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Schizophrenia Treatment

Steady care for psychosis and related conditions

Schizophrenia Treatment

Care across California

100% secure video visits

In short

We provide evaluation and long-term medication management for schizophrenia, schizoaffective disorder, and related psychotic conditions, with regular monitoring and family involvement when you want it.

What this includes

Thorough evaluation, including ruling out medical causes
Antipsychotic medication management and side-effect monitoring
Lab monitoring for metabolic health
Relapse-prevention planning with family involvement

Who this is for

Teens and adults living with schizophrenia or psychotic symptoms, and families supporting them.

If someone is in crisis right now

If someone is a danger to themselves or others, or is too unwell to stay safe, call 911 or go to the nearest emergency department. Call or text 988 for the Suicide and Crisis Lifeline, which also supports family members. Telehealth works well for ongoing care, but it is not the right place to manage an acute psychotic crisis.

Understanding it

A treatable illness, not a split personality

Schizophrenia affects how a person perceives reality, thinks, and relates to others. It is often misunderstood as a split personality. It is not. It is an illness of perception and thinking, and with steady treatment many people live stable, meaningful lives.

The symptoms usually fall into three groups. Positive symptoms are experiences that are added, such as hearing voices or holding fixed beliefs that others do not share. Negative symptoms are things that are taken away, such as motivation, expression, and interest in other people. Cognitive symptoms affect attention, memory, and planning.

It most often first appears in the late teens to early thirties. The early signs are frequently subtle: withdrawing from friends, a drop in school or work performance, poor sleep, suspiciousness, or unusual ideas. Getting an assessment early matters, because treatment started sooner tends to lead to better long-term outcomes.

What we treat

Conditions on the psychosis spectrum

Schizophrenia

Ongoing psychotic symptoms with changes in thinking, motivation, and daily functioning.

Schizoaffective disorder

Psychotic symptoms together with significant depressive or manic episodes.

Schizophreniform and brief psychotic disorders

Psychotic symptoms that have lasted a shorter time, where careful follow-up clarifies the diagnosis.

Delusional disorder

Fixed beliefs that others do not share, often with otherwise intact day-to-day functioning.

How care works

What treatment looks like

  1. 01

    A thorough evaluation

    Your provider reviews the history of symptoms, medical history, substance use, and family history, and rules out medical causes. With your permission, a family member's account is often very helpful.

  2. 02

    Choosing a medication together

    Antipsychotic medication is the foundation of treatment. The choice balances how well it works against side effects such as weight gain, sleepiness, or restlessness, and your own preferences.

  3. 03

    Monitoring your physical health

    Some antipsychotics affect weight, blood sugar, and cholesterol, so regular lab work is part of care. Labs are arranged at a location near you.

  4. 04

    Regular follow-up

    Frequent visits early on, then steady follow-ups once things are stable, to track symptoms, side effects, and how daily life is going.

  5. 05

    Relapse prevention

    Together you identify your personal early warning signs, such as poor sleep, suspiciousness, or pulling away, and agree on what to do if they appear.

Beyond medication

Support that makes recovery last

  • Family involvement

    When you agree to it, involving family in planning reduces relapse and helps everyone know how to help.

  • Therapy and skills support

    Referral to therapy, including cognitive behavioral therapy for psychosis, and support with work, school, and social life.

  • Staying on treatment

    Stopping medication is the most common reason for relapse. We talk openly about side effects and doubts so they can be solved rather than hidden.

  • Coordination with local services

    Some treatments, such as long-acting injections, need an in-person visit. We coordinate with a local pharmacy or clinic when that is the best option.

Common questions

What patients and families ask

Can schizophrenia be treated through telehealth?

Yes, for ongoing care. Evaluation, medication management, and regular follow-up work well by secure video. An acute crisis needs emergency care in person, and some treatments such as injections are given locally.

Will I need to take medication for life?

It depends on your history. After a first episode, some people can eventually reduce medication under close supervision. After several episodes, long-term treatment is usually the safest choice. Any change is planned together, never stopped suddenly.

Can a family member join the appointments?

Yes, with the patient's permission. Family members often notice early warning signs first, and their involvement is one of the most helpful parts of care.

What if the side effects are hard to live with?

Tell your provider. There are many antipsychotics with different side-effect profiles, and doses can be adjusted. Side effects are a reason to change the plan, not to stop treatment on your own.

Your care, your pace

Ready to take the next step?

Start with a secure video visit and a provider who will listen closely.