Category: mental illness

Understanding Schizophrenia

Symptoms

By Mayo Clinic staff,

There are several types of schizophrenia, so signs and symptoms vary. In general, schizophrenia symptoms include:

  • Beliefs not based on reality (delusions), such as the belief that there’s a conspiracy against you
  • Seeing or hearing things that don’t exist (hallucinations), especially voices
  • Incoherent speech
  • Neglect of personal hygiene
  • Lack of emotions
  • Emotions inappropriate to the situation
  • Angry outbursts
  • Catatonic behavior
  • A persistent feeling of being watched
  • Trouble functioning at school and work
  • Social isolation
  • Clumsy, uncoordinated movements
Schizophrenia ranges from mild to severe.

Some people may be able to function well in daily life, while others need specialized, intensive care. In some cases, schizophrenia symptoms seem to appear suddenly. Other times, schizophrenia symptoms seem to develop gradually over months, and they may not be noticeable at first.

Over time, it becomes difficult to function in daily life. You may not be able to go to work or school. You may have troubled relationships, partly because of difficulty reading social cues or others’ emotions. You may lose interest in activities you once enjoyed. You may be distressed or agitated or fall into a trance-like state, becoming unresponsive to others.

In addition to the general schizophrenia symptoms, symptoms are often categorized in three ways to help with diagnosis and treatment:

Negative signs and symptoms
Negative signs and symptoms represent a loss or decrease in emotions or behavioral abilities. They may include:

  • Loss of interest in everyday activities
  • Appearing to lack emotion
  • Reduced ability to plan or carry out activities
  • Neglecting hygiene
  • Social withdrawal
  • Loss of motivation

Positive signs and symptoms
Positive signs and symptoms are unusual thoughts and perceptions that often involve a loss of contact with reality. These symptoms may come and go. They may include:

  • Hallucinations, or sensing things that aren’t real. In schizophrenia, hearing voices is a common hallucination. These voices may seem to give you instructions on how to act, and they sometimes may include harming others.
  • Delusions, or beliefs that have no basis in reality. For example, you may believe that the television is directing your behavior or that outside forces are controlling your thoughts.
  • Thought disorders, or difficulty speaking and organizing thoughts, such as stopping in midsentence or jumbling together meaningless words, sometimes known as “word salad.”
  • Movement disorders, such as repeating movements, clumsiness or involuntary movements.

Cognitive signs and symptoms
Cognitive symptoms involve problems with memory and attention. These symptoms may be the most disabling in schizophrenia because they interfere with the ability to perform routine daily tasks. They include:

  • Problems making sense of information
  • Difficulty paying attention
  • Memory problems
When to see a doctor:\ People with schizophrenia often lack awareness that their difficulties stem from a mental illness that requires medical attention. So it often falls to family or friends to get them help.
Suicidal thoughts and behavior

Suicidal thoughts and behavior are common among people with schizophrenia. If you have a loved one who is in danger of committing suicide or has made a suicide attempt, make sure someone stays with that person. Call 911 or your local emergency number immediately. Or, if you think you can do so safely, take the person to the nearest hospital emergency room.

For more info, Mayo Clinic has much more on its website: http://www.mayoclinic.com/health/schizophrenia/DS00196/DSECTION=symptoms

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Clearing Your Head

“Endurance is not just the ability to bear a hard thing, but to turn it into glory.”

     Philip Yancey

There are going to be times when things become exceptionally clear to you.  

Every so often, we have moments that awaken our senses and make us see things clearly. It’s like a splash of cold water on our sleepy faces. It shakes us up and helps us understand our feelings, thoughts, and connections with others.

To the mentally ill, our arrival at this place brings a glimmer of hope. With clarity, we can distinguish between reality and illusion. The power of change lies in this discernment, a remarkable work of the Holy Spirit. We learn that self-transformation is out of our reach, only the Spirit possesses this ability.

The Bible and its promises are completely saturated with His power. 

There is a certain hope and security that comes from His restoration of our mixed-up lives. His work is quite exceptional, for He is an Artisan. However,  we will never be happy or at peace if we refuse.  And if we decide poorly we will get stuck inside a deep loneliness, and failure– the realization of being cast aside.

It’s scary, but so much is based on what we decide in these chosen times. Choose wisely.

Depression and darkness may affect us, but there is no better refuge to find than God. Even though we may feel discouraged, we can still choose to protect ourselves. If we don’t choose the right path, we will struggle in our own mistakes and faults.

Trust me, I understand how miserable that can be.

We dare not let the darkness we face confuse us. 

In every fiber of our being, we must resolutely stand against such a dire fate. We must not, under any circumstances, allow the tendrils of darkness to once again ensnare us. In the very core of our essence, we are guided and redeemed by the profound sacrifice of the Lord Jesus.

Picture it, if you will: like a lost soul traversing a treacherous minefield under the cloak of night. Nothing should hold more significance to us than shielding ourselves from this ominous threat. Let us rise together, united in our relentless pursuit of light and liberation.

It advances on us and so many can’t resist its strength.  But being mentally ill is not something that someone can just decide on, it is real and carries a poison that few can resist.  Any odd romanticism of “being a tragically wounded poet” is so foolish, and dangerous.

But the truth is, we have Someone who has decided to be our Savior and He speaks to heaven about us.

He will speak on our behalf.  He alone can escort us through this terrible darkness.  Without His voice, we can’t defend ourselves, and we will just deceive ourselves. We are desperately sick, and He is the only cure.

