Schizophrenia is a mental health condition that affects thinking, perception, emotions and behavior1. In Arabic, it may be described as either a “psychological” or a “mental” illness. These words do not mean two different conditions, or that one is mild while the other means permanent loss of reason. Clinically, what matters is the nature and impact of the symptoms2, assessment and the care the person needs.
Choosing one of these words does not determine someone’s future or treatment. Medication, psychological treatment, and family and social support can work together in schizophrenia care1. What the person needs is discussed with them according to their situation and goals, rather than decided by the word “mental” or “psychological.”
Schizophrenia does not mean multiple personalities
A condition that can include hallucinations, fixed beliefs not based in reality and difficulty organizing thoughts, alongside other problems with motivation, attention or everyday functioning.
Psychosis
A group of symptoms affecting the perception of reality, such as hallucinations and delusions. Psychosis can occur in schizophrenia or other conditions; it does not establish schizophrenia by itself.
Dissociative identity disorder
A different disorder that can involve distinct identities and gaps in memory and needs specialist assessment. It is not another name for schizophrenia.
It is more useful to move from judging the label to a specific question: what is difficult for the person now, and what do they want to regain? Their goal may be returning to classes, sleeping better or having a conversation without voices distracting them. Ask what they need rather than speaking about them as though they are absent. Participation in care decisions1 is an important part of support.
If you have recently heard the diagnosis, what can you ask?
You do not have to understand everything at the first appointment. Ask the clinician for a clear explanation:
Is the diagnosis confirmed, or do we currently know only that there are psychotic symptoms needing follow-up?
What other causes or conditions have you assessed?
What is the purpose of each part of the care plan, and what signs should prompt urgent contact?
How will the person take part in decisions, and which family members do they want involved?
If a relative asks, “Does that mean they've become someone else?” you could respond: “Schizophrenia doesn't mean having two personalities2. Let's understand what they're experiencing and what help they want.” Saying “a person with schizophrenia” keeps the person distinct from the diagnosis1.
If there is no diagnosis yet, do not wait to settle whether to call the problem mental or psychological. Seek prompt medical assessment of new symptoms or symptoms affecting everyday life. If there is a risk of harm, voices telling someone to cause harm, severe agitation, rapidly worsening hallucinations, sudden confusion, or speech that does not make sense, get immediate help. In Saudi Arabia, call 997 for an ambulance. While safety can be maintained, 937 can offer consultation about the next step7; do not use it to delay an ambulance call6.
Is schizophrenia a mental or a psychological illness?
Schizophrenia is a mental health condition that affects thinking, perception, emotions and behavior. In Arabic, it may be described as either a “psychological” or a “mental” illness, but these words do not mean two different conditions, or that one is mild while the other means permanent loss of reason. Choosing one of these words does not determine someone’s future or treatment.
Is schizophrenia the same as split personality?
No. The Arabic expression «انفصام الشخصية», sometimes used for schizophrenia, can suggest “split personality” and cause confusion. Schizophrenia can include hallucinations, fixed beliefs not based in reality and difficulty organizing thoughts. Dissociative identity disorder, previously called multiple personality disorder, is a different disorder that can involve distinct identities and gaps in memory. It is not another name for schizophrenia.
Can someone with schizophrenia have an ordinary life?
A diagnosis alone cannot tell you someone's future or all of their abilities. Symptoms can be severe at times, but their impact and course vary. Care can help people continue studying, working and building relationships, while others may need more support or support for longer. Medication, psychological treatment, and family and social support can work together in schizophrenia care.
What is the difference between schizophrenia and psychosis?
Psychosis is a group of symptoms affecting the perception of reality, such as hallucinations and delusions. It can occur in schizophrenia or other conditions, and it does not establish schizophrenia by itself. Hearing voices or changes in behavior can have several causes, including health conditions, medicines or substances, so a name found online cannot settle the cause.
When should I get urgent help for schizophrenia symptoms?
Get immediate help if there is a risk of harm, voices telling someone to cause harm, severe agitation, rapidly worsening hallucinations, sudden confusion, or speech that does not make sense. In Saudi Arabia, call 997 for an ambulance. While safety can be maintained, 937 can offer consultation about the next step; do not use it to delay an ambulance call. New symptoms, or symptoms affecting everyday life, need prompt medical assessment.
Content writer and researcher at Tatmeen, writing in Arabic and English about mental health and everyday life, from relationships and stress to work, habits, and family.
Every Tatmeen article is reviewed by care providers licensed by the Saudi Commission for Health Specialties, so what you read is accurate and trustworthy.
This article builds understanding and does not replace a licensed care provider.
