Untreated Schizophrenia: Risks, Symptoms, and Treatment Options

Schizophrenia is a severe mental disorder that affects how a person thinks, feels, and behaves. It’s a chronic condition that requires lifelong treatment to manage symptoms and prevent relapse. Unfortunately, some individuals with schizophrenia choose not to seek or receive treatment, leading to untreated schizophrenia. This article will discuss the risks and symptoms of untreated schizophrenia, as well as the available treatment options.

Risks and Consequences of Untreated Schizophrenia

Untreated schizophrenia increases the risk of experiencing potential consequences such as difficulties carrying out daily activities and tasks, problems with relationships and employment, homelessness, substance misuse, suicide, and physical health problems. It’s essential to seek early treatment for schizophrenia since untreated schizophrenia can lead to a severe deterioration in mental health and functioning.

Individuals with untreated schizophrenia are at higher risk of developing depression and anxiety, which can lead to a worsening of their mental health symptoms. Psychosis, a severe mental state that includes hallucinations, delusions, and disordered thinking, can significantly impact an individual’s health, leading to significant behavioural changes, emotional disturbance, and impaired social relationships.

Individuals with untreated schizophrenia may also experience a decline in cognitive abilities, including memory, attention, and language skills, which can hinder their ability to carry out daily life activities. Without adequate treatment, the condition can lead to the individual experiencing long-term, severe social and functional impairment.

Symptoms of Untreated Schizophrenia

The symptoms of schizophrenia mainly revolve around three categories: positive symptoms, negative symptoms, and cognitive symptoms.

Positive Symptoms

Positive symptoms of schizophrenia refer to symptoms that are added to the individual’s personality and behaviour that are not usually present. These positive symptoms may include:

– Hallucinations: Abnormal perceptions of things, people, or objects that are not physically present. These can include hearing voices or seeing things that are not there.
– Delusions: False beliefs that are not based on reality or facts. These can include paranoid, grandiose, or religious delusions.
– Disorganised speech: Incoherence in speech or thought that makes it challenging to understand an individual’s communication.
– Abnormal behaviour: Some behavioural traits such as agitation, catatonia, gigantism, or grimacing.

Negative Symptoms

Negative symptoms of schizophrenia are a reduction in emotional and social functioning and represent an absence of normal behaviour. Negative symptoms include:

– Affect flattening: A decrease in the expressiveness of emotions.
– Social withdrawal or isolation: Reduced involvement in social activities and limited capacity to create and maintain healthy relationships with others.
– Anhedonia: Lack of feelings of pleasure or enjoyment, leading to an inability to experience activities’ positive emotional effects.
– Lack of motivation: Difficulty in initiating and completing tasks.
– Poor hygiene: Inadequate attention to personal cleanliness and appearance.

Cognitive Symptoms

Cognitive symptoms are deficits in cognitive functioning, including information processing, memory, attention, and language skills. The cognitive symptoms of schizophrenia may include:

– Difficulty concentrating: Difficulty focusing attention on a specific task.
– Poor working memory: Difficulty keeping information in the short-term memory to use later.
– Disorganisation: Impaired ability to organise information or engage in goal-directed behaviours.
– Difficulty with planning, problem-solving and decision making
– Poor communication: difficulty conveying ideas and understanding of meaning or context.

Treatment Options for Schizophrenia?

Schizophrenia is a chronic condition that requires lifelong treatment. Fortunately, with access to appropriate treatment, an individual with schizophrenia can lead a fulfilling life. The treatment available for schizophrenia depends on the symptoms and severity of the condition. The following are the available treatment options for schizophrenia;

Antipsychotic medication

Antipsychotic medications treat acute psychotic symptoms, including hallucinations, delusions, and disordered thinking by blocking certain chemical receptors in the brain. These drugs are usually the first line of treatment for schizophrenia. There are both first-generation antipsychotics and second-generation antipsychotics, which have fewer side effects.


Individual psychotherapy is a useful treatment option in conjunction with medication. Effective therapies include cognitive-behavioural therapy, family-focused therapy, and individual therapy that aims to help individuals detect and change patterns of negative thoughts that contribute to their mental illness.


Rehabilitation or psychosocial treatment includes helping individuals develop social skills, adjust to work, and engage in healthy life activities. Psychosocial treatments are also essential to maintain a patient’s adherence to their medication to prevent relapse.

Self-help groups

Self-help groups are facilitated by experienced clinicians and trained peers who understand the impact of schizophrenia on the individual and their families. These groups provide an opportunity to share experiences, give and receive support, offer new coping mechanisms, and foster a sense of belonging and hope.


Untreated schizophrenia is a severe mental illness that can lead to significant health problems, especially when left untreated. Individuals with schizophrenia go through a change of personality and function without symptoms without the intervention of medications. Therefore, seeking early intervention, proper treatment, and medication management are crucial to maintaining the life skills, relationships, and general well-being of those affected with schizophrenia and prevent relapse. The best thing you can do is seek help as soon as you notice symptoms of schizophrenia. With the right treatment options, individuals can lead fulfilling lives despite the substantial negative impact of schizophrenia.


FAQs about Untreated Schizophrenia

Q: What is untreated schizophrenia?

Untreated schizophrenia is a condition where a person diagnosed with schizophrenia does not receive proper medical treatment for their symptoms. This may be due to various reasons, such as lack of access to medical care, stigma, or simply refusing treatment.

Q: Why is it dangerous to leave schizophrenia untreated?

Schizophrenia is a chronic and serious mental illness that can greatly affect a person’s daily life. Without proper treatment, symptoms can worsen over time and lead to serious complications, such as suicidal thoughts and behavior, self-harm, social isolation, and inability to work or care for oneself.

Q: What are the treatment options for schizophrenia?

Treatment options for schizophrenia usually involve a combination of medication, therapy, and support services. Antipsychotic medications can help manage psychotic symptoms, while therapy (such as cognitive behavioral therapy) can help improve social and communication skills. Support services, such as vocational rehabilitation and community support programs, can also assist with daily life activities and social integration. It’s important to seek professional help and regularly follow up with healthcare providers to effectively manage schizophrenia.


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