Fragmented minds, part 2Fragmented minds, part 2
All In The Mind
Schizophrenia is caused by a complex range of genetic and environmental factors but it can seem to occur out of the blue. We hear from a father who first knew his son had schizophrenia when he found him curled up in his wardrobe, psychotic, frozen with fear. We find out about some of the early warning signs and how young people with schizophrenia can be helped to cope with the social isolation and impaired thinking abilities that result from this debilitating brain disorder.
30:14•8 Apr 2006
Fragmented Minds: Schizophrenia, Family Strain and Fresh Ways to Help
Episode Overview
- Early behaviour changes in school, friendships and motivation may precede obvious psychotic symptoms but are hard to distinguish from typical adolescence.
- Medication can reduce disturbing symptoms yet often brings heavy side effects, so support and persistence with treatment are crucial.
- Psychological therapies such as cognitive behavioural approaches can help people make sense of hallucinations, delusions and the depression that often follows psychosis.
- Targeted training, including emotion-recognition programs and computer-based cognitive exercises, may improve social understanding, attention and planning skills.
- Carers face major emotional and physical burdens, sometimes needing police and involuntary hospitalisation, and they call for reduced stigma and better resourcing for schizophrenia research and services.
“"If you've got a broken leg everyone will be sympathetic but if you've got a diseased mind they ignore you."”
How do people manage co-occurring mental and physical health issues while recovering? This episode of All In The Mind turns the spotlight on schizophrenia, shining a very human light on a condition that often feels mysterious and frightening from the outside. Listeners hear from Don Macdonald, a father whose first clue that something was terribly wrong came when he found his teenage son "curled up in a ball inside his wardrobe" hiding from imagined threats.
His account of his son's hallucinations, extreme medication side effects and repeated crises shows how relentless the illness can be for families as well as for the person affected. Psychiatrist Dr Anthony Harris talks through the tricky early signs: falling school marks, social withdrawal and subtle changes in behaviour that can easily be dismissed as "ordinary teenage existence".
He explains how psychosis can suddenly crystallise into paranoia and hallucinations, and why early intervention, medication and psychological support are all important pieces of care. You’ll also hear from researchers working to ease some of schizophrenia’s toughest day‑to‑day challenges. Dr Tamara Russell describes training programs that help people read facial expressions more accurately, so a neutral face doesn’t automatically feel hostile or threatening.
Neuropsychologist Dr Pat Mitchie outlines how subtle memory problems show up in testing, and how that knowledge can guide rehabilitation. There’s even a surprisingly hopeful segment on using computer games to strengthen attention, concentration and planning, helping people get back to study or work. Through it all runs the reality that carers often face physical danger, police involvement and huge emotional strain, while stigma leaves many feeling they have to hide.
It’s a frank mix of science, family experience and practical strategies that raises a quiet but powerful question: how could life change if schizophrenia was met with understanding and proper support rather than fear and silence?

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