A. Patients aren’t told immediately although they are told they will have long-term treatment needs. It is left vague in order not to make it sound like a life sentence.
A. Yes. Patients are told they are likely to be on medication for 3 to 5 years. We usually try to present it as “at least three years”.
A. Symptom severity, especially negative symptoms, drug side-effects, family support and community resources all contribute to the quality of life of a patient with schizophrenia.
A. Medication is the psychiatrist’s responsibility and we need to balance efficacy with side-effects in order to ensure compliance with therapy. For other therapies, it depends on the resources available. A rehabilitation clinic would be made use of, if appropriate.
A. It’s both. There are genetic components with environmental triggers. It’s a multicomponent condition and it’s likely that schizophrenia comprises several diseases.
A. Optimistically, maybe 30%.