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Unmedicated schizophrenia can cause individuals to have difficulty distinguishing between what is real and what is not, leading to the presence of delusions and hallucinations. Delusions are fixed false beliefs, and hallucinations are sensory experiences that occur in the absence of external stimuli.

In some cases, people with schizophrenia may fabricate stories or engage in "confabulation" to provide evidence for their delusions. Confabulation is a psychological phenomenon where a person creates false or distorted memories or information without the intent to deceive intentionally. It often occurs as a way to fill in the gaps in their understanding of reality or to make sense of their experiences.

It's essential to understand that lying and confabulation in schizophrenia are not malicious or deceitful acts. They are manifestations of the person's struggle to make sense of their perceptions and experiences, given their altered perception of reality.

It is essential for individuals with schizophrenia to receive proper medical care and treatment, including medication and psychotherapy, to help manage their symptoms effectively. Medications, such as antipsychotics, can help reduce the intensity and frequency of delusions and hallucinations, allowing the person to have a better grasp of reality. Psychotherapy can also provide support and coping strategies for dealing with the challenges associated with schizophrenia.

If you or someone you know is experiencing symptoms of schizophrenia or related conditions, it is crucial to seek professional help from a mental health provider for an accurate diagnosis and appropriate treatment plan.

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