When Schizophrenia Flares Up

Medically Reviewed by Smitha Bhandari, MD on January 16, 2025
5 min read
My Life With SchizophreniaRichard Fyock battles paranoid schizophrenia. See how he manages his mental illness and volunteers to help others with the same condition.144

[MUSIC PLAYING]

RICHARD FYOCK: I'm Richard

Fyock.

I'm diagnosed

with paranoid schizophrenia.

I'm from Colbert, Georgia.



I've had strange thoughts most

of my life, but it really didn't

cause a super problem until I

started going in and out

of reality.

I went into a dream

and I couldn't wake up from it.



My family got involved in-- they

didn't want to believe I was

sick.

I was a son.

Who am I going to listen to,

my parents,

or am I going to listen

to these doctors I've never met?

I mean, they believed they were

doing the best thing for me.



I was convinced that maybe

my parents were right,

so I decided not to take

my medicine.

You know, I was pretty

depressed.

But I would end up being so

sick that I would have to be

in a psychiatric ward.

And I realized I'm running up

a bill, and I don't have

any insurance.

So I left against doctor's

orders because I was trying

to save some money.



So they told me in the emergency

room that I had to leave.

And I wasn't going to drive.

And I was even afraid to walk

outside because I was just

so ill.

So they said that if I didn't

leave the hospital,

they were going to send

a policeman to arrest me.

I almost ended up in jail.

A lot of people

with schizophrenia

do end up in jail.

And that was my rock bottom.

And that's where I finally

decided to take my medicine.

And that was the big decision

that changed my life.



It gets easier once you have

experience with it.

But the people who first get it,

they have to learn how to how

to live with it.



Every day I volunteer.

I just want to help people

like I was helped when I was

severely ill.

Makes me feel like I'm

contributing to society.

They can see that people are

enjoying their lives,

because you can see

that your life,

it will be different than what

you were thinking it was going

to be.

But it still can be a good life.

<p>Richard Fyock, Schizophrenia Patient</p>/delivery/aws/af/c5/afc58bf6-86ab-4c89-9cb5-85511e427c08/e425880d-21be-46a1-bce0-128a22c55eb3_vd-1520-richard-my-life-with-schizophrenia_,4500k,2500k,1000k,750k,400k,.mp402/16/2016 08:00:00 PM650350man/webmd/consumer_assets/site_images/article_thumbnails/video/vd_1520_richard_my_life_with_schizophrenia_video/650x350_vd_1520_richard_my_life_with_schizophrenia_video.jpg091e9c5e8135dd95

If you or a loved one is living with schizophrenia, you know that the symptoms may worsen at times. While no one wants to think about being in crisis, it’s important to prepare for what you’ll do. Having a plan will let you quickly and safely get help.

If your symptoms worsen, you could notice:

  • Depression
  • Anxiety
  • Short temper
  • Trouble sleeping
  • Lack of focus
  • No interest in friends or usual activities
  • A feeling that you can’t trust others
  • Strange speech patterns
  • Odd thoughts that won’t go away
  • Hallucinations -- seeing or hearing things that aren’t there

If you or a loved one feels a crisis is coming on, try to:

Distract yourself. You can watch TV, read, listen to music, video chat or text with someone you love, or do something active, like going for a bike ride. Everyone’s different, so you may need to try more than one thing before you find something that helps.

Get a reality check. When you have psychosis, it’s hard to figure out what’s real and what’s not. Find a person you trust who can be your “reality check.” As soon as you start to feel confused, reach out to them with your concerns.

Get space. You may feel more at ease in a peaceful, quiet setting. Some symptoms, like hallucinations, can get worse when you’re around a lot of people or noise.

Have a plan. When you’re feeling well, put together a list of ways you’d like support during a crisis. For instance, maybe you’d like a certain person to care for your children, your doctor to be called, or other steps to be taken so you can safely get through an episode.

Stay calm. While it can be hard to understand, realize that you won’t be able to reason or argue with someone who is in crisis. Instead, let them know you support them. You might say something like, “I can only imagine how upset this must make you.” Be patient and keep your voice calm.

Call your counselor or therapist as soon as you notice symptoms. If you don’t have one, make an urgent same-day appointment with your primary care doctor. Be honest about how you feel so you get the support that you need.

Many areas now have a local crisis line that lets you speak to counselors with special mental health training. Think about looking up this number in advance and adding it as a contact in your phone.

If you’re not sure who to call, the National Alliance on Mental Illness HelpLine (800-950-NAMI [6264]) provides free support to people living with mental health conditions and can connect you to nearby resources.

The National Suicide Prevention Lifeline (800-273-TALK [8255]) lets you speak to a trained crisis counselor 24 hours a day, 7 days a week.

If safety becomes a concern, you may need to call 911. Tell the operator it’s a mental health emergency and describe what’s going on. For instance, “My father hasn’t slept in 3 days and believes someone is talking to him through the TV.” Ask for police officers who are trained to assist with a crisis.

While some people choose to wear a medical bracelet or another form of ID, keep in mind that it may not be seen right away.

If schizophrenia makes it hard to maintain your home or manage day-to-day life, talk to your counselor or doctor about your options. You may find it helpful to live in a place that can support your needs.