{"id":5409,"date":"2025-03-31T06:54:21","date_gmt":"2025-03-31T05:54:21","guid":{"rendered":"https:\/\/schizophrenia.life\/public\/?page_id=5409"},"modified":"2025-03-31T06:54:21","modified_gmt":"2025-03-31T05:54:21","slug":"sod-chapter-4","status":"publish","type":"page","link":"https:\/\/schizophrenia.life\/public\/sod-chapter-4\/","title":{"rendered":"Chapter 4"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized square-image\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/chess400.png\" alt=\"\" class=\"wp-image-7062\" style=\"object-fit:cover;width:300px;height:300px\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/chess400.png 400w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/chess400-300x300.png 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/chess400-150x150.png 150w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color wp-elements-561f5576719d9164ec6b51f2448b8043 wp-block-paragraph\" style=\"color:#d7988c;font-size:46px\"><strong><strong>Chapter 4<\/strong><\/strong><\/p>\n\n\n\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color has-large-font-size wp-elements-2ceebf7a8bd363dc68b8986bec59af4f wp-block-paragraph\" style=\"color:#d7988c\"><strong>Alcohol use in schizophrenia<\/strong><\/p>\n\n\n\n<p class=\"mb-0 has-text-color has-link-color wp-elements-11b160c12c9a79315d914527544519b8 wp-block-paragraph\" style=\"color:#58595b;font-size:16px\">This chapter explains why people with schizophrenia often turn to alcohol and how it impacts their symptoms and treatment. It also offers guidance on recognizing alcohol misuse in schizophrenia and how families can support the journey to recovery.<\/p>\n\n\n\n<p class=\"has-text-align-center button__primary button-text sod-subchapter-button-d7988c wp-block-paragraph\"><a href=\"\/public\/wp-content\/uploads\/2025\/09\/04_Candid-Book-2_Chapter-4.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download the chapter<\/a><\/p>\n<\/div>\n<\/div>\n\n\n<\/div><\/div><\/div><\/div><div class=\"sod_highlight py-4\"><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper my-0\"><div class=\"entry-content\">\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-95f6eb1f594ffa323423ead78226cce1 wp-block-paragraph\" style=\"color:#d7988c;font-size:26px\"><strong>Fast Facts<\/strong><\/p>\n\n\n\n<p class=\"sod-border-left-d7988c mb-5 wp-block-paragraph\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#d7988c\" class=\"has-inline-color\">Alcohol as a coping mechanism.<\/mark><\/strong><br>Many people with schizophrenia turn to alcohol as a way to cope with distress, social isolation, or symptoms of their condition, but this often leads to worsening mental health and dependence.<\/p>\n\n\n\n<p class=\"sod-border-left-d7988c mb-5 wp-block-paragraph\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#d7988c\" class=\"has-inline-color\">Impact on treatment and health.<\/mark><\/strong><br>Drinking not only makes schizophrenia symptoms harder to manage but also can weaken the effects of antipsychotic medications, increase the risk of relapse, and lower the person\u2019s quality of life.<\/p>\n\n\n\n<p class=\"sod-border-left-d7988c mb-5 wp-block-paragraph\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#d7988c\" class=\"has-inline-color\">Early detection is important.<\/mark><\/strong><br>Recognizing the risk of alcohol use disorder (AUD) when schizophrenia is first diagnosed can help create better and more effective treatment strategies.<\/p>\n\n\n\n<p class=\"sod-border-left-d7988c mb-5 wp-block-paragraph\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#d7988c\" class=\"has-inline-color\">Integrated support.<\/mark><\/strong><br>With integrated care for both schizophrenia and alcohol use disorder, along with strong family support, individuals can achieve stability, improve their health, and rebuild their lives.<\/p>\n\n\n<\/div><\/div><\/div><\/div><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper\"><div class=\"\"><div class=\"entry-content\">\n\n\n\n<div class=\"wp-block-columns mt-7 is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column sod-column sod-column-d7988c is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-4-subchapter-1\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"298\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.1-1.jpg\" alt=\"\" class=\"wp-image-6116\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.1-1.jpg 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.1-1-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-c0fc3766b0753d15ffc315fd40e3c1d8 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 1.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Why do people with schizophrenia turn to alcohol?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-d7988c is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-4-subchapter-2\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc2_400.png\" alt=\"\" class=\"wp-image-7064\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc2_400.png 400w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc2_400-300x300.png 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc2_400-150x150.png 150w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-666f6b946fde8a0ec22ce4e7167c70c9 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 2.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">How does alcohol affect schizophrenia and its treatment?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-d7988c is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-4-subchapter-3\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc3_400.png\" alt=\"\" class=\"wp-image-7065\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc3_400.png 400w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc3_400-300x300.png 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/c4_sc3_400-150x150.png 150w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-12a3514a68280dc9b4a065b8835c13dc wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 3.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">How to detect alcohol misuse in someone with schizophrenia?<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-d7988c is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-4-subchapter-4\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"298\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.4.jpg\" alt=\"\" class=\"wp-image-6119\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.4.jpg 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/4.4-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-8a55d440301199ef623641acd46cc15f wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 4.