MHM Magazine

schizophrenia does not stop after the resolution of psychotic symptoms. We must think of how we can integrate these patients back into society and assist them in creating meaning in their lives. Psychosocial rehabilitation is increasingly important and includes assisting with skills building and sheltered (or even competitive) employment, cognitive behavioural therapy for psychosis and psycho-education of family members. Perhaps looking at it from a neurodevelopmental perspective, it also stresses the importance of early detection and intervention which can drastically change the course of a patient’s illness. Stigma and the barrier to understanding Despite these many advances, Schizophrenia is still deeply stigmatised with many people still associating the disorder with violence, unpredictability and permanent severe impairment. This understanding is perpetuated by how the media portrays these individuals and shining light on the rare instances where an individual with schizophrenia is involved in a crime. These experiences fuel the self-stigma that these patients experience and impact on help- seeking behaviour as well as compliance to treatment. Creating meaning and building resilience Despite its obvious and extensive challenges, people living with schizophrenia can manage the symptoms and dysfunction of the illness and go on to live fulfilling and meaningful lives. Recovery is not always about “curing” the illness but rather in finding a way (through collaboration) of managing the illness and fostering a sense of purpose. Community support, peer groups and strong family networks play an essential role in recovery. Studies have shown that individuals with schizophrenia who engage in meaningful activities are more likely to experience a sense of self-worth, improved self-esteem and higher life satisfaction. Moving forward Schizophrenia is a multifaceted disorder that requires a multifaceted and holistic approach in its management. While we have come a long way in understanding this condition and advancements in medication management, we still have a long way to go in combating the stigma and helping patients with this illness find meaning and purpose. Together we can move to a future where mental illness is not a source of fear but of empathy, compassion and hope. EDITORIAL