The Frida Blog

Plain-language, educational articles on schizophrenia, psychosis, antipsychotic medications, and lived experience — by ColdAI.

940 articles, updated weekly

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Latest articles

Assisted living for schizophrenia

Assisted living can be a good fit for adults with schizophrenia who need help with daily tasks and medical oversight without round-the-clock nursing care.

22q11.2 deletion syndrome and schizophrenia

Roughly one in four people with 22q11.2 deletion syndrome develops schizophrenia or a related psychotic disorder. The condition is the strongest single genetic risk factor for schizophrenia known.

COPD, smoking, and schizophrenia

Chronic obstructive pulmonary disease is several times more common in people with schizophrenia than in the general population — and almost all of it is driven by tobacco smoking.

Iloperidone (Fanapt): titration, orthostasis, and use cases

Iloperidone has one of the lowest EPS profiles among second-generation antipsychotics — but it requires patient titration to manage blood pressure drops. The trade-off defines who it fits.

Finding my faith again after religious delusions

After my episode I could not walk into a church for three years. The thought of God was tangled up with the worst weeks of my life. Here is how I slowly came back to faith without going back to the delusions.

ACT (Acceptance and Commitment Therapy) for psychosis

Acceptance and Commitment Therapy does not try to silence voices or correct delusions. It teaches the person how to live a values-based life with whatever the mind delivers.

Wearables for schizophrenia: what the data really show

Smartwatches, Fitbits and rings now produce huge volumes of data. Here's what's genuinely useful for schizophrenia, what's still research, and what to ignore.

Going to the dentist when you have schizophrenia

Dental visits are skipped at high rates by people with schizophrenia. Here is how to make the appointment, get through it, and protect your teeth between visits.

How my faith tradition supports my recovery

My grandmother taught me to pray before she taught me to read. When I was diagnosed with schizophrenia at 30, my church did not save me. But it held me while medication and therapy did the saving.

NMS (Neuroleptic Malignant Syndrome): a deep dive

NMS is rare — but when it happens, hours matter. The full clinical picture, the differential, and what re-introduction of antipsychotics looks like afterward.

Life after twenty years of psychosis

I was diagnosed at 20. I am 47. The first twenty years were chaos. The last seven have been a life. Both belong to me.

Extracampine hallucinations and felt presence

Extracampine hallucinations occur outside the normal sensory field — the sense that someone is behind you when you cannot see them. They are reported in psychosis and in several neurological conditions.

Antipsychotics and tobacco smoking: CYP1A2 induction

Cigarette smoke contains polycyclic aromatic hydrocarbons that strongly induce the liver enzyme CYP1A2. The result: smokers often need higher doses of clozapine and olanzapine — and quitting can dangerously raise levels.

FMLA leave for schizophrenia: a deeper look

FMLA gives many U.S. workers up to 12 weeks of unpaid, job-protected leave each year for a serious health condition — including schizophrenia. Here is a closer look at how it works.

Treating insomnia in schizophrenia

Insomnia in schizophrenia is not just an inconvenience — it predicts relapse, worsens cognition, and lowers quality of life. Here is what actually works to treat it, in order of evidence and safety.

Delusions of mind reading: feeling exposed and known

When a person becomes convinced that the people around them can read their thoughts, every conversation becomes a kind of nakedness. Mind-reading delusions are a closely related cousin to thought broadcasting.

CAHOOTS (Eugene, OR): the alternative-response model

CAHOOTS — Crisis Assistance Helping Out On The Streets — has been answering Eugene's mental-health calls without police involvement since 1989. It has become the model for non-police crisis response across the US.

Being an only child caring for a parent with schizophrenia

Without a sibling to share the work or check your judgment, the caregiving role can feel both larger and lonelier. The fix is not to do more — it is to build a team that is not made of family.

CBC and ANC monitoring on clozapine: a deeper look

Clozapine remains the most effective antipsychotic for treatment-resistant schizophrenia, but it requires routine blood counts because of a small risk of dangerously low neutrophils. Here is exactly how the monitoring works.

Thiothixene (Navane): a high-potency thioxanthene

Thiothixene, sold as Navane, is a high-potency thioxanthene antipsychotic with effects similar to haloperidol but a slightly different chemical backbone.

Learning to trust a new psychiatrist after a bad one

My first psychiatrist made me feel small. My new one took two years to earn my trust. This is what made the difference.

Christmas with schizophrenia: a calmer, sturdier holiday

Christmas stretches stressors over weeks, not one day. The goal is not a perfect holiday — it is a sturdy one. Here is how to plan for it.

Religious minorities and schizophrenia care

Religious belief is woven through how many patients with schizophrenia experience and explain their illness. For minority faith communities, mainstream psychiatry often misses both the strength and the specificity.

Family psychoeducation: the most underused evidence-based intervention

Family psychoeducation cuts relapse rates by 20 to 50 percent — yet only a fraction of families ever receive it. This is a closer look at what it is, why it works, and how to find it.

Life after my involuntary hospitalization

A composite story about being held involuntarily in a psychiatric hospital — the anger, the loss of trust, and the slow practical work of coming back.

Caregiver burnout: recognising it and protecting yourself

Caregiver burnout is not weakness — it is what happens when too much weight rests on too few people for too long. Recognising it is the first step in carrying less of it.

How to avoid rehospitalization after a psychotic episode

Rehospitalisations rarely come out of nowhere. Most follow a recognisable run-up of sleep changes, missed doses, and rising symptoms. Catching it early is the entire game.

Perseris: the monthly subcutaneous risperidone injection

Perseris delivers a month of risperidone with a single subcutaneous injection in the abdomen — and skips the long oral overlap required by older risperidone LAIs.

Schizophrenia vs paranoid personality disorder

Paranoid personality disorder and paranoid schizophrenia share a word but not much else. One is a personality pattern; the other is a psychotic illness.

Blurred vision from antipsychotics: what is going on

Blurred vision on antipsychotics is usually a temporary anticholinergic effect on the eye's focusing muscle — but a small number of vision changes need urgent evaluation.