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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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)

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.

Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10

A Few Bipolar Basics

Bipolar disorder symptoms are characterized by an alternating pattern of emotional highs (mania) and lows (depression). The intensity of signs and symptoms can vary from mild to severe. There may even be periods when your life doesn’t seem affected at all. Take care when this happens.

The manic phase of bipolar disorder–
Signs and symptoms of the manic phase of bipolar disorder may include:

  • Euphoria
  • Extreme optimism
  • Inflated self-esteem
  • Poor judgment
  • Rapid speech
  • Racing thoughts
  • Aggressive behavior
  • Agitation
  • Increased physical activity
  • Risky behavior
  • Spending sprees, credit card irresponsibility
  • Increased drive to perform or achieve goals
  • Increased sexual drive
  • Decreased need for sleep
  • Tendency to be easily distracted
  • Inability to concentrate
  • Drug abuse

The depressive phase of bipolar disorder–
Signs and symptoms of the depressive phase of bipolar disorder may include:

  • Sadness
  • Hopelessness
  • Suicidal thoughts or behavior
  • Anxiety
  • Guilt
  • Sleep problems
  • Appetite problems
  • Fatigue
  • Loss of interest in daily activities
  • Problems concentrating
  • Irritability
  • Chronic pain without a known cause

Types of bipolar disorder
Bipolar disorder is divided into three main subtypes:

  • Bipolar I disorder. You’ve had at least one manic episode, with or without previous episodes of depression.
  • Bipolar II disorder. You’ve had at least one episode of depression and at least one hypomanic episode. A hypomanic episode is similar to a manic episode but much briefer, lasting only a few days, and not as severe. With hypomania, you may have an elevated mood, irritability, and some changes in your functioning, but generally, you can carry on with your normal daily routine and functioning, and you don’t require hospitalization. In bipolar II disorder, the periods of depression are typically much longer than the periods of hypomania.
  • Cyclothymia. Cyclothymia is a mild form of bipolar disorder. Cyclothymia includes mood swings but the highs and lows are not as severe as those of full-blown bipolar disorder.

Other bipolar disorder symptoms:

In addition, some people with bipolar disorder may have rapid-cycling bipolar disorder. This is the occurrence of four or more mood swings within 12 months. These moods shifts can occur rapidly, sometimes within just hours. In mixed state bipolar disorder, symptoms of both mania and depression occur at the same time.

Severe episodes of either mania or depression may result in psychosis or a detachment from reality. Symptoms of psychosis may include hearing or seeing things that aren’t there (hallucinations) and false but strongly held beliefs (delusions).

Taken from the Mayo Clinic/Bipolar Disorder Symptoms.