A Case Study on Reclaiming Communication in Madhav Schizophrenia Journey

August 7th, 2025

Written by

Rakshitha S

Consultant Speech Swallow pathologist, Digital practitioner -SLP

Introduction to Schizophrenia

Schizophrenia is a chronic mental health disorder that affects an individual’s thought process, perception, and behavior. It can lead to hallucinations, delusions, and disorganized thinking, making it challenging for individuals to communicate effectively and maintain social relationships. Speech-language pathologists (SLPs) play a crucial role in helping individuals with schizophrenia improve their communication skills and overall quality of life.

Madhav’s Story

Madhav, a 43-year-old individual, was diagnosed with schizophrenia. As a result, he experienced significant challenges with communication, including disorganized thinking, tangential speech, and difficulty maintaining conversations. Madhav’s SLP therapy goals focused on improving his communication skills, including:

  1. Organizing thoughts: Madhav worked on structuring his thoughts and expressing himself in a more coherent and logical manner.
  2. Conversation skills: He practiced initiating and maintaining conversations, using context clues, and responding appropriately to questions and topics.
  3. Pragmatic skills: Madhav developed strategies to improve his social communication, including turn-taking, active listening, and using nonverbal cues.
  4. Cognitive communication: He worked on improving his attention, memory, and problem-solving skills to enhance his overall communication.
Therapy Approach

Madhav’s therapy consisted of a combination of online and offline sessions. Initially, he was hesitant about online sessions, but with time, he became comfortable with the virtual format. The online sessions allowed him to access therapy from the comfort of his own home, reducing anxiety and increasing flexibility. Offline sessions provided opportunities for social interaction and practice in real-life settings.

Progress and Outcomes

Through consistent SLP therapy sessions, Madhav demonstrated significant improvements in his communication skills:

  1. Increased coherence: Madhav’s speech became more organized, and he was able to express his thoughts and ideas more effectively.
  2. Improved conversation skills: He learned to initiate and maintain conversations, using context clues and responding appropriately to topics.
  3. Enhanced pragmatic skills: Madhav developed better social communication skills, including turn-taking and active listening.
  4. Increased confidence: He became more confident in his ability to communicate, leading to improved relationships with family and friends.
The Role of Technology

The integration of technology into Madhav’s therapy played a significant role in his progress. Online sessions and digital tools allowed for:

  1. Increased accessibility: Madhav could access therapy sessions from anywhere, reducing barriers to care.
  2. Personalized therapy: Digital tools enabled his SLP to tailor therapy sessions to Madhav’s specific needs and goals.
  3. Enhanced engagement: Interactive digital activities and exercises increased Madhav’s engagement and motivation during therapy sessions.
  4. Progress tracking: Technology allowed for efficient tracking of Madhav’s progress, enabling his SLP to adjust therapy plans accordingly.
Conclusion

Madhav’s journey highlights the importance of speech-language pathology in supporting individuals with schizophrenia. The combination of online and offline sessions, along with the integration of technology, enabled Madhav to make significant progress in his communication skills. His story demonstrates that with the right support and  interventions,  individuals  with  schizophrenia  can  develop  more  effective communication strategies and achieve greater independence.

“With XceptionalLEARNING, individuals like Madhav regain confidence in communication. Personalized therapy tools make progress easier. Contact us to start your journey today.”

A-Case-Study-on-Reclaiming-Communication-in-Madhav-Schizophrenia-Journey