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Getting help from a doctor if you're feeling down

Stressing out, feeling down, getting depressed or anxious - these are common experiences for young people. Rather than ignore these feelings and hope they go away, young people are encouraged to seek help. But what does that actually involve?
In this video, beyondblue looks at what it's like to get help from a doctor if you're feeling down. How do you get an appointment? How can a doctor help you with your mental health? How do you bring it up?

  • Author: youthbeyondblue
  • Upload Date: 11/5/2011

Created by youthbeyondblue

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Lynz - TINO Crew


Provided by Reach Out

We have partnered with Reach Out to bring you the best factsheet information we can on this topic. Reach Out offers information, support and resources to help young people improve their understanding of mental health issues, develop resilience, and increase their coping skills and help-seeking behaviour.

What is Schizophrenia ?

what is schizophrenia

Image credit: trentstrohm | Flickr

Schizophrenia is the name given to a group of psychotic disorders illustrated by significant disturbances in thought, emotion and behaviour. A person must experience these disturbances for a significant period of time to be classified as schizophrenic, as there are other psychotic disorders which have similar symptoms.

A person with untreated schizophrenia can experience sequences of ideas that do not logically relate to one another, disorganised speech, a faulty perception of reality, and unusual motor activity or body movements. Someone who is experiencing untreated schizophrenia will often withdraw from the people around them into a land of fantasy. Schizophrenia does not mean that someone has more than one personality or a 'split' personality.

What are the causes of schizophrenia?

The causes of mental illness have been linked to several factors:

Biological factors - ie the body's chemistry, genetic make-up and physical health.

Psychological factors like the person's upbringing, emotional experiences and interactions with other people

Social factors that are to do with the person's current life situation and the cultural and social things that they are influenced by.

There seem to be several factors which have to be present in order for schizophrenia to develop, and often it's the interaction, or the combination of all those factors, which cause its development.

So, for example, there might be an interaction between a person's biological make-up, a stress or change in their environment and the person's ability to deal with this stress or change, especially if they don't have good relationships with friends and family and therefore possibly less support.


People in the general population have a very small chance of developing schizophrenia in their lifetime, but this chance gets bigger when there's a history of family members have a history of experiencing schizophrenia.
Genetic factors seem to play a very important role in determining whether someone will develop schizophrenia. For example, a child of one parent with schizophrenia has a greater chance than the general population of developing schizophrenia and if both parents have schizophrenia the risk increases.


A baby may be affected if the mother is exposed to the flu while she is pregnant or if the baby does not get the right amount of nutrition during pregnancy. It has also been suggested that stress and/or trauma can be one of the things that may cause schizophrenia.
Family factors causing stress may affect the course of the illness, like how severe the symptoms are and how long they last, but there is no convincing evidence to say that a person's family situation causes schizophrenia.

Brain development

There could be a possibility that one of the reasons that schizophrenia can develop later in life is from the brain not developing properly whilst the baby is still inside the mother. This isn't necessarily anything that can be controlled by the mother.

Drug misuse

what is schizophreniaSome research suggests that drug misuse is related to the development of schizophrenia. It is likely that substance misuse may bring on or worsen the symptoms and get in the way of the treatment of a person with schizophrenia.

Biochemical factors

It may be that chemical imbalances in a person's brain could be involved in the cause of schizophrenia. It has been thought for a long time that the neurotransmitters (the chemicals in the brain that allow nerve cells to talk to each other) are involved in the development of schizophrenia. There are no definite answers about this yet but there is lots of research going on in this area.

The main symptoms of schizophrenia

Positive symptoms

Positive symptoms are additional experiences or excessive behaviours that are not usual for that person to go through, and are considered by the general population to be unusual. These are things like hallucinations, delusions and thought disturbances/disorganised speech.


The hallucinations can be in a few different forms. The most commonly experienced are auditory hallucinations where the person can hear voices talking, laughing or making noise. The voices can comment on the person's activities, they can argue, or it may be just that the person can 'hear' their own thoughts being repeated or commented on. Noises around them may also become too much for them and hearing them could be painful.

