What if the stories we tell about psychosis are the very reason people don’t get help? We sit down with Dr. Mario Gustave to translate centuries of confusion into clear, usable guidance—separating cultural myths from clinical reality and showing how respect and consent shape real outcomes.
We start by tracing the path from early ideas about spirits and imbalance to Hippocratic ethics, classification systems, and Bleuler’s naming of schizophrenia as a break from reality. Then we ground the concept in everyday terms: hallucinations, delusions, disorganized thinking, and negative symptoms like social withdrawal and flat affect. You’ll hear how clinicians use DSM and ICD criteria over time, rule out substances and medical causes, and why onset patterns differ by age and gender. Along the way we address stigma head-on, because language, labels, and assumptions often determine whether someone reaches care or hides in shame.
From there we get practical. We compare typical and atypical antipsychotics, explain dopamine’s role without overselling it, and talk honestly about side effects, adherence, and relapse risk. Skill-based therapies—psychoeducation, social skills, CBT, and supported employment—become the scaffolding that turns symptom control into a functioning life. We spotlight family education and peer groups as powerful protectors against crisis, and we tackle tough topics like distinguishing drug-induced psychosis, recognizing red flags at home or school, and when modern ECT is a safe, effective option.
The takeaway is both hopeful and grounded: schizophrenia is treatable, dignity is essential, and progress comes from steady partnership among patients, families, and clinicians. If this conversation helped you rethink old assumptions, follow the show, share it with a friend, and leave a review to help others find it. Your support helps more families move from fear to informed action.

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