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In Arabic, it may be described as either a “psychological” or a “mental” illness, but these words do not mean two different conditions, or that one is mild while the other means permanent loss of reason. Choosing one of these words does not determine someone’s future or treatment.</p>"},{"question":"Is schizophrenia the same as split personality?","answer":"<p>No. The Arabic expression «انفصام الشخصية», sometimes used for schizophrenia, can suggest “split personality” and cause confusion. Schizophrenia can include hallucinations, fixed beliefs not based in reality and difficulty organizing thoughts. Dissociative identity disorder, previously called multiple personality disorder, is a different disorder that can involve distinct identities and gaps in memory. It is not another name for schizophrenia.</p>"},{"question":"Can someone with schizophrenia have an ordinary life?","answer":"<p>A diagnosis alone cannot tell you someone's future or all of their abilities. Symptoms can be severe at times, but their impact and course vary. Care can help people continue studying, working and building relationships, while others may need more support or support for longer. Medication, psychological treatment, and family and social support can work together in schizophrenia care.</p>"},{"question":"What is the difference between schizophrenia and psychosis?","answer":"<p>Psychosis is a group of symptoms affecting the perception of reality, such as hallucinations and delusions. It can occur in schizophrenia or other conditions, and it does not establish schizophrenia by itself. Hearing voices or changes in behavior can have several causes, including health conditions, medicines or substances, so a name found online cannot settle the cause.</p>"},{"question":"When should I get urgent help for schizophrenia symptoms?","answer":"<p>Get immediate help if there is a risk of harm, voices telling someone to cause harm, severe agitation, rapidly worsening hallucinations, sudden confusion, or speech that does not make sense. In Saudi Arabia, call 997 for an ambulance. While safety can be maintained, 937 can offer consultation about the next step; do not use it to delay an ambulance call. New symptoms, or symptoms affecting everyday life, need prompt medical assessment.</p>"}],"beforeSourcesHtml":"\n","sources":[{"title":"World Health Organization: Schizophrenia","href":"https://www.who.int/news-room/fact-sheets/detail/schizophrenia","hostname":"who.int"},{"title":"National Institute of Mental Health: Schizophrenia","href":"https://www.nimh.nih.gov/health/publications/schizophrenia","hostname":"nimh.nih.gov"},{"title":"NHS: Dissociative disorders","href":"https://www.nhs.uk/mental-health/conditions/dissociative-disorders/","hostname":"nhs.uk"},{"title":"National Institute of Mental Health: Understanding Psychosis","href":"https://www.nimh.nih.gov/health/publications/understanding-psychosis","hostname":"nimh.nih.gov"},{"title":"NHS: Hallucinations and hearing voices","href":"https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/hallucinations-hearing-voices/","hostname":"nhs.uk"},{"title":"Saudi Red Crescent Authority: Ambulance number 997","href":"https://www.srca.gov.sa/en/contact-us/","hostname":"srca.gov.sa"},{"title":"Saudi Ministry of Health: Telemedicine and 937","href":"https://www.moh.gov.sa/en/ministry/information-and-services/pages/telemedicine.aspx","hostname":"moh.gov.sa"},{"title":"NHS: Schizophrenia diagnosis","href":"https://www.nhs.uk/mental-health/conditions/schizophrenia/diagnosis/","hostname":"nhs.uk"}],"afterSourcesHtml":"\n","blocks":[{"type":"html","html":"<p>Schizophrenia is a mental health condition that <a href=\"https://www.who.int/news-room/fact-sheets/detail/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">affects thinking, perception, emotions and behavior</a>. In Arabic, it may be described as either a “psychological” or a “mental” illness. These words do not mean two different conditions, or that one is mild while the other means permanent loss of reason. Clinically, what matters is the <a href=\"https://www.nimh.nih.gov/health/publications/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">nature and impact of the symptoms</a>, assessment and the care the person needs.</p>\n<p>Choosing one of these words does not determine someone’s future or treatment. Medication, psychological treatment, and family and social support can <a href=\"https://www.who.int/news-room/fact-sheets/detail/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">work together in schizophrenia care</a>. What the person needs is discussed with them according to their situation and goals, rather than decided by the word “mental” or “psychological.”</p>\n<h2 id=\"article-section-schizophrenia-does-not-mean-multiple-personalities\" data-toc-heading tabindex=\"-1\"><span id=\"schizophrenia-does-not-mean-multiple-personalities-1\" aria-hidden=\"true\"></span>Schizophrenia does not mean multiple personalities</h2>\n<p>The Arabic expression «انفصام الشخصية», sometimes used for schizophrenia, can suggest “split personality” and cause confusion. The medical condition discussed here is <strong>schizophrenia</strong>. It is <a href=\"https://www.nimh.nih.gov/health/publications/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">different from dissociative identity disorder</a>, <a href=\"https://www.nhs.uk/mental-health/conditions/dissociative-disorders/\" target=\"_blank\" rel=\"noopener noreferrer\">previously called multiple personality disorder</a>.