Should a 19-year-old with schizophrenia disclose the diagnosis?

Question

Hi doctor,

I am a 19-year-old college student, and I was recently diagnosed with schizophrenia after a really difficult episode last semester, where I missed almost all my exams. I am now on Risperidone 2 mg, and things are getting a little better, but my concentration is still very poor in lectures.

My psychiatrist told me I qualify for academic accommodations, but I am scared of what will happen if I tell my college about the schizophrenia diagnosis; will they treat me differently or tell other students? I also share a dorm room and do not know whether my roommate should be informed in case something happens. My parents think I should disclose, but I feel like it will change how professors see me forever. Can the college legally share my mental health information with others?

Please guide.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concerns.

Schizophrenia is a brain disorder affecting less than 1 percent of people, characterized by hallucinations, delusions, disorganized thinking, and negative symptoms like social withdrawal. It typically develops in late adolescence to early adulthood (late teens to mid-30s).

Ultimately, it is up to you whether to share your diagnosis with colleagues or classmates. In my opinion, it might be best to keep it private, as people sometimes hold prejudices regarding schizophrenia.

If you are tolerating risperidone well, continue taking it. It is normal to experience some lack of concentration, as both schizophrenia and the use of antipsychotic medications can lead to cognitive impairment.

Rest assured, your college cannot disclose your mental health information unless there is a risk of harm to yourself or others, so there’s no need to worry about that.

Stay calm; many people diagnosed with schizophrenia can lead normal lives with regular medication.

I hope this information is helpful. Please feel free to reach out with any further questions.

Take care and have a nice day.