In our clinical work, we are always cautious in diagnosing schizophrenia. Such a diagnosis often carries too much mental pressure for the patient and for the family, and the term “schizophrenia” brings a sense of stigma to the patient and often makes patients and their families wonder, “I don’t have Why would a doctor diagnose me with schizophrenia if I don’t have “schizophrenia”? For one reason or another, many experts in the field have suggested changing the name of “schizophrenia” to “perceptual dissonance” in Hong Kong, for example, but while it is important to change the name, I think it is more important to have some basic understanding of the disease. For example, is schizophrenia rare? In fact, it is not uncommon, with a lifetime prevalence rate of about 1% worldwide, which is a large portion of the population. No. Everyone who has the disease will behave similarly, and will not show much difference because of their character, personality, or wealth. The prognosis for most schizophrenia is positive, with only a small number of patients gradually going into decline. With the development of medication in the last decade and the emphasis on psychological rehabilitation, we have every reason to be more optimistic, but the disease is prone to recurrence, so professional maintenance treatment is a must. Every diagnosis of “schizophrenia” is something we do not want to see, but doctors must face the facts, just like a patient with a tumor, although we all hope it is benign, but the test shows that it is indeed malignant, then we must face it, rationally inform the guardian, and slowly guide the patient to know strategically, so that we can develop an effective treatment plan as soon as possible. Otherwise, there is a risk of delaying the diagnosis and treatment. In the consultation room, in the ward, we often face the family’s inquiry, is my relative really schizophrenic, he just sleeps badly, just has emotional problems, just thinks too much, just suffers a frustrating blow, just as a doctor, why do I not want to do so, but if the patient’s condition is really complex, rich in symptoms, and meets the diagnostic criteria for schizophrenia, we must also truthfully inform the family, because only in time to face, in order to carry out timely and effective targeted treatment, to promote recovery from the disease, so that patients return to society, back to the family as soon as possible!