement when others try to reposition them. On the other hand, they might exhibit hyperactivity, showing restless and purposeless movements. This form of schizophrenia is less common today due to advances in treatment but remains a challenging aspect of care when present.

Undifferentiated schizophrenia

Undifferentiated schizophrenia is diagnosed when a person exhibits symptoms that don’t clearly fit into one specific subtype but still demonstrate significant characteristics of schizophrenia. These individuals may experience a combination of paranoid delusions, disorganised thinking and movement issues without a dominant set of symptoms. This classification helps ensure that patients receive appropriate care even if their experiences don’t fit neatly into other categories.

Do I have schizophrenia?

If you’ve noticed some of the signs of schizophrenia in yourself or resonated with one or two of the symptoms listed above, it could be worth considering the questions below. In fact, according to data from Global Data Healthcare, a third of people with schizophrenia go undiagnosed.

Remember, these questions are not meant for an official diagnosis but if you’re concerned, it’s important to reach out to a healthcare provider for further direction.

  • Do you often hear voices or sounds that others around you don’t seem to hear?
  • Have you experienced persistent, unusual thoughts or beliefs that you find difficult to shake, even when others disagree?
  • Do you sometimes feel like people are watching or following you without any clear reason?
  • Do you frequently struggle with organising your thoughts, making decisions or concentrating on tasks?
  • Have you noticed any significant changes in your social interactions, such as withdrawing from friends or family?
  • Do you ever feel disconnected from reality, like things around you are not real or you are outside of your body?

If you answered ‘yes’ to any of these questions and are concerned, it’s important to contact a healthcare provider for further evaluation and guidance.

Are schizophrenia and addiction linked?

Studies estimate that 47% to 70% of individuals with schizophrenia also have substance use disorders, and this percentage rises to over 80% when tobacco use is included. Common substances used by people with schizophrenia include tobacco, alcohol, cannabis and cocaine.

But why is this number so high?

In some cases, individuals with schizophrenia may turn to substances as a form of self-medication, using drugs or alcohol to cope with symptoms like hallucinations, delusions or anxiety. This can create a cycle where substance use provides temporary relief but ultimately worsens the symptoms, leading to a potential addiction.

On the other hand, addiction to certain drugs, like cannabis, can also play a role in the development of schizophrenia, especially in individuals who may already be genetically predisposed. Studies have shown that heavy or long-term use of cannabis, particularly in adolescence, could increase the risk of developing schizophrenia later in life.

How are schizophrenia and addiction treated at Liberty House?

While our main focus is on treating addiction, some therapies, like DBT and holistic practices, can also help individuals manage certain symptoms of schizophrenia. However, it’s important to note that our programme is designed primarily for addiction treatment, and additional mental health support for schizophrenia may be necessary alongside addiction recovery.

The process typically begins with a medically monitored detox (if necessary), where round-the-clock support ensures safety and comfort throughout the withdrawal process.

Therapy plays a central role in recovery, offering individual and group sessions to help uncover the underlying causes of addiction while providing tools to manage schizophrenia symptoms. A key therapy used is Dialectical Behaviour Therapy (DBT), which helps individuals develop emotional regulation skills that can improve both their addiction recovery and their ability to manage schizophrenia.

Holistic therapies, such as yoga and meditation, are also integrated into the programme to help reduce stress and promote emotional balance. These practices encourage mindfulness and self-awareness, which can be helpful in managing the symptoms of schizophrenia while also supporting addiction recovery.

The final step in the journey is aftercare, offering continued therapy and group support, ensuring you have the tools to maintain sobriety and manage both conditions over the long term.

If you or someone you know is struggling with schizophrenia and addiction, contact Liberty House today for more information on how we can help.

Frequently Asked Questions

How do you know if you are struggling with schizophrenia?
Common signs of schizophrenia include hallucinations, delusions, disorganised thinking and difficulty distinguishing reality from imagination. People may also experience social withdrawal, difficulty concentrating and emotional flatness. A proper diagnosis requires a mental health professional’s evaluation.
What causes schizophrenia?
The exact cause of schizophrenia is not fully understood, but it’s believed to be a combination of genetic, biochemical and environmental factors. Imbalances in brain chemicals like dopamine, family history and stressful life events may contribute to its development.
What is the difference between hallucinations and delusions?
Hallucinations involve sensing things that aren’t actually present, such as hearing voices or seeing things. Delusions, on the other hand, are strongly held false beliefs, like thinking you have special powers or that people are plotting against you, despite evidence to the contrary.
What causes schizophrenia?
A combination of genetic, environmental and chemical factors causes schizophrenia. While the exact cause is unknown, it’s believed that imbalances in brain chemicals like dopamine and glutamate, as well as family history and stressful life events, can increase the risk of developing the condition.

(Click here to see works cited)

  • Healthcare, GlobalData. “A Third of All Schizophrenia Cases Go Undiagnosed.” Clinical Trials Arena, 8 June 2023, www.clinicaltrialsarena.com/analyst-comment/schizophrenia-cases-undiagnosed/.
  • Manseau M, Bogenschutz M. Substance Use Disorders and Schizophrenia. Focus (Am Psychiatr Publ). 2016 Jul;14(3):333-342. doi: 10.1176/appi.focus.20160008. Epub 2016 Jul 8. PMID: 31975814; PMCID: PMC6526786.
  • Winklbaur B, Ebner N, Sachs G, Thau K, Fischer G. Substance abuse in patients with schizophrenia. Dialogues Clin Neurosci. 2006;8(1):37-43. doi: 10.31887/DCNS.2006.8.1/bwinklbaur. PMID: 16640112; PMCID: PMC3181760.
  • “Young Men at Highest Risk of Schizophrenia Linked with Cannabis Use Disorder.” National Institutes of Health, U.S. Department of Health and Human Services, 4 May 2023, www.nih.gov/news-events/news-releases/young-men-highest-risk-schizophrenia-linked-cannabis-use-disorder#.