Other risks include imagined voices directing the patient toward self harm (auditory command hallucinations) and intense false beliefs (delusions).The relationship of schizophrenia to substance abuse is significant. Due to impairments in insight and judgment, people with schizophrenia may be less able to judge and control the temptations and resulting difficulties associated with drug or alcohol abuse.In addition, it is not uncommon for people suffering from this disorder to try to their otherwise debilitating symptoms with mind altering drugs. The abuse of such substances, most commonly nicotine, alcohol, cocaine and marijuana, impedes treatment and recovery.The Onset of SchizophreniaThe onset of schizophrenia in most people is a gradual deterioration that occurs in early adulthood usually in a person early 20s.
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