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">How can you support the journey to mental health and sobriety?<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"custom-css-block\"><style>#aab_accordion_845e193f_0 {  }<\/style><\/div><div class=\"wp-block-aab-accordion-block aab__accordion_container  accessibilityOn\" style=\"margin-top:0px;margin-bottom:15px;border:1px solid #bcb6b638\" id=\"aab_accordion_845e193f_0\" role=\"button\" aria-expanded=\"false\" tabindex=\"0\"><div class=\"aab__accordion_head aab_right_icon \" style=\"background-color:#bcb6b638;border-top:none;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_heading aab_right_icon aab_right_link\"><div class=\"head_content_wrapper\"><div class=\"title_wrapper\"><h5 class=\"aab__accordion_title\" style=\"margin:0\">References<\/h5><\/div><\/div><\/div><div class=\"aab__accordion_icon\" style=\"border:0px solid transparent\"><span class=\"aab__icon dashicons dashicons-plus-alt2\" style=\"font-size:23px\"><\/span><\/div><\/div><div class=\"aab__accordion_body  \" role=\"region\" style=\"display:none;border-top:1px solid #bcb6b638;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_component\">\n<div class=\"wp-block-rea-list-rea-list-block rea-list-block front\"><div class=\"rea-list-block__wrapper\"><div class=\"list-ordered list\"><p>Degenhardt L, Saha S, Lim CCW, Aguilar- Gaxiola S, Al-Hamzawi A, Alonso J, et al. The associations between psychotic experiences and substance use and substance use disorders: findings from the World Health Organization World Mental Health surveys. Addiction [Internet]. 2018 Feb 21;113(5):924\u201334. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29284197\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/29284197\/<\/a><\/p><p>Lv M, Wang X, Wang Z, Li X, Wang L, Tan Y, et al. Alcohol drinking in male patients with chronic schizophrenia: prevalence and its relationship to clinical symptoms. Frontiers in Psychiatry [Internet]. 2023;14:1164968. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37520222\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37520222\/<\/a><\/p><p>Castillo-Carniglia A, Keyes KM, Hasin DS, Cerd\u00e1 M. Psychiatric comorbidities in alcohol use disorder. The Lancet Psychiatry [Internet]. 2019 Oct;6(12). Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7006178\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7006178\/<\/a><\/p><p>Kember RL, Vickers-Smith R, Zhou H, Xu H, Jennings M, Dao C, et al. Genetic Underpinnings of the Transition From Alcohol Consumption to Alcohol Use Disorder: Shared and Unique Genetic Architectures in a Cross-Ancestry Sample. The American Journal of Psychiatry [Internet]. 2023 Aug 1;180(8):584\u201393. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37282553\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37282553\/<\/a><\/p><p>Swendsen J, Ben-Zeev D, Granholm E. Real-Time Electronic Ambulatory Monitoring of Substance Use and Symptom Expression in Schizophrenia. American Journal of Psychiatry [Internet]. 2011 Feb;168(2):202\u20139. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21078705\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/21078705\/<\/a><\/p><p>Canver BR, Newman RK, Gomez AE. Alcohol Withdrawal Syndrome [Internet]. Treasure Island (FL): Stat- Pearls; 2024. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28722912\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28722912\/<\/a><\/p><p>Drake R, Mueser K. Co-Occurring Alcohol Use Disorder and Schizophrenia. Alcohol Health and Research World [Internet]. 2002 Jan;26(2):99\u2013101. Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6683824\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6683824\/<\/a><\/p><p>World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Geneva; 2024 Jun. Available from: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240096745\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.who.int\/publications\/i\/item\/9789240096745<\/a>.<\/p><p>Hunt GE, Large MM, Cleary M, Lai HMX, Saunders JB. Prevalence of comorbid substance use in schizophrenia spectrum disorders in community and clinical settings, 1990\u20132017: Systematic review and meta-analysis. Drug and Alcohol Dependence [Internet]. 2018 Oct;191:234\u201358. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30153606\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30153606\/<\/a><\/p><p>Jones RM, Lichtenstein P, Grann M, L\u00e5ngstr\u00f6m N, Fazel S. Alcohol Use Disorders in Schizophrenia: A National Cohort Study of 12,653 Patients. The Journal of Clinical Psychiatry [Internet]. 2011 Jun 15 [cited 2020 Oct 30];72(6):775\u20139. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21733478\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/21733478\/<\/a><\/p><p>Levit JD, Meyers JL, Georgakopoulos P, Pato MT. Risk for alcohol use problems in severe mental illness: Interactions with sex and racial\/ethnic minority status. Journal of Affective Disorders [Internet]. 2023 Mar 15;325:329\u201336. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36587907\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36587907\/<\/a><\/p><p>Robinson L, Smith M, Segal J. Dual diagnosis: Substance abuse and mental health [Internet]. HelpGuide.org. 2018 [cited 2025 Jul 11]. Available from: <a href=\"https:\/\/www.helpguide.org\/articles\/addictions\/substance-abuse-and-mental-health.htm\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.helpguide.org\/articles\/addictions\/substance-abuse-and-mental-health.htm<\/a><\/p><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 4 Alcohol use in schizophrenia This chapter explains why people with schizophrenia often turn to alcohol and how it impacts their symptoms and treatment. It also offers guidance on recognizing alcohol misuse in schizophrenia and how families can support the journey to recovery. Download the chapter Fast Facts Alcohol as a coping mechanism.Many people [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sod.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"","rea_page_title_signed_out_meta_block_field":"","rea_page_description_signed_in_meta_block_field":"","rea_page_description_signed_out_meta_block_field":"","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-5409","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5409","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/comments?post=5409"}],"version-history":[{"count":0,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5409\/revisions"}],"wp:attachment":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/media?parent=5409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}