Schizophrenia


SCHIZOPHRENIA IS NOT AS
COMMON AS DEPRESSION. WHEREAS DEPRESSION AFFECTS
ABOUT 10% OF THE POPULATION, SCHIZOPHRENIA AFFECTS PROBABLY
ABOUT 1% OF THE POPULATION. STILL A SIGNIFICANT PROBLEM. THE CORE SYMPTOMS OF
SCHIZOPHRENIA, SCHIZOPHRENIA IS WHAT’S CALLED A
THOUGHT DISORDER. THE KEY SYMPTOMS ARE
DISORDERS OF THOUGHT. THE MOST CLEAR CUT EXAMPLE OF
SCHIZOPHRENIA IS WHERE SOMEBODY HAS DELUSIONS OR HALLUCINATIONS. THEY HAVE THE DEFINITION OF A
DELUSION IS A FALSE BELIEF THAT IS NOT SUBJECT TO
RATIONAL PERSUASION. THAT CAN ENCOMPASS A LOT OF
DIFFERENT THINGS BUT THE CLASSIC DELUSION WOULD BE THE BELIEF
THAT SOMEBODY IS OUT TO GET YOU, THAT YOU’RE BEING FOLLOWED,
THAT YOU’RE BEING SPIED UPON, THAT PEOPLE HAVE PLANTED
CAMERAS AROUND TO SPY ON YOU, THAT THE FBI OR ALIENS
OR THE CIA OR WHOEVER IS OUT TO
GET YOU. SO THAT’S AN EXAMPLE
OF A PARANOID DELUSION. THERE ARE OTHER KINDS OF
DELUSIONS THOUGH THAT YOU’RE GETTING SPECIAL MESSAGES THROUGH
THE TV OR RADIO THAT IT’S GIVING SPECIAL MESSAGES TO YOU. THERE ALSO ARE HALLUCINATIONS
THAT ONE HEARS VOICES OR SEES THINGS. MOST COMMONLY THOUGH
AUDITORY HALLUCINATIONS, THAT YOU HEAR PEOPLE TALKING
TO YOU WHEN THERE’S NOBODY ELSE AROUND. SOMETIMES PATIENTS BELIEVE
THESE VOICES ARE QUITE REAL. THEY MIGHT BELIEVE THAT THEY
ARE GODS OR THE DEVIL TALKING TO THEM. BUT SOMETIMES THEY HEAR THE
VOICES OF PEOPLE THEY KNOW FROM CURRENT LIFE OR PAST LIVES. THESE VOICES MIGHT BE COMMENTING
ON WHAT’S GOING ON OR THEY MIGHT BE ACCUSATORY. THEY MIGHT ALSO BE COMMAND
HALLUCINATIONS, TELLING THE PATIENT
TO DO SOMETHING. UNFORTUNATELY SOMETIMES
COMMAND HALLUCINATIONS CAN TELL THE PATIENT TO HARM THEMSELVES AND THOSE ARE PATIENTS WHO
CAN BE AT HIGH RISK FOR HARMING THEMSELVES OR SUICIDE. PATIENTS WITH SCHIZOPHRENIA
HAVE AMONG THE HIGHEST RATES OF SUICIDE OF ANY MENTAL
ILLNESS. IT’S A LESS COMMON ILLNESS BUT
NOT UNCOMMONLY SCHIZOPHRENIA CAN END IN EITHER SUICIDE
ATTEMPTS OR IN SUICIDE. SO WE REALLY HAVE TO BE VIGILANT
FOR THAT WITH A SCHIZOPHRENIC PATIENT.

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