I’M TUFR looks at the elements that are necessary for a good recovery whereas WRAP provides the practical tools to help you manage your life through periods of wellness and illness. They each have different approaches to recovery. 4īelow we consider two recovery strategies: Living with Schizophrenia’s own strategy: I’M TUFR and the WRAP programme developed in the USA and used widely all over the world including here in the UK. Perhaps greater financial independence and maybe a more active social life and a long term close relationship. Perhaps starting or returning to study, voluntary work, part-time work or even a full time job. A life of greater independence and better relationships with those around you. Hope will give you the ability to visualise a better life for yourself. However as you move on you will develop greater insight and with that insight will come hope: the quality without which you cannot recover. It is the one delusion that alone has the power to prevent recovery. It is what Gwen Howe in her book, Serious Mental Illness a Family Affair calls the “core delusion”. The delusion that says “I’m not ill” is in many ways the most unhelpful and destructive delusion of all. This is what psychiatrists call lack of “insight”. If you are at an early stage in your illness you may not even accept that you have a problem. However as we will see below a good enduring recovery is dependent on a combination of factors and how good a recovery you make will depend in large part on how good you are at managing all of those elements of your life. Medication remains the mainstay of treatment in the western world and for most people will provide a high level of security against relapse. Which of these groups you will slot into depends on many factors including not least how good you are at taking your medication. 2 This leaves the final 10% who sadly will die mainly by their own hand. 15% will lead a chronic course experiencing repeated relapses and being substantially handicapped by their condition. 25% will show some improvement on medication but may experience several relapses and may never be able to work. A further 25% will be much improved on medication. However looking at the outcomes over ten years from diagnosis, a large proportion of people who experience an episode of psychosis (in fact about 25% to 30%) will recover to lead a normal lifestyle and will have no further problems during their lifetime. The first is what do we mean by recovery and the second is why do I need to recover?ĭoes recovery mean that schizophrenia can be cured? Schizophrenia cannot be cured in the same way that an infection can be cured with antibiotics. It is absolutely key for sufferers and carers alike to understand that a diagnosis of schizophrenia need not necessarily be a life sentence to a life of low fulfilment and poor ambition.īefore we start to discuss recovery there are two important questions that we need to consider. Since Krapelin there has been considerable debate among psychiatrists on this issue of recovery and today most psychiatrists hold the more enlightened view that recovery is possible for a significant number of sufferers. However later many psychiatrists observed that a significant proportion of their patients went on to improve sufficiently well to return to their former lives and that some never experienced any further problems after their first episode of psychosis. When schizophrenia was first described by Dr Emil Krapelin in 1898 he used the term dementia praecox or premature dementia because he saw the condition as one which entailed a progressive worsening of the symptoms and deterioration in functioning. In fact many people with schizophrenia do manage to make substantial recoveries from their symptoms and move on to lead better lives. ![]() Many people believe that schizophrenia is a life sentence: that people with schizophrenia will live a life of low achievement and be in constant danger of harming themselves or others. Recent Developments in the Treatment of Schizophrenia.Religious and Spiritual Delusions in Schizophrenia.What can be done about depression in schizophrenia. ![]() Information for doctors and health workers. ![]()
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