Other sensory hallucinations can occur where the person can feel sensations that do not exist, such as burning, tingling or stinging sensations. They may experience sensations of not feeling 'real' or machine-like, or they do not feel connected to their body. Their bodies or a particular body part may feel and/or look strange to them.


They may imagine that they see things that aren't there, or find visual stimulus in an extreme form such as light could be almost blinding.


The hallucinations may be accompanied by a delusion that the illusion may confirm and encourage. Delusions are thoughts held by a person which most people would disagree with. An example of a common delusion is where a person believes that they someone other than who they actually are, usually someone famous. Paranoid delusions can be experienced where the person believes that they are being watched or persecuted.

Disorganised Speech (thought disorder)

This means that a person has difficulty in organising their thoughts and communicating them in an order that a listener would understand. Random words or new topics are injected into the conversation which will not make any sense to the listener.

Negative symptoms

Negative symptoms are the absence of thoughts and behaviours that are normal present in people in the general population. These symptoms are often very stable and affect the person throughout their life. If you are experiencing negative symptoms, they might include:

Lack of expression

also referred to as 'blunted affect'. Sometimes people who are psychotic find that their expressions are diminished. Their face, voice tone, and gestures may seem flat, and they may seem uninterested in their surroundings (which is not necessarily the case).


Also called Apathy. People often feel unmotivated and sometimes sleepy. They might have trouble doing even simple things, and feel like there is nothing they are interested in.

Lack of pleasure

what is schizophreniaAlso referred to as Anhedonia. A psychotic illness often affects a person's ability to feel pleasure. Sometimes the person may no longer feel enjoyment like they used to be from things like going to the movies, or sharing a close relationship.

Difficulty speaking

Sometimes called Poverty of Speech. Sometimes the person can find it hard to speak. Often their conversations are short and uncomfortable. This can make conversation with them difficult, and frustrating for both the person experiencing this symptom, and anyone else in the conversation.


This is when the person can often be easily distracted and this can make work, school or any activity very difficult and often highly frustrating.

Catatonia + inappropriate affect

People with schizophrenia can also experience other symptoms that don't fit into the categories of 'positive' or 'negative'.

  • Catatonia - grimaces, strange facial expressions, repeated gestures, manic gestures.
  • Catatonic immobility - strange positions that a schizophrenic person will hold themselves in for a long time.
  • Inappropriate affect - A person with schizophrenia may express a response to some news that does not match, or is not appropriate. For example, some sad news may cause them to smile and laugh.

Finding help

The most effective form of treatment is a combination of medication and support. Support means things like individual counselling, information, support from the person's family and friends, psychosocial treatment.

People with schizophrenia can also benefit a lot from a stable living environment, structure, a meaningful job/study/hobby and being kept from as much stress as possible. Medication will need to be prescribed by a doctor or psychiatrist and it is important that you seek help.

A psychologist, social worker or mental health nurse can also help manage your symptoms and help you to get on with your life. For more information on how these people can help you check out Reach Out's Who can help you section. To find a doctor or mental health professional see the beyondblue Directory of Medical and Allied Health Practitioners in Mental Health You may also want to ask friends or your local doctor if they can recommend anyone.

Remember - help is available and schizophrenia can be treated.

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37 Responses to “Schizophrenia”

  1. [...] take a moment this week to visit our topics page with videos and factsheets to find our more about the symptoms, possible causes, treatments and ways [...]

  2. Jak says:

    Hey, are there any variations of schizophrenia? if so what are they and what are their individual affects? Also are there any population groups or individuals, predisposed to suffering from the mental illness.

    • luke says:

      i was Diagnosed Paranoia schizophrenia and it was stress and drug induced but its getting better through mind majic

  3. Mary says:

    My son has been on medication for six years and their has not been any changes to a lot of the symptoms you have mentioned so what is the point of the medication.

