Psychosis is a state of impaired reality which may include hallucinations and delusions. Experiencing psychosis can impair your functioning and have a negative effect on various aspects of your daily life, such as work, school, and the ability to maintain relationships. Being in a state of psychosis can be extremely frightening and confusing. Many times, it can be difficult for loved ones, caregivers, and even medical professionals to understand what it's like to experience psychosis. Host Rache...
Jul 16, 2025•54 min
The story of schizophrenia has too often been told through a lens of fear and misunderstanding. But that’s changing. Thanks to relentless advocates, awareness campaigns, and policy reform, stigma is being challenged and access to care is improving. But how do we join this fight? What does real advocacy look like — and where do we even begin? In this episode, host Rachel Star Withers, who lives with schizophrenia, and co-host Gabe Howard share their own advocacy journeys and break down the many w...
Jun 18, 2025•42 min
Up to 70% of people with schizophrenia don’t take their medication as prescribed. This nonadherence is tied to higher risks of psychosis, relapse, ongoing symptoms, and even suicide attempts. So why do so many people with schizophrenia struggle to stay on their meds — despite such serious consequences? And what can actually be done about it? In this episode of Inside Schizophrenia, host Rachel Star Withers — who lives with schizophrenia — and co-host Gabe Howard explore the complicated reality b...
May 21, 2025•53 min
Many adults with schizophrenia rely on family members for daily support, often depending on parents in their 50s or 60s. As these parents grow older, they face mounting physical and emotional challenges — along with the pressing question of who will care for their child in the future. In this episode of Inside Schizophrenia, host Rachel Star Withers, who lives with schizophrenia, and co-host Gabe Howard dive into the unique struggles of aging parents caring for an adult child with schizophrenia....
Apr 16, 2025•46 min
Schizophrenia is a complex and often misunderstood mental illness, and misinformation and stigma surrounding the condition are still prevalent in our societies. The stereotypes and the myths of schizophrenia create challenges for people with diagnosed schizophrenia, but also for healthcare workers, family members, and caretakers. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard break down the top myths surrounding schizophrenia. Remember, just because society believes...
Mar 19, 2025•42 min
Everyone has felt overwhelmed by loud noises, bright lights, or strong smells — but for people with schizophrenia, sensory overload can be constant and intense. Sensory processing dysfunction can make everyday sights, sounds, and touches feel overwhelming, leading to a phenomenon called “sensory flooding . ” It can also make it harder to filter out background noise, identify sensory sources, and focus on tasks — sometimes even contributing to symptoms of psychosis like hallucinations and delusio...
Feb 19, 2025•51 min
The average age of onset for schizophrenia is in early adulthood, late teens to early 30s. This is an intense stage of life for anyone — graduating high school, first time living on your own, entering the workforce, attending college, and figuring out what you want to do with your life and who you want to be. Now add experiencing psychosis for the first time, hallucinations, delusions and losing touch with reality. In this episode of Inside Schizophrenia, hosts Rachel Star Withers and Gabe Howar...
Jan 15, 2025•45 min
Approximately one-fifth of the U.S. population lives in a rural area, and about one-fifth of those living in rural areas, or about 6.5 million individuals, have a mental illness. People living in rural areas have a more difficult time getting proper diagnoses and treatment for serious mental illnesses like schizophrenia. This is due to multiple factors, including a lack of healthcare providers, costs, and social stigmas surrounding schizophrenia in these areas. Host Rachel Star Withers, a diagno...
Dec 18, 2024•41 min
Cognitive deficits are a core feature of schizophrenia and account for much of the impaired functioning associated with this disorder. What are the cognitive deficits associated with schizophrenia? When do they start? Do they ever stop? And does cognitive decline continue throughout our lives? And most importantly, how do we treat these cognitive deficits? In this episode of Inside Schizophrenia, host Rachel Star Withers and co-host Gabe Howard discuss how the cognitive symptoms of schizophrenia...
Nov 20, 2024•46 min
Hope is a crucial element that can significantly influence recovery for people with schizophrenia. It offers a pathway to resilience, empowerment, and a fulfilling life. However, schizophrenia is a disabling psychiatric condition that impacts 1% of people worldwide and ranks among the top ten global causes of disability. It can be difficult to remain hopeful with statistics like that. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard explore how to find hope with a sch...
