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Schizophrenia and psychosis treatment in Houston & across Texas
What schizophrenia or other psychosis actually look like?
Schizophrenia, or psychosis, entails being “out of touch with reality”. Thoughts could be seen as strange or far from what is actually possible, such as beliefs of having a superpower, of being able to control minds or events, or of finding hidden messages on TV or the radio.
People can feel as if they are under constant surveillance without evidence of it. They can often hear voices or others speaking when nobody is around. The voices could be telling them what to do.
Some people feel isolated, do not want to come out of their room, and do not interact much with others. They can present as aggressive or irritable at times. Their thinking can be slow, and they can lose their train of thought. They may not be eating as they normally do, presenting with weight loss.
When is it time to see a psychiatrist?
- Someone does not seem like their usual self and is not functioning as they used to: more isolated, not interacting much with family or loved ones, not coming out of their room to eat.
- Feelings that someone is after you, or feeling unsafe.
- Starting to hear voices, often voices telling you what to do or that you are no good.
- Someone has started speaking in a way that does not make much sense, or about things that might not be possible.
- You have ideas that people on TV or the radio, or others in general, are speaking about you.
Treatment options
Several medications have good response evidence as core treatment of schizophrenia and other psychoses. Antipsychotics are often prescribed and can be crucial in the recovery process. Strange beliefs or paranoia can subside or diminish to the point that they no longer affect the person’s interaction with others.
The goal of treatment is to reach the best level of functioning and to look more like your usual self.
The right choice of medication depends on a careful review of your history and of previous medication trials with good outcomes or unwanted adverse effects. Augmentation strategies exist for partial response to core antipsychotic treatment.
Good sleep, physical activity and a great support system that becomes a good ally in your care are great additions to your wellbeing.
All treatment options are carefully reviewed with you, and you will have ample time and understanding to make the right decisions without feeling pressured.
Reviewed by José M. Torrijos, MD Board-certified adult psychiatrist, licensed in Texas. Last reviewed September 2026.
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Frequently asked
My relative feels that there is nothing wrong with him/her and that they do not need a psychiatrist. What can I do?
This is very common. People often lose insight into their condition or their need for treatment. Although you cannot force them to be evaluated, encouraging them to be evaluated is a good first step.
At Tentie Psychiatry we adjust to every situation and every person. We change the pace and style of the interview and adjust to people’s preferences so they feel comfortable, even if they did not want to be there in the first place.
I have heard antipsychotics make you gain weight and have a lot of side effects. Should I take them?
It is true that antipsychotics can make you gain weight and can have adverse effects. However, there are strategies to minimize this burden if it happens, and we will make sure that what you take is what results in the fewest potential adverse effects. The goal is for you to be stable and comfortable with your medication.
My relative does not want to take medication and they are getting worse. What can I do?
Building a great rapport with patients is an integral strategy at Tentie Psychiatry, and this can be crucial for medication adherence. Unfortunately, this problem is common. Strategies for families, and other intervention or medication strategies, will be implemented to minimize medication non-adherence.
If you feel that your relative has become a threat to themselves or others, please call 911 or bring them to the nearest emergency room for proper evaluation and treatment.
