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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Being Paranoid

A person who is paranoid has fears, such as being watched, harmed or poisoned. He or she does not trust others and is suspicious that others are “out to get” him or her. These seem very real.

It’s normal to wonder if people are talking about you when you hear them whispering as you walk into a room. These thoughts are usually passed off and not dwelled upon for most people. We give them little credence. Not a problem.

A person who is paranoid, however, does dwells upon suspicious thoughts. He or she goes out of their way to prove their suspicions even though no evidence exists to confirm their thoughts. It’s very hard to reason or speak what is real.

Paranoia is usually found in small degrees in almost every mental illness.

Symptoms

  • Use and/or withdrawal of certain drugs, such as marijuana, crack cocaine and angel dust (PCP)
  • Alcohol withdrawal
  • Deafness or problems with hearing
  • Illnesses that affect the central nervous system, such as Alzheimer’s disease or other dementias, a stroke, a brain tumor
  • Mental illnesses, such as bipolar disorder or schizophrenia
  • Paranoid personality disorder, (PPD)

How to Recognize Paranoia

A person with paranoia may also:

  • Appear cold and aloof
  • Be withdrawn and anxious in social situations
  • Act stubborn and combative
  • Appear “on guard” at all times, out of fear of being controlled or harmed

A paranoid person also:

  • Complains about his or her health and often feels vulnerable and inferior to others
  • Holds grudges easily
  • Displays bitterness and resentment toward others
  • May be easily drawn into religious cults or other groups with strict beliefs
  • Is quite susceptible to conspiracy theories, religious or political
  • Can have delusions of being persecuted

Treatment

Treatment for paranoia depends on its cause. If it is a symptom of another condition, treatment for the condition will often take care of or lessen the paranoia. Paranoid personality disorder is treated with counseling, support therapy and often with medication. Treatment for this disorder is not easy, though, due to the nature of paranoia. Persons who are paranoid often do not trust others including doctors, therapists or family members trying to help them get treatment. It is likely that you will need to intervene, patiently and gently. 

Ministering to the paranoid treatment requires a huge commitment. Typically you’ll see lots of anger as they confront others of mistreating them.

What You Can Do for a Friend or Relative

The most important thing you can do is to encourage your friend or relative to get professional help. Be aware that you may need to make the initial appointment with a professional. You may also need to take them to the appointment and stay with them. Be supportive. Paranoia requires patience, understanding, love and encouragement of the person’s loved ones and friends.

Those close relationships are typically what frees a person who struggles.

Be aware of the types of medication your friend or relative takes and when they should take it. You should also alert their physician or psychiatrist to any side effects that you notice when they do or do not take their medication. 

If I may, I would suggest a movie for you, “A Beautiful Mind.”  This may give you a little insight.

Cleveland Clinic PPD Introduction Site http://my.clevelandclinic.org/disorders/personality_disorders/hic_paranoid_personality_disorder.aspx

Suite 101 PPD Site http://personalitydisorders.suite101.com/article.cfm/paranoid_personality_disorder

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Love is On the Loose

“Cross Jesus one too many times, fail too often, sin too much, and God will decide to take his love back. It is so bizarre, because I know Christ loves me, but I’m not sure he likes me, and I continually worry that God’s love will simply wear out.

Periodically, I have to be slapped in the face with Paul’s words in Romans 8:38-39, ‘For I am convinced that neither death nor life, neither angels nor demons, neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of God that is in Christ Jesus our Lord.’

Michael Yaconelli, “Messy Spirituality

I admit I live with a continuous fear that God’s love has limits.  That someday, I will sin myself beyond a Savior’s reach.  It nags on me and betrays me.  The fear that I will end up on some spiritual “junk heap” is real, and it is pervasive. I guess it has to do with the unbelievable richness  of God’s fantastic grace.

This doubt accentuates my depression, aggravating it and poisons my whole being.  I feel worthless and so alone.  Since my particular struggle is with paranoia, I end up bringing that with me into the throne room.  Kids who have been beaten by their fathers often visibly flinch when Dad raises his arm to scratch his head.  They cower and duck out of habit, waiting for the blows.

Our heavenly Father has gone out of his way to make the gospel truly good news.  We often have to be convinced of a love that cannot be diluted by the stuff of life.  And we who are the wounded and paranoid need that assurance.  We are loved with a love of such quality and quantity, and such magnificence that all we can scream is “GRACE!”

As broken people we must come and allow ourselves to be loved with this outrageous love.  Our depression, bipolar disorder, addictions, BPD, OCD, and schizophrenia are not insurmountable issues.  We are sick, we admit it.  We are different than other people (“the norms”).  But the Father delights in us. 

He especially loves his lambs who are weak and frightened.

 

The Art of Kneeling

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“Come, let’s worship him and bow down. Let’s kneel before the Lord who made us.”  

Ps. 95:6, NCV

We come directly to Him, with so many deep and ugly flaws.  We step toward Him, having lost every confidence, but yet there is an assurance that we have arrived at something far beyond ourselves.

Mental illness destroys confidence.  In our most lucid and aware moments, we discover that we are completely disarranged.  We stumble and fumble through many things which are easy for others.  But they are intensely difficult for us.  My distinct paranoia has ruined many possible relationships.  I end up fouling many possible friendships to my loss.

We gravitate toward this place where we can only bow.  There are so many, far too many loose ends.  So much is unsure and I’m totally unready for this.  And yet, we have a nagging thought that we just might shatter these issues that hold us.  And maybe even break into a profound awareness of Light. Sometimes we can only bow without saying a word.

We must readily admit that we can only bow.

Nothing can be brought in, or considered as a provision or an enhancement to our credit. All of us are beggars and losers in His sight.  We simply can’t generate anything that just might make us acceptable in His eyes. The only thing acceptable is the blood of Jesus on the cross.

Everyone who truly kneels is brought to this place.  We are undone, completely.  In the light of His deep grace, we have been dismantled and rendered inoperative.  We must step out of our ruins, and leave them in a pile.  Sweet grace will save us, in fact, it is the only thing that can.

“We believe that we are all saved the same way, by the undeserved grace of the Lord Jesus.” Acts 15:11

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