Oct 16, 2024•53 min
A common symptom of schizophrenia is anosognosia. Anosognosia is when a person is unaware that they have mental health condition or cannot perceive their condition accurately. It is believed that between 50% to 98% of people with schizophrenia have some form of anosognosia. Is anosognosia that common? Could it be confused with denial? And how can caregivers, family, and loved ones of people with schizophrenia help them gain awareness into the disorder? Host Rachel Star Withers, a diagnosed schiz...
Sep 18, 2024•44 min
Since the 1950s, the go-to treatment for schizophrenia has been oral antipsychotics. However, the landscape of schizophrenia treatment is changing and evolving, from advancements in antipsychotic long-acting injections to promising new treatments targeting muscarinic receptors to different types of neuromodulation stimuli of the brain, and even new theories connecting schizophrenia to other diseases like chronic traumatic encephalopathy (CTE). Host Rachel Star Withers, a diagnosed schizophrenic,...
Aug 21, 2024•40 min
“Schizoposting” is a growing internet trend that involves posting violent images, videos, text posts, and memes as if the creator is having a mental breakdown. It has become associated with hate movements, and people are using schizoposting as a medium to desensitize and encourage others to violent impulses and unpredictable behavior. In this episode of Inside Schizophrenia, host Rachel Star Withers, who has been diagnosed with schizophrenia, and co-host Gabe Howard explore the online world of s...
Jul 17, 2024•49 min
How do you refer to a person who has been diagnosed with schizophrenia? “Person with schizophrenia” or “schizophrenic?” What about other words, for example, “crazy, insane, psycho, or schizo?” The words we use carry meaning and stigma but also information and identity. Hosts Rachel Star Withers and Gabe Howard explore person-first language versus condition-first language when discussing people with schizophrenia. NAMI’s (National Alliance on Mental Illness) chief medical officer, Dr. Ken Duckwor...
Jun 19, 2024•44 min
People with schizophrenia are at a greater risk of developing type 2 diabetes than the general population. Diabetes is seen in 1 in 5 people with schizophrenia. Metabolic syndrome occurs in 1 in 3 people with schizophrenia. What is causing these physical illnesses in people with schizophrenia? Is this just due to our lifestyle factors? How significant a role does medication for schizophrenia play in developing these illnesses? And how can we manage to stay physically healthy with schizophrenia? ...
May 15, 2024•54 min
Treatment for schizophrenia is a tough journey for people with the illness but also for caregivers and loved ones. Due to cognitive symptoms, hallucinations, and delusions, a person with schizophrenia may not be able to make decisions on treatment or take care of themselves. When should caregivers step in to legally take control over a person with schizophrenia? What are the types of involuntary treatment? What are the other options available to people with schizophrenia and caregivers? Host Rac...
Apr 17, 2024•52 min
People with schizophrenia have a 10% rate of suicide compared with the general population population’s 1.3% rate of suicide. Suicide is the biggest reason for the decreased life expectancy of people with schizophrenia. Around 40–79% of people with schizophrenia have reported having suicidal thoughts. Why is the rate of suicide higher among people with schizophrenia? Are there specific risk factors that have been identified for our population? And most important, how can we prevent suicide and ke...
Mar 20, 2024•55 min
There is a huge gap in how people with schizophrenia are expected to recover and then integrate back into society. Many of us are in active treatment and managing symptoms. Now what? How do we function in life? How do we fit into society? We all want friends, to have a purpose, to belong. These desires fall under community involvement. Integration into the community is recognized as an important component of recovery for those with severe mental illness. It is also one of our biggest challenges....
Feb 21, 2024•40 min
Impulsive thoughts to harm yourself or others, confusing delusional thoughts, thoughts commanding you to do things — all of these are terrifying to experience. A breakdown in the thought process is a hallmark of schizophrenia. When does an intrusive thought become delusional and something a person might act upon? If a person has disturbing violent thoughts, are they dangerous? Host Rachel Star Withers, who has schizophrenia, shares her personal struggles with disturbing, intrusive, violent thoug...
Jan 17, 2024•54 min
Living with a diagnosis of schizophrenia means that you and those around you will experience multiple losses as you navigate the disorder. It can take away relationships, employment, education, performance, independence, and sense of self. Will I keep getting worse? What happens if I have another psychotic episode? What will my life look like in 10 years? What if I can’t take care of myself? It’s normal to grieve the life you or a loved one lost to schizophrenia. But, what does that grief look l...
