There are numerous classifications of psychiatric disorders, which can be divided into 10 major groups according to international standards (ICD-10). Schizophrenia is the most common disorder in our psychiatrists’ practice, it constitutes the vast majority of inpatients, and is a large group of patients we must face every day. We have found that both patients and families have more or less misunderstandings about this mysterious disease, specifically in the following areas: 1. Denial of reality: always thinking that their children or family members will not be unable to think, that what they have is not a mental illness, and that even when very serious symptoms such as self-talk occur, they do not think they are ill, but just do not think, or believe in God and ghosts, burn incense and worship God, and are reluctant to They are reluctant to accept the treatment of formal therapy. 2, avoid hospitalization: their understanding of the mental health center is stuck in the very early 1900s, always think that “”hexagonal pavilion” is a place to lock up crazy people, can not go”, “hospitalization there will be more and more serious condition, will be used They always think that “other people are more ill, but their own families don’t make a fuss”, and they don’t want to live with them. Unbeknownst to them, the mental health center has undergone a radical change in its content: there are both heavy and light wards, and the same ward is managed separately; inpatient conditions have greatly improved, with both multiple and single rooms, 24-hour hot water, and a home-like environment; treatment methods are also changing rapidly, with a variety of treatments, including medication, psychology, music, painting, dance, painless Electric convulsion therapy, transcranial magnetic stimulation therapy, etc.; patients only have different forms of expression, and living together is generally not contagious. 3, think that the more noisy the patient the more serious the disease: many family members think that mental illness is blind, impulsive hitting, do not know that there are many forms of mental illness manifestations: there are behavioral impulsivity as the prominent performance, there are also perceptual thinking disorders as the primary performance, and there is a lazy life and social withdrawal as the first performance. In clinical practice, we find that the more noisy and excited impulsive patients are, the better the treatment effect and the faster the symptom control; the less noisy, withdrawn and withdrawn patients, the longer the effect time will be, and the efficacy is not as good as the noisy patients. Therefore, the severity of the disease and whether the noise has little to do with. 4, do not need treatment: as mentioned above, lazy life and social withdrawal is also the first manifestation of many patients, that is, we clinically referred to as “negative symptoms”, the family’s misconception often delayed their early consultation and treatment, many patients come to the clinic to find “negative symptoms “This often leads to difficulties in treatment and poor efficacy, so we hope that patients can receive treatment as early as possible, which will often get twice the result with half the effort! That is, patients can achieve maximum efficacy in the shortest time and with the smallest dose of drugs, otherwise, the treatment time is longer and the treatment effect is worse. 5, always want to eradicate: the people always have a good wish, is to eradicate the disease in their own body, so where there is a cure, where there are people spared no blood, a big try. I do not know, the scientific community is still very shallow understanding of the brain is very shallow, so far, the cause of many mental illnesses in the world is not clear, how to talk about the root cause? Most of the current means is symptomatic treatment, as hypertension and diabetes treatment, as long as you adhere to the treatment, most patients can return to normal life, or even cured. 6, fear of Western medicine: always suspected that Western medicine is toxic, the more you eat, the more camp, liver and kidney damage, many families refuse Western medicine, superstitious Chinese medicine or prescriptions, one-sided exaggerated the adverse reactions of Western medicine, it is true that the first generation of antipsychotics do exist more extrapyramidal reactions, such as dull, fidgety, drooling, constipation and other adverse reactions, with the widespread use of the second generation of new antipsychotics, such side effects With the widespread use of second-generation antipsychotics, these side effects have been greatly reduced. From the perspective of evidence-based medicine, most of the western drugs that can be widely used in clinical practice are safe and effective, and most of the side effects are controllable under the conditions of monitoring. 7, always want to stop medication as soon as possible: once the symptoms are controlled, or slightly uncomfortable, think about reducing or stopping the medication, unwilling to adhere to the treatment, resulting in recurrent episodes of the disease, increasingly difficult to control. There is growing evidence that the treatment of mental illness generally requires three phases: acute phase – consolidation phase – maintenance phase, for schizophrenia, the first such episode to continue to adhere to treatment for at least 2-3 years after symptom control, multiple episodes need to adhere to more than 3-5 years; affective psychosis to consolidate treatment after symptom control 6 months For affective psychosis, the treatment should be consolidated for more than 6 months after the symptoms are controlled. 8, always feel that the more you take drugs, the more fat: most patients with mental illness onset of bad food or sleep, some sleepless nights, after the control of psychiatric symptoms, sleep greatly improved, appetite is also much better, many patients began to recover weight, plus the extra care of the family, eat well, move less, weight quietly up, more and more fat, which is part of the drug factor, more is the structure of the diet Irrational and abnormal life pattern. 9, always feel well to raise: many families believe that mental illness, like physical illness, recovery period to recuperate, even lying in bed, send food and drink, fish and meat constantly, more than soup, sleep until natural awakening in the morning, not allowed to do this and that during the day, the more fat, the result is controlled, but the metabolic syndrome also came out, nothing will do.