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understanding the mechanisms leading to language disturbances in schizophrenia - such as formal thought disorder and poverty of speech - and the ways in which deficits in specific cognitive processes, prefrontal cortex (PFC), and/or dopamine may contribute to these symptoms. Numerous lines of research now implicate a dysfunction of both PFC and dopamine in schizophrenia. Recently, it has been hypothesized that reduced PFC activity, due to a reduction in dopaminergic tone, may play a role in "working memory" deficits in schizophrenia. Working memory refers to the ability to temporarily store and maintain information.

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Going off medication is one of the main reasons schizophrenics find it increasingly more difficult to communicate, imo. Schizophrenia doesn't "go away" so it can't "come back" as you fear. I hope you will see your doctor, and take his advice, and the medication. Then you will be able to work on your communication skills and feel more confident. TC!