Mental Health

What Causes Schizophrenia?

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Wondering what causes schizophrenia? Explore its origins, its connection to addiction, and how professional treatment can support lasting recovery.

What causes schizophrenia? Schizophrenia is a severe mental health disorder that disrupts how a person thinks, feels, and behaves. While its exact cause remains unclear, research points to a combination of genetic, biological, and environmental factors. 

For those also facing addiction, the challenges can feel even more significant. At The Edge Treatment Center, we understand the deep connection between mental health and substance use. With the proper support and treatment, recovery is possible, and a healthier, more stable life is within reach.

Understanding Schizophrenia

Schizophrenia is a severe mental health disorder that affects a person’s thoughts, emotions, and behaviors. It is characterized by episodes of psychosis, which include hallucinations, delusions, and disorganized thinking. 

These symptoms can make it difficult for individuals to distinguish reality from their perceptions, leading to impaired daily functioning. Schizophrenia is a chronic condition, but with proper treatment, many people can manage their symptoms and lead fulfilling lives.

Key Symptoms of Schizophrenia

Schizophrenia presents differently in each person, but the main symptoms typically fall into the following categories:

  • Hallucinations: Individuals may hear, see, or feel things that are not there. Auditory hallucinations, such as hearing voices, are the most common.

  • Delusions: False beliefs that are firmly held despite evidence to the contrary. For example, a person may believe they are being followed or have special powers.

  • Disorganized Thinking and Speech: Thoughts may be fragmented, making communication difficult. Speech may be incoherent, with individuals jumping from one topic to another without logical connections.

  • Impaired Functioning: People with schizophrenia often struggle with daily activities, including work, relationships, and self-care. Some may withdraw from social interactions or show a lack of motivation.

Prevalence and Demographic Considerations

Schizophrenia affects approximately 1 in 300 people worldwide and about 1% of the U.S. population. It typically emerges in late adolescence or early adulthood, though it can develop at any age.

  • Gender Differences: Men tend to develop schizophrenia earlier (late teens to early 20s), while women are often diagnosed later (mid-20s to early 30s).

  • Risk Factors: While the exact cause remains unknown, genetic predisposition, environmental stressors, and brain chemistry all contribute to the likelihood of developing schizophrenia.

  • Co-occurring Conditions: Many individuals with schizophrenia also experience substance use disorders, depression, or anxiety, which can complicate treatment and recovery.

Factors Influencing Schizophrenia

Schizophrenia is a complex mental health disorder influenced by a combination of genetic, biological, and environmental factors. While no single cause has been identified, research suggests that a mix of these factors increases an individual's susceptibility to developing the condition.

Genetic Factors

Genetics plays a significant role in schizophrenia. Individuals with a family history of the disorder are at a higher risk of developing it. Data shows that:

  • The general population has about a 1% risk of developing schizophrenia.

  • If a parent or sibling has schizophrenia, the risk increases to 10%.

  • Identical twins have a 40-50% chance of both developing the disorder if one is diagnosed.

These statistics suggest that while genetics contributes to susceptibility, it does not guarantee that someone will develop schizophrenia, indicating the importance of environmental influences.

Biological Factors

Neurotransmitter Imbalances

Neurotransmitters, the brain's chemical messengers, play a crucial role in schizophrenia. The two primary neurotransmitters involved are:

  • Dopamine: Excess dopamine activity in specific brain regions is believed to contribute to psychotic symptoms like hallucinations and delusions. Antipsychotic medications work by blocking dopamine receptors.

  • Glutamate: Research suggests that glutamate dysfunction may contribute to cognitive and negative symptoms of schizophrenia, such as lack of motivation and social withdrawal.

The imbalance of these neurotransmitters disrupts communication between brain cells, leading to the symptoms observed in schizophrenia.

Structural Brain Abnormalities

Brain imaging studies have revealed differences in the brain structure of individuals with schizophrenia, including:

  • Enlarged ventricles (fluid-filled spaces in the brain) may indicate a loss of brain tissue.

  • Reduced gray matter volume, particularly in areas associated with thinking, memory, and emotions.

  • Abnormal connectivity between brain regions affects cognitive function and emotional regulation.

These structural differences suggest that schizophrenia is linked to disruptions in brain development, possibly beginning in early life.

Environmental Factors

Prenatal Exposures

Research indicates that prenatal conditions can increase the risk of schizophrenia. Factors such as:

  • Infections during pregnancy, including exposure to viruses like influenza.

  • Malnutrition in the womb, particularly deficiencies in folate or vitamin D.

  • High levels of maternal stress can affect fetal brain development.

These early-life influences may contribute to abnormalities in brain function that later manifest as schizophrenia.

Childhood Adversities

Traumatic experiences in childhood can also increase schizophrenia risk. Factors such as:

  • Physical, emotional, or sexual abuse

  • Neglect or lack of emotional support

  • Severe bullying or social isolation

These experiences can affect brain development and stress response systems, making individuals more vulnerable to mental health disorders, including schizophrenia.

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Substance Use and Schizophrenia

Substance use is strongly linked to schizophrenia, often worsening symptoms and complicating recovery. While drugs do not directly cause schizophrenia, they can trigger psychotic episodes and accelerate its progression in at-risk individuals.

Impact of Drugs on Schizophrenia

  • Cannabis: Frequent use, primarily high-potency THC, increases schizophrenia risk and worsens symptoms.

