The Frida Blog

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

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Latest articles

MCT (Metacognitive Training): a deep dive

MCT is a free, manualised group programme that teaches people with psychosis how cognitive biases — jumping to conclusions, mind-reading, overconfidence in errors — shape what they believe. The eight modules add up to one of the most accessible therapies in the field.

Schizophrenia in the Deaf community

Schizophrenia in Deaf and hard-of-hearing people raises questions that hearing-centred psychiatry rarely asks — including what hallucinations look like in someone who has never heard sound.

Antipsychotic withdrawal: rebound and supersensitivity

Stopping or reducing an antipsychotic can produce three distinct things — discontinuation symptoms, rebound psychosis, and withdrawal dyskinesia. Telling them apart matters.

Residential treatment for schizophrenia: when 24-hour support helps

Residential treatment provides round-the-clock psychiatric support without the locked-unit feel of a hospital. For some people with schizophrenia, it is the right level of care between inpatient and home.

The prefrontal cortex in schizophrenia

The prefrontal cortex underlies the cognitive symptoms of schizophrenia. Reduced volume, lower activation during effortful tasks, and altered GABA interneuron function are among the most consistent findings.

Drama therapy and psychodrama in schizophrenia

Drama therapy and psychodrama are not theatre classes. They are structured psychological therapies that use embodied story to work with experiences that are hard to address through talk alone.

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.

Compassion-focused therapy (CFT) for schizophrenia: deeper

Compassion-focused therapy (CFT) targets the harsh inner critic that often sits inside schizophrenia. The evidence base is small but encouraging — and the framing alone helps many people.

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.