Dec 20, 2023•48 min
When a mental health crisis hits, it can catch everyone off guard—the person experiencing the crisis and those around them. For many with schizophrenia, this is a person’s first psychotic episode. As a caregiver, friend, or loved one, how do you get help for them? And how does the system work? Today, host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard are discussing navigating schizophrenia as a caregiver. Their guest, Scott Joffrion, father of an adult son with schizoaf...
Nov 15, 2023•58 min
The LGBTQIA+ community and psychiatry have had a very troubled past, especially when it comes to schizophrenia. Some of the first theories for the causes of schizophrenia actually centered around bisexual desires. There were even theories that people living with schizophrenia were all asexual due to the negative symptoms of schizophrenia. And those are just two examples. In this episode, we discuss LGBTQIA+ issues in relation to schizophrenia, what psychiatry got wrong, and what current studies ...
Oct 18, 2023•49 min
When managing schizophrenia, many of us have come to accept that there is a stigma around the disorder. But what happens when the stigma is from the medical professionals who are supposed to be treating, diagnosing, and helping you? Mental health professionals can even turn away people with a schizophrenia diagnosis. When we've been turned away by a therapist, psychologist, what happens next? Where do we end up? Studies have found that mental health professionals have a tendency to view people w...
Sep 20, 2023•52 min
Up to 80% of people with schizophrenia aren't aware they're experiencing early schizophrenia symptoms. Most people with schizophrenia go through a prodromal stage, where there's subtle changes in mood, thinking, and behavior. It's an evolution of the symptoms to come. Early indicators vary based on the age they start. An adult who develops schizophrenia will experience different signs than a child who develops the condition. Host Rachel Star Withers and cohost Gabe Howard explore the early signs...
Aug 16, 2023•42 min
True crime TV shows, podcasts, and books love to explore the minds of serial killers. To perform such heinous acts a person must be “insane,” “crazy,” and “mentally unstable.” Over time, the “schizophrenic serial killer” became the monster behind many of these crimes. But is it true? Where did the stereotype of serial killers having schizophrenia come from? When was schizophrenia first considered to be a violent mental illness? What's the truth to the myth of the schizophrenic serial killer? In ...
Jul 19, 2023•46 min
Are you having trouble with mental illness or are you really good at managing it? Humor can heal or hurt. Is schizophrenia something to joke about? Should you make jokes about mental illness? Schizophrenia is a very serious topic, but it can be exhausting to be serious all the time. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard find the humor in having schizophrenia in this episode of Inside Schizophrenia. TikTok star comedian Kody Green joins to share his journey ...
Jun 21, 2023•45 min
Schizophrenia affects approximately 24 million people worldwide. But does schizophrenia present the same way in every country? How do culture, religion, tradition, or even politics influence the presentation of schizophrenia? Cross-cultural awareness of psychiatric symptoms helps us to understand our ever-changing global society. In today’s episode, hosts Rachel Star Withers and Gabe Howard explore studies and cases across the world and throughout history to discover how culture influences schiz...
May 17, 2023•46 min
One of the scariest things about schizophrenia is the very beginning, getting that diagnosis and learning that you — or a person that you love — has a lifelong serious mental illness. Especially in the beginning, it can be a difficult thing to accept. In fact, many people reject the idea that they're sick at all, often choosing to think, “Hey, I have a problem, but I don't need help” instead. However, accepting a diagnosis of schizophrenia is the first step to getting treatment, which is the fir...
Apr 19, 2023•53 min
Electroconvulsive therapy (ECT) has been shown to be an effective treatment for people with schizophrenia, especially those with treatment-resistant schizophrenia. However, it’s not often brought up as an option for treatment. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard explore Rachel’s own past treatment with ECT, the intense side effect of memory loss, and why ECT is not being offered to more people with schizophrenia. Today’s guest is “Ashley” who is currently...
Mar 15, 2023•45 min
Why are some people with schizophrenia able to live alone and others can’t? Why do some seem to recover while others have symptoms that persist for their entire lives? Why is suicide the leading cause of premature death in people with schizophrenia? Many people say the answer lies in psychological resilience. So, does that mean some people have more psychological resilience than others? Does having a mental disorder mean your brain is less resilient to start with? Hosts Rachel Star Withers and G...
Feb 15, 2023•47 min
