Schizophrenia is believed to have a variable course, with either a partial remission achieved with treatment or sometimes recovery with a recurrence of multiple psychotic episode throughout life or sometimes even a single episode followed by complete recovery. But having said so commonly it’s a chronic condition but treatable for sure depending on multiple factors and patient’s history.
Episodes can be characterized by hallucinations, delusions, disorganized thinking, and impaired functioning. Its course can vary widely among individuals but generally follows a pattern of three phases - Prodromal Phase: A very early stage, where subtle changes in behavior and cognition occur; then the Active Phase where there are pronounced psychotic symptoms such as hallucinations, delusions, and disorganized speech or behavior; the last being the Residual Phase where post treatment symptoms may subside but not fully disappear and symptoms like lack of motivation, reduced emotional expression, and social withdrawal often persist. Some individuals experience recurring episodes, while others stabilize with treatment.
In your sister’s case it’s likely a relapse as with the stoppage of medication the symptoms have worsening showing that she may require a longer maintained phase treatment to curb her symptoms completely. If she responded to treatment, it’s a good prognostic sign.
Next Steps
Consult with psychiatrist and continue treatment as per current need. Might be she would quickly stabilise with treatment preventing further relapse. There are Long acting injections available if daily drug consumption is tedious for her. They are a good option for maintenance phase of the treatment.
Health Tips
Early detection and continuous treatment significantly improve outcomes and reduce the likelihood of severe disability.