Clear diagnosis, careful medication, and a team that stays with you.
Psychotic disorders, including schizophrenia, affect how a person perceives reality: hallucinations, delusions, and disorganized thinking are common. These are serious medical conditions, and with consistent treatment many people live full, stable lives.
How we diagnose it
Diagnosis begins with a detailed conversation and examination, and often includes blood work or imaging to rule out medical causes or substance effects. Dr. Shaikh's experience spans academic medical centers, community mental health, and dual-diagnosis settings, so complex presentations are familiar ground.
How we treat it
Most psychotic disorders are treated with a combination of medication and psychotherapy. Antipsychotic medications are the foundation; newer atypical antipsychotics are usually tried first because they tend to have fewer and more tolerable side effects, and several are available as long-acting monthly injections for people who prefer not to take a daily pill. Therapy and family support help with everyday functioning, and regular follow-up keeps treatment on track.
Common questions
What are the early signs of psychosis?
Early signs can be subtle: withdrawing from friends, a drop in grades or work performance, trouble thinking clearly, suspiciousness, unusual beliefs, or hearing or seeing things others don't. These often begin in the late teens or twenties. Getting evaluated early, before a full episode, leads to much better outcomes.
Is schizophrenia treatable?
Yes. With consistent medication, therapy, and support, many people with schizophrenia work, study, have relationships, and live independently. Treatment reduces hallucinations and delusions, helps with motivation and thinking, and lowers the chance of relapse. The key is staying with treatment, and we make that as easy as we can.
What are long-acting injectable medications?
Several antipsychotic medications come as an injection given every two weeks to every few months instead of a daily pill. For people who find it hard to take medication every day, or who simply prefer it, injectables keep levels steady and reduce relapses. We offer them and will talk through whether one fits you.
Can drug use cause psychosis?
Yes. Cannabis, especially high-potency products, stimulants, and some other substances can trigger psychotic symptoms and can bring on a longer-term disorder in people who are vulnerable. Part of every evaluation is sorting out what role substances play, without judgment, so treatment targets the right thing.
How do you involve family?
With the patient's permission, closely. Family members often notice early warning signs, help with medication, and need support themselves. We welcome a family member at appointments and can connect families with education and support resources. Call or text (936) 270-8011 to get started.