Romance and schizophrenia: An odd couple

April 13, 2021
Dating in an era of social media can be daunting. Dating for people living with schizophrenia? Double daunting. This is why many people living with schizophrenia avoid relationships of any kind.

The symptoms of schizophrenia vary from person to person, which is why it’s important to have an open, honest conversation about what someone living with schizophrenia faces. Some of the symptoms include,

Delusional behaviour
False ideas that are often far from reality. 

Hallucinations
Visual or auditory hallucinations that are extremely real to the person experiencing it. 

Disorganised thinking and speech
Effective communication is often impaired as a person living with schizophrenia, may be unable to have coherent thoughts, let alone a conversation. 

Lack of emotions and expression
Commonly known as ‘flat-affect’, a person living with schizophrenia may be unable to express their true feelings through speech or actions. This may result in emotional distance between a couple.  

These symptoms impact a person’s ability to maintain meaningful relationships, especially romantic relationships. However, with medical progress in treating and managing the symptoms of schizophrenia, it has become possible to date and maintain long-term, meaningful relationships. 

Here are some tips to make it easier for people living with schizophrenia, or interested in dating someone with schizophrenia.

1. Keep expectations in check
Even if a person’s schizophrenia is well-managed and they feel healthy, dating may result in social anxiety. From the beginning, it’s important to make your expectations known to your partner and possibly engage in therapy to better discuss these expectations. 

2. Take it slow
Stress is one of the triggers of schizophrenia and makes it difficult to manage the symptoms. Taking it slow is smart when easing into a relationship. Start with low-key activities such as coffee dates, picnics or going for a walk in nature. These activities reduce expectations and give you time to ease into a relationship. 

3. Go easy on sexual activities
Many schizophrenia treatment options impact the libido. If your medication results in the inability to get aroused or experience an orgasm, speak to your doctor about other treatment options. 

4. Teamwork makes the dream work
For many people living with schizophrenia, dating can be just a dream. But with the right person and open, honest communication, it’s possible. Go to therapy together. It will help your partner learn about your symptoms from the person that knows you best, your doctor. It also empowers your partner with the knowledge to help should a psychotic episode occur. 

Dating with schizophrenia is possible, especially with the right treatment such as long-acting monthly injectables to manage your symptoms. After all, a partner’s support can be one more way to live better with schizophrenia. 

To learn more about schizophrenia, visit schizophrenia24x7.co.za for helpful resources and tips on living with schizophrenia. 
June 1, 2026
Rhys Thomas had a successful heart transplant at Netcare Christiaan Barnard Memorial Hospital, performed by Dr Johan Koen and Dr Willie Koen.
Ntombizodwa and Freddy Khoza with their son Refiloe
May 18, 2026
At just seven months old, baby Refiloe Khoza’s life and death struggle with viral pneumonia progressed to critical heart and breathing complications
Image illustrating the concept of brain fog during menopause
May 6, 2026
Recognising the signs early can protect cognitive health
Dr Gercois Human
April 21, 2026
Dr Gercois Human (Photo: Facebook / Cape Town Interventional Radiology)
Dr Herman Breet, Dr Jadine Du Plessis, and Dr Jaco Viljoen
April 17, 2026
Medical first: Dr Herman Breet, Dr Jadine Du Plessis, and Dr Jaco Viljoen (left to right) performed South Africa's first liquid nitrogen limb salvage surgery at Netcare Unitas Hospital this week.
Dr Cathelijn Zeijlemaker
April 7, 2026
Netcare Medicross highlights a truth that surprises patients: your dental check-up isn’t just about your teeth, and your GP visit isn’t just about obvious illness.
Netcare Akeso Polokwane
March 31, 2026
Caring, evidence-based private mental healthcare in Limpopo
Dr Palesa Monyake and the multidisciplinary paediatric intensive care unit team
March 27, 2026
Hannah-Grace, her mother and aunt recently visited Dr Palesa Monyake and the multidisciplinary paediatric intensive care unit (PICU) team at Netcare Waterfall City Hospital.
Alexis Chapell shares his personal journey of kidney failure
March 11, 2026
Alexis Chapell shares his personal journey of kidney failure and the life-sustaining dialysis therapy of National Renal Care that he has relied on since 2009.
HPV vaccination saves lives
March 4, 2026
Human Papillomavirus (HPV) Awareness Day is observed on 4 March and the Cancer Association of South Africa (CANSA) is highlighting the importance of early prevention of cervical cancer.
More Posts