  • Psychedelics & Stimulants: LSD, meth, and cocaine can trigger psychosis and paranoia.

  • Alcohol & Sedatives May offer temporary relief but lead to dependence and worsening mental health.

Cause or Coping Mechanism?

  • Trigger: Drugs may activate schizophrenia in those with genetic susceptibility.

  • Coping: Some use substances to self-medicate, worsening long-term outcomes.

Early intervention and treatment are crucial for managing both schizophrenia and substance use disorders effectively.

The Interplay Between Schizophrenia and Addiction

Schizophrenia and addiction frequently co-occur, making treatment more challenging. Data show that nearly 50% of individuals with schizophrenia also struggle with substance use disorders. This high prevalence highlights the complex relationship between mental illness and addiction.

Why Is Substance Use Common in Schizophrenia?

  • Self-Medication: Many use drugs or alcohol to cope with distressing symptoms like paranoia or hallucinations.

  • Increased Vulnerability: Cognitive impairments and impulsivity make individuals more prone to addiction.

  • Social Factors: Homelessness, isolation, and lack of support increase substance use risk.

How Addiction Complicates Diagnosis and Treatment

  • Delayed Diagnosis: Substance use can mask schizophrenia symptoms, leading to misdiagnosis.

  • Worsened Symptoms: Drugs can intensify hallucinations, delusions, and mood instability.

  • Reduced Treatment Effectiveness: Substance use interferes with medications and therapy.

  • Higher Relapse Risk: Addiction increases hospitalizations and disrupts recovery efforts.

Breaking the Cycle

Integrated treatment programs that address both schizophrenia and addiction together are essential. A combination of medication, therapy, and long-term support can help individuals achieve stability and a healthier life.

Treatment Approaches for Schizophrenia and Co-Occurring Addiction

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Effective treatment for schizophrenia involves a combination of medication, therapy, and integrated care, especially when substance use disorders are also present. A comprehensive approach improves long-term stability and quality of life.

Pharmacological Interventions

Antipsychotic medications help manage schizophrenia symptoms by balancing neurotransmitters like dopamine. These include:

  • Typical antipsychotics (e.g., Haloperidol, Chlorpromazine): Effective for hallucinations and delusions but may cause side effects.

  • Atypical antipsychotics (e.g., Risperidone, Olanzapine, Clozapine): Fewer side effects and help with mood and cognitive symptoms.

Medication adherence is crucial for managing symptoms and reducing relapse risk.

Psychosocial Therapies

  • Cognitive-Behavioral Therapy (CBT): Helps individuals challenge delusions, manage stress, and develop coping strategies.

  • Family Therapy: Educates and supports families to improve communication and reduce relapse risk.

  • Support Groups: Peer support provides encouragement, shared experiences, and social connection.

Integrated Treatment Models

For individuals with both schizophrenia and substance use disorders, integrated care is essential. This includes:

  • Coordinated care teams that address both conditions simultaneously.

  • Dual-diagnosis therapy combines mental health and addiction treatment.

  • Medication-assisted treatment (MAT) to manage withdrawal and cravings while stabilizing schizophrenia symptoms.

With the right combination of treatment and support, individuals with schizophrenia and addiction can achieve stability and lead fulfilling lives.

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Schizophrenia and Addiction Controlling Your Life? We Can Help

Understanding what causes schizophrenia involves examining genetics, brain chemistry, and environmental factors. Substance use can worsen symptoms, making treatment more complicated—but recovery is possible. 

At The Edge Treatment Center, we offer comprehensive care for both schizophrenia and co-occurring addiction, including medication management, therapy, and ongoing support. If you or a loved one is struggling, know that help is available. Our team is here to guide you toward stability, healing, and a healthier future. Reach out today—your path to recovery starts now.

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If you or a loved one is struggling with addiction, there is hope. Our team can guide you on your journey to recovery. Call us today.

Written by

the-edge-treatment-center

The Edge Treatment Center

Reviewed by

jeremy-arztJeremy Arzt

Chief Clinical Officer

Mental Health

June 1, 2025

FAQ

Frequently Asked Questions

Early signs include social withdrawal, unusual thoughts, paranoia, difficulty concentrating, and neglect of personal hygiene. Individuals may also experience emotional flatness, decreased motivation, or distorted perceptions. Identifying these symptoms early can lead to better outcomes with prompt treatment and support.

There is no cure for schizophrenia, but with proper treatment, many individuals can manage symptoms and lead fulfilling lives. Antipsychotic medications, therapy, and support systems help reduce episodes and improve daily functioning, allowing for long-term stability and improved quality of life.

Substance use can worsen schizophrenia symptoms, trigger psychotic episodes, and interfere with treatment. Drugs like cannabis, stimulants, and alcohol can increase paranoia and hallucinations, making recovery more complex. Integrated treatment for both schizophrenia and addiction is essential for long-term stability.

Genetics plays a significant role, with individuals having a higher risk if a close relative has schizophrenia. However, environmental factors like stress, trauma, and prenatal conditions also contribute. A combination of genetic predisposition and external triggers are among what causes schizophrenia.

Schizophrenia treatment typically includes antipsychotic medications to manage symptoms, along with therapy options like cognitive-behavioral therapy (CBT), family therapy, and peer support groups. Integrated treatment for co-occurring addiction can improve outcomes and help individuals regain stability in their daily lives.