    • luke says:

      what sort of symptoms is he having ? i went of my medication for 1 or 3 days but after 6 or 7 u start flipping out and everything gets to tough to handle… if ur son can manage without the medication then all the best to him i wish him luck but just be very cearfull…. u never know maby he is phycic or majic in a way…

  4. Teearna says:

    i feel sorry for everyone with the symptoms

  5. jarrah says:

    i read a book called helicopter man in english at school. the father had shizophrenia. the father was so worried about the helicopters. the son never new what was going on

  6. Saroy says:

    I’m a 7th year sufferer of schizophrenia. I am on medication and while there is no cure there is treatment. It helps me sleep. I do also suffer from chronic illness. Forced out of the workforce 2 times, I realize that the medeication at times helps me stay grounded. I do suffer from the ‘classic’ symptons of schizophrenia. There is improvement on medication. To all those suffering, fight back to normality. Get the help needed to see the truth in this illness.PEACE TO YOU ALL!

  7. AJ says:

    I have family members that have schizophrenia and there is hope and light at the end of the tunnel. It might take a little while for the Dr’s to get the medication right but keep pursisting. Get a good Dr and be honest if symptoms are worsoning. You are not alone :)

  8. rob says:

    the medication helps with the syptoms but its hard to do anything but sleep i dont know what is worse

  9. Jovan says:

    im doing an assignment in PDH for schizophrenia, and i didnt know the depth of it

  10. Mahir DIN says:

    Scizophrenia is a very bad psychological disorder. !!!!!!!

    • patsutton says:

      schizophrenia is definitely NOT a psychological disorder!! If only it was – treatment would be so much easier!! This is a very discriminating statement which merely causes distress for those who try hard to deal with the debilitating mental illness.

    • Katiya-Trisha says:

      Not always. I was diagnosed with it. I managed it very well before meds. I manage it even better now since some time has passed since the first onset and it will only get better with more time. I will be completely healed. I don’t care what anyone else or the research says. I will be completely healed. Less mainstream research PROVES we can heal, so I will heal, so will many others.

  11. Terri says:

    I have it, but don’t know enough about it. Im sick of trying different medication. I would prefer to be off it altogether, but I dont know whether that would be a good idea or not.

  12. Terri says:

    I have it, but don’t know enough about it. I’m sick of trying different medication. I want to get off it completely, but not sure whether that would be a good idea or not. And no, it definitely is not a psychological disorder. Obviously that person has no knowledge about it themselves to make a comment like that.

  13. Terri says:

    Well at least I’m sleeping alot better though I guess. I still have alot of fears and feelings of unsafeness that something bad will happen to me etc. You think the TV can is listening to you. I dont get the hallucinations which is something I suppose. Experience delusions, having thoughts that people around you are not who they are and are someone else or that they are dead when their not.


    Its a very difficult mental illness to deal with. I wish there was a cure.

    • lynz says:

      Hi Terri – thanks for the link Reach Out have great info – it is so good you are being so pro-active in finding info on how to manage what is going on for you. It is very challenging but we hope the info helps out.

      • Terri says:

        It is helpful. I have my days where I feel like giving up the fight. I guess I will just have to try to keep my mind busy doing things to have the best chance of getting through it and at some degree of normality with my life.

        • Terri says:

          I am also hoping the illness will eventually go away on its own? or maybe it is something I will have for life.

        • lynz says:

          Keeping busy is a good option, can be great to have things booked in that you do each week, helps you get up and out the house, and those outings can lift our spirits. You are doing a fab job Terri – well done.

  14. Terri says:

    Maybe stress brought it on for me. I don’t know. Definitely wasn’t drugs as I’ve never done illicit drugs and never will.

  15. Terri says:

    I wonder that too, what the point is of medication? but if they find the right medication, it must help in some way. If I went off it, I think I would be worse off.

  16. Terri says:

    No one else in my family has it, so it can’t be genetics.

