How to Create a Consistent Routine If You Have Schizophrenia

Staff
By Staff
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Every day at 7:30 a.m., Consuelo Walss-Bass, PhD, has breakfast with her sister, Tati, 50, of Houston. On Sundays, the two attend church together; on Mondays, they meet up to eat ice cream; and on Saturdays, they get together to draw. For Tati, this weekly routine is especially important.

Tati has schizophrenia, and like many people with the condition, she’s happier and less stressed when she has a consistent routine.

One of the benefits of having a stable routine is that it reduces the number of decisions you have to make. And if you have schizophrenia, that can help lower stress levels, which can then help ward off symptoms.

Having social support built into your routines can be particularly beneficial, especially on days where you may only feel like sleeping or staying indoors all day. “One of the side effects of certain medications for schizophrenia is apathy, so you need people who can encourage you to do things,” says Dr. Walss-Bass, who is a professor of psychiatry and behavioral sciences at McGovern Medical School at UTHealth in Houston.

Here are a few ways to create a consistent, daily routine.

1. Wake Up at the Same Time Each Morning

As someone who has schizophrenia, you may experience sleep problems. (Insomnia, for example, is a common complaint.) To combat sleep issues, try keeping a regular sleep schedule by waking up at the same time every day, including on weekends.

If it’s hard to get out of bed, schedule a regular breakfast date with a loved one — even if you’re just meeting them in your kitchen.

2. Go Grocery Shopping at the Same Time and Day Each Week

Instead of ordering food online or waiting until you’re out of bread to run to the store, make grocery shopping a regular weekly or biweekly occurrence. Sticking to a regular schedule means you may see some familiar faces working or shopping there, which can help you feel less stressed.

“My sister sees the same people at the grocery store we go to, and some of them know her and say hello to her,” says Walss-Bass. “She likes having those interactions.”

3. Find a Hobby You Enjoy

Tati loves to read, so once a week, Walss-Bass and her sister go to the library to check out a book. Not only is it a regularly occurring event, but going to the library is also an activity Tati loves, which can boost quality of life. Research suggests that routinely engaging in activities such as going to a library, mall, museum, or other places can improve the lives of people with schizophrenia.

4. Go for a Walk

Tati, for example, takes a walk around the block every day, usually by herself, although sometimes a loved one goes with her. If you don’t like walking, try doing yoga or biking. Shoot for 35 to 45 minutes three to five times a week.

Exercising regularly can also help you stay at a healthy weight — an important benefit, because some medications for schizophrenia can cause weight gain, says Walss-Bass.

5. Schedule Some Downtime

Whether you like to play games or watch movies, it’s important to find time to unwind. Tati, for example, likes watching Netflix (she avoids the news, which can be too stressful). Whatever it is you enjoy, pencil it into your calendar as designated “you time.”

6. Call a Friend or Family Member

Or ask someone to call you regularly. This kind of social interaction — even if you don’t feel overly enthusiastic about it — can reduce feelings of loneliness, which can help you feel happier overall, says Walss-Bass. The interaction shouldn’t be stressful, so feel free to keep it short, especially if there’s nothing new going on.

“It doesn’t have to be a long conversation, but that doesn’t mean it’s not meaningful,” says Walss-Bass.

No matter how you create a consistent routine, don’t be afraid to ask a loved one for support, whether it’s a ride to the library or a standing breakfast date.

Know, too, that establishing a daily routine doesn’t happen overnight. It’s something that can take months or even years to build. “It takes patience, but there can be a point where you can have a stable, happy life,” says Walss-Bass.

The Takeaway

  • Maintaining a consistent routine throughout the day can help keep stress levels low, which may help prevent a flare-up of schizophrenia symptoms.
  • Find things you love to do, whether it’s going for walks, visiting the library, or watching movies, and pencil them into your schedule.
  • Ask a loved one to accompany you on some of your routine activities. It may make you more likely to stick to your schedule, and you’ll enjoy some social connection, too.

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