by Jessica Hart, State Advocacy Manager
NAMI’s Ask the Doctor teleconference is a monthly series hosted by NAMI's Medical Director, Dr. Ken Duckworth. Typically, he is joined by another mental health professional or advocate who in turn presents on a topic in his or her area of expertise. Each month, two such calls are hosted; one focuses on adult issues, the other on child and adolescent issues.
In this month’s dialogue on adult issues, Dr. Stephen Marder, M.D. discussed treating apathy in schizophrenia. Dr. Marder defines apathy as a disinterest in daily activities like socializing, working and going to school. He spoke about the causes of apathy, negative symptoms and management strategies.
Between 40 and 50 percent of people living with schizophrenia who have been treated and are recovering will show evidence of negative symptoms. Negative symptoms include:
One distinction of some people living with schizophrenia is they do not expect enjoyable activities to give them pleasure, which likely causes them to not engage in pleasure-seeking behaviors. One example Dr. Marder uses to describe this behavior is through a brownie analogy. If a person living with schizophrenia was given a brownie they can enjoy eating it, but they do not anticipate the pleasure.
Dr. Marder currently serves as the Director of the VISN 22 Mental Illness Research, Education Clinical Center (MIRECC) for the Department of Veterans Affairs and the Director of the Section on Psychosis at the UCLA Semel Institute for Neuroscience and Human Behavior.