NAMI - National Alliance on Mental Illness Home | About NAMI | Contact Us | En Espanol  | Donate  
  Advanced Search  

Sign In
Register and Join
What's New
State & Local NAMIs
Advocate Magazine
NAMI Newsroom
NAMI Store
National Convention
Special Needs Estate Planning
NAMI Travel

Top Story

Print this page
Graphic Site
Log Out
 | Print this page | 

Treating Apathy in Schizophrenia

by Jessica Hart, State Advocacy Manager

NAMI’s Ask the Doctor teleconference is a monthly series hosted by NAMI's Medical Director, Dr. Ken Duckworth. Typically, he is joined by another mental health professional or advocate who in turn presents on a topic in his or her area of expertise. Each month, two such calls are hosted; one focuses on adult issues, the other on child and adolescent issues.

In this month’s dialogue on adult issues, Dr. Stephen Marder, M.D. discussed treating apathy in schizophrenia. Dr. Marder defines apathy as a disinterest in daily activities like socializing, working and going to school. He spoke about the causes of apathy, negative symptoms and management strategies.

Causes of Apathy

  • If a person is experiencing auditory or visual delusions and paranoia—“psychosis”—they are less likely to engage in day-to-day activities because the voices and suspiciousness are controlling the majority of their life.
  • A person living with schizophrenia can still experience depression even when they are in recovery—the person will show signs of apathy, which can be attributed to the depression.
  • Excessive doses of antipsychotics can contribute to apathy.

Negative Symptoms Associated with Schizophrenia

Between 40 and 50 percent of people living with schizophrenia who have been treated and are recovering will show evidence of negative symptoms. Negative symptoms include:

  • Emotional flatness or lack of expressiveness.
  • Inability to start and follow through with activities.
  • Lack of pleasure or interest in life.

One distinction of some people living with schizophrenia is they do not expect enjoyable activities to give them pleasure, which likely causes them to not engage in pleasure-seeking behaviors. One example Dr. Marder uses to describe this behavior is through a brownie analogy. If a person living with schizophrenia was given a brownie they can enjoy eating it, but they do not anticipate the pleasure.

Management Strategies

  • New drug treatments are nearing approval, which will help address negative symptoms.
  • Psychosocial treatments:Cognitive Behavioral Therapy (CBT) has shown positive results in treating apathy and negative symptoms.
  • Antidepressants will help improve apathy in some people.

Dr. Marder currently serves as the Director of the VISN 22 Mental Illness Research, Education Clinical Center (MIRECC) for the Department of Veterans Affairs and the Director of the Section on Psychosis at the UCLA Semel Institute for Neuroscience and Human Behavior.

Copyright Date: 08/27/2013

Post a Comment, Share on Facebook

 | Print this page | 


Support NAMI to help millions of Americans who face mental illness every day.

Donate today

Speak Out

Inspire others with your message of hope. Show others they are not alone.

Share your story

Get Involved

Become an advocate. Register on to keep up with NAMI news and events.

Join NAMI Today
Home  |  myNAMI  |  About NAMI  |  Contact Us  |  Jobs  |  SiteMap

Copyright © 1996 - 2011 NAMI. All Rights Reserved.