</p>\n<div class=\"table-block\"><table>\n<thead>\n<tr>\n<th>Term</th>\n<th>What it means</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td><strong>Schizophrenia</strong></td>\n<td>A condition that can include hallucinations, fixed beliefs not based in reality and difficulty organizing thoughts, alongside other problems with motivation, attention or everyday functioning.</td>\n</tr>\n<tr>\n<td><strong>Psychosis</strong></td>\n<td>A group of symptoms affecting the perception of reality, such as hallucinations and delusions. Psychosis can occur in schizophrenia or other conditions; it does not establish schizophrenia by itself.</td>\n</tr>\n<tr>\n<td><strong>Dissociative identity disorder</strong></td>\n<td>A different disorder that can involve distinct identities and gaps in memory and needs specialist assessment. It is not another name for schizophrenia.</td>\n</tr>\n</tbody>\n</table></div>\n<p>These <a href=\"https://www.nhs.uk/mental-health/conditions/dissociative-disorders/\" target=\"_blank\" rel=\"noopener noreferrer\">distinctions help you understand medical language</a>; they are not a table for diagnosing yourself or someone else. Hearing voices or changes in behavior can have several causes, including <a href=\"https://www.nimh.nih.gov/health/publications/understanding-psychosis\" target=\"_blank\" rel=\"noopener noreferrer\">health conditions, medicines or substances</a>. A name found online cannot settle the cause.</p>\n<h2 id=\"article-section-does-schizophrenia-mean-someone-cannot-have-an-ordinary-life\" data-toc-heading tabindex=\"-1\"><span id=\"does-schizophrenia-mean-someone-cannot-have-an-ordinary-life-2\" aria-hidden=\"true\"></span>Does schizophrenia mean someone cannot have an ordinary life?</h2>\n<p>Symptoms can be severe at times, but <a href=\"https://www.nimh.nih.gov/health/publications/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">their impact and course vary</a>. Care can help people <a href=\"https://www.who.int/news-room/fact-sheets/detail/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">continue studying, working and building relationships</a>, while others may need more support or support for longer. A diagnosis alone cannot tell you someone's future or all of their abilities.</p>\n<p>It is more useful to move from judging the label to a specific question: what is difficult for the person now, and what do they want to regain? Their goal may be returning to classes, sleeping better or having a conversation without voices distracting them. Ask what they need rather than speaking about them as though they are absent. <a href=\"https://www.who.int/news-room/fact-sheets/detail/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">Participation in care decisions</a> is an important part of support.</p>\n<h2 id=\"article-section-if-you-have-recently-heard-the-diagnosis-what-can-you-ask\" data-toc-heading tabindex=\"-1\"><span id=\"if-you-have-recently-heard-the-diagnosis-what-can-you-ask-3\" aria-hidden=\"true\"></span>If you have recently heard the diagnosis, what can you ask?</h2>\n<p>You do not have to understand everything at the first appointment. Ask the clinician for a clear explanation:</p>\n<ul>\n<li>Is the diagnosis confirmed, or do we currently know only that there are psychotic symptoms needing follow-up?</li>\n<li>What other causes or conditions have you assessed?</li>\n<li>What is the purpose of each part of the care plan, and what signs should prompt urgent contact?</li>\n<li>How will the person take part in decisions, and which family members do they want involved?</li>\n</ul>\n<p>If a relative asks, “Does that mean they've become someone else?” you could respond: “Schizophrenia <a href=\"https://www.nimh.nih.gov/health/publications/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">doesn't mean having two personalities</a>. Let's understand what they're experiencing and what help they want.” Saying “a person with schizophrenia” keeps the <a href=\"https://www.who.int/news-room/fact-sheets/detail/schizophrenia\" target=\"_blank\" rel=\"noopener noreferrer\">person distinct from the diagnosis</a>.</p>\n<p>If there is no diagnosis yet, do not wait to settle whether to call the problem mental or psychological. Seek prompt medical assessment of new symptoms or symptoms affecting everyday life. If there is a risk of harm, voices telling someone to cause harm, severe agitation, rapidly worsening hallucinations, sudden confusion, or speech that does not make sense, get immediate help. In Saudi Arabia, call <strong>997</strong> for an ambulance. While safety can be maintained, <strong>937</strong> can <a href=\"https://www.moh.gov.sa/en/ministry/information-and-services/pages/telemedicine.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">offer consultation about the next step</a>; <a href=\"https://www.srca.gov.sa/en/contact-us/\" target=\"_blank\" rel=\"noopener noreferrer\">do not use it to delay an ambulance call</a>.</p>\n<p>For assessment, treatment and family communication, read <a href=\"https://tatmeen.sa/en/blog/schizophrenia/\">Schizophrenia: symptoms, treatment and family support</a>.</p>\n<p>If a child or adolescent has these symptoms, <a href=\"https://www.nhs.uk/mental-health/conditions/schizophrenia/diagnosis/\" target=\"_blank\" rel=\"noopener noreferrer\">seek prompt assessment from a specialist</a> with relevant 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