A schizophrenic episode typically an acute psychotic flare-up involving hallucinations, delusions, disorganized thinking, or paranoia doesn't "end" abruptly like flipping a switch. Resolution varies by individual, episode type (first-episode vs. relapse), and access to care. Most episodes subside within weeks to months with proper intervention, though untreated ones can persist or recur.

Natural Remission (Rare): In some cases, especially milder or first-time episodes, symptoms may gradually fade without treatment due to the brain's self-regulating mechanisms. Stress reduction, sleep, or environmental changes can trigger this, but it's unpredictable and uncommon less than 20% of untreated cases fully resolve spontaneously, per longitudinal studies like the WHO's International Study of Schizophrenia.

Medication-Driven Resolution (Most Common): Antipsychotics (e.g., risperidone, olanzapine) are the cornerstone. They block excess dopamine activity in the brain, reducing positive symptoms (hallucinations/delusions) within 1–2 weeks, with full stabilization in 4–6 weeks. Negative symptoms (apathy, withdrawal) improve slower. Episodes end when symptoms drop below clinical thresholds, often confirmed via scales like PANSS. Relapse risk drops 80% with consistent meds.

Therapy and Support: Cognitive behavioral therapy (CBT) for psychosis helps reframe delusions, hastening recovery. Hospitalization provides safety during severe episodes, with discharge once risk stabilizes. Family support, stress management, and lifestyle changes (exercise, avoiding substances) prevent prolongation.

Timeline and Signs of Ending: Acute phase peaks in days; subsidence shows clearer thinking, reduced voices, restored sleep/appetite. Full recovery might leave residual symptoms or insight gains. Long-term, 1/3 achieve good outcomes with early intervention.

Seek immediate help if in crisis call emergency services or a hotline. Early treatment shortens episodes and improves prognosis.