  17. Terri says:

    And I am highly suspicious of people. I think though its pretty hard not to be. But then again, my mum is suspicious of people and she doesn’t have my illness. You just becareful. Have people checked out before you agree to things.

  18. Terri says:

    As a woman on tv who had alzheimers(which is a totally different illness altogether) said about her illness , you just do the best you can to deal with it.

  19. Terri says:

    if you stay on one medication, it will make the chances of recovery a bit quicker. You get the drift :o p

  20. Terri says:

    I ended up back in hospital after a medication i was on before changed. And I don’t hear voices all the time. Just sometimes. They have just upped my dose of medication recently so can only see how it goes.I have been on it for a little while. I get the medication by needle. I am so glad I am off that clozapine.It made me sick and sleepy all the time. I don’t know what is going to get rid of the voices. Is only hearing them sometimes a good thing? even if i hear them ever once and a while i want to get rid of it.

  21. Terri says:

    It really is quite scary the symptoms. I get scared about it alot. But I am quite lucky in comparison to someone with alzheimers as I am able to do things for myself at least, cook etc. I really hope they find the right medication though as it has made me feel suicidal at times. People think people with schizophrenia are dangerous too. That is a myth. They are more likely to harm themselves than someone else.

  22. Terri says:

    I mean don’t listen to those who say or think you won’t get better. Chances are if you stay on the medication and it is the right one, the symptoms over time will go away.

    All the best
    - Terri

  23. Charlie says:

    Hi, does anyone know anything about Soliloquy?

    I’m going through it right now, and have been so for the past 11 years, but only just found out about the symptom today.

    It’s really bothering me to the point I can’t socialise.

    Please, any information will be great!


    • TINO Crew says:

      Hi Charlie, for specify info we recommend contacting headspace you can chat with them either in person on online about the symptoms you are experiencing. It is great you are taking steps to get the issue sorted. Find out more here http://headspace.org.au/. Take care TINO Crew.

  24. kate says:

    Hi I have a friend I’m trying to help. He has been diagnosed drug induced psychosis. I feel he maybe bi-polar or some form of schizophrenia, and that he goes looking for the effects of drugs- dope, ice and alcchol – to try to level out the extreme manic highs and lows he seems to fall into. Unfortunately the few times I have taken him to hospital and he has been admitted a couple of times, they look to the drugs as being the cause of his psychosis. We have an assessment mon week but cant get him in before then. Any advise on how to deal with the psychosis he is still in and keep him calm until then? Also how to relieve him from feeling overwhelmed the night before his assessment so he doesnt disappear ?

    • TINO Crew says:

      Hi Kat,
      Sorry to hear your friend is having such a tough time, but how lucky is he to have such a great friend looking out for him. Unfortunately we can’t provide one-on-one advice but perhaps at your assessment you can discuss all possible treatment and support services, both for him and yourself as you must look after to you. If you feel he is unsafe before your appointment don;t hesitate to call 000. For support before then we suggest contacting headspace who have both online and in person counselling – they may be able to offer ideas on what can be done prior to the appointment http://www.headspace.org.au take care TINO

  25. Ken says:

    Hi All,
    I have a grandson 17yrs. Mother left when he was 12yrs. He came to live with us,his Grandparents.
    Initially, a bright boy, obviously stressed at his Mother leaving, but settled in well. As he matured over time seemed to withdraw and wanted little to do with us, staying in his room. Education dropped off with none or little incentive for much at all.School friends have dropped away. My main concern even with that is his seemingly lack of reality when questioned about school studies and future plans. I am a very concerned Grandfather. Advice please, I do suspect a mental problem.

    • TINO Crew says:

      Hi Ken,
      Sorry to hear that your grandson is having a hard time, but how wonderful he has you caring and trying to find information. We would suggest calling a service like http://headspace.org.au/, having a chat with them or your local GP might give you some ideas and information on how to best help him. We wish you and your grandson all the best.

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