If you are presently struggling, I would tell you that you have a home.  It is a place of acceptance and assurance.  The cost of depression and delusion can’t even come close to matching even the simplicity and basic place of just being a “minor” disciple of Jesus Christ.

But no matter what has happened, He has been pursuing you, in a deep hope you will respond to Him.  

I exhort you to embrace this love and trust Him, even when it gets very hard.  But no matter what happens, don’t ever give up.

 

Handling a Diagnosis of Tardive Dyskinesia

Tardive Dyskinesia (TD) is a condition of involuntary, repetitive movements of the jaw, tongue or other body movements. It frequently is a side effect of the long-term use of antipsychotic drugs used to treat schizophrenia or bipolar disorder. It is almost always permanent. I’ve been told Vitamin E might help a bit.  Benzodiazepines have also been used with mixed results on a short-term basis.

Some examples of these types of involuntary movements include:

  • Grimacing
  • Tongue movements
  • Lip smacking
  • Lip puckering
  • Pursing of the lips
  • Excessive eye blinking

(Wikipedia)

I recently was diagnosed as having TD after the use of Zyprexa. My version is my lower jaw moves from side-to-side, unless I concentrate on not doing it. I quickly revert to this involuntary movement when I’m not aware of it. I recently saw a video of myself (with my family) and sure enough there I was, doing the ‘jaw thing.’ It was very obvious. It was also very embarrassing. (I have the ‘lithium jitters’— where my hands always shake, but TD is different.)

There are a couple of things I might mention:
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1) I’ve discovered that there is a real social isolation with this TD stuff. To be doing this in public is “not acceptable.” I have had people come up to me wanting to know what’s my problem. Since I can’t control the movement I just say, “It’s my meds— they affect me this way.” In a way it’s like wearing a neon sign saying, “I’m a fruit cake.” Having a mental illness is stigma enough, but the TD just puts a new edge on it.

2) As a natural introvert the isolation has only deepened. (I avoid crowds and most social engagements.) I guess if the truth be told, I’m uncomfortable when others look at me strangely or whisper to each other. My standard ‘paranoia level’ has taken a new twist. I feel I’m compelled to explain. I guess I’m embarrassed when others are embarrassed.

3) I settle myself down in my faith to cope. I know I’m not alone in this– the Lord Jesus is always with me. He holds me tight through all these twists and turns. Since I isolate myself so much, I savor the connection I have with a few friends who have become inured to my condition. Social media helps out— Facebook is a big help, as well as my two blogs.

4) One of the things I try to remember are the issues of selfishness and pride. I keep reminding myself it’s not about me all the time. One of the significant areas mentally ill people deal with is self-absorbed thinking. It seems it comes with the illness.

5) I try to keep a sense of humor everyday. It breaks down the mental pain to tolerable levels. We can take ourselves too seriously sometimes. Be more patient with yourself. I know I have to.

I ask that you remember me in prayer from time-to-time. I’m in ‘uncharted waters’ (it seems) and I sometimes feel all alone with my mental illness and all its tangents. I want good to come out of this. (An instantaneous healing would be o.k. But, I’m not too finicky.) Sorry for so much.

If you can’t pray, don’t feel at all impinged upon.

The Torment of Depression

Depression runs rampant through our society. It seems like it’s the “common cold” of mental illness.

Depression is often a progressive and debilitating disorder.

It is like having a ‘bruised brain’ that refuses to heal. There is an substantial list of psychological disorders. Technically depression is a mood disorder that has a series of symptoms. These symptoms are the evidence that something is definitely wrong.

Depressed mood (such as feelings of sadness or emptiness).

Reduced interest in activities that used to be enjoyed.

Change in appetite or weight increase/decrease.

Sleep disturbances (either not being able to sleep well or sleeping too much).

Feeling agitated or slowed down.

Fatigue or loss of energy. Feeling exhausted, even when you wake up.

Feeling worthless or excessive guilt.

Difficulty thinking, concentrating or troubles making decisions.

Suicidal thoughts or intentions.

http://www.nami.org/

The above list is a summary of something called the DSM-IV which doctors use to diagnose the mental disorder of depression. Spinning off this, you will discover some other disorders, like:

Generalized anxiety disorder (GAD)

Panic disorder, panic attacks

Social withdrawal, isolating from others

Depersonalization/derealization

OCD (obsessive compulsive disorder)

Psychosis and paranoia, hallucinations

PTSD (post traumatic stress syndrome)

Specific Phobias (fears of something)

SAD (social anxiety disorder)

Schizophrenia, or, schizoaffective disorder

Eating disorders (bulimia, anorexia)

One in four.

Even though mental illness is widespread in the population, the main burden of illness is concentrated in a much smaller proportion-about 6 percent, or 1 in 17 Americans-who live with a serious mental illness. The National Institute of Mental Health reports that one in four adults–approximately 57.7 million Americans–experience a mental health disorder in a given year.

Unfortunately, there is a great deal of misunderstanding and stigma for those who have these disorders. I suppose people often compare it to having VD (venereal disease) or AIDS. It seems that our culture is pretty quick at labeling people as deviant or undesirable.

I hope this helps somehow. I can see a 100 holes in it, and alas, it is a meager attempt. But perhaps it will be of some value. Both NAMI.org, Psychcentral.com, and WebMD.com all have excellent info on Mental Illness.