recognizing schizophrenia

Schizophrenic disorders are severe conditions manifested by thought and communication disorders, inappropriate emotions, and strange behaviors that last for months or even years. The distinguishing feature in schizophrenia is that the person is disconnected from reality. In this disorder, which starts at a young age, the individual withdraws from interpersonal relationships and withdraws into himself and lives in a world of his own. Schizophrenia, which progresses with significant deterioration in thinking, affect and behavior, is triggered and occurs when the person is under any kind of psychological stress, mostly between the ages of 18-25.

Whether schizophrenia develops rapidly or slowly, the symptoms are many and varied. There is no typical starting format. Symptoms may develop in a very short time with multi-colored delusions, strange behaviors, and exuberance, or they may progress in a very insidious and slow manner. Common symptoms include decreased interest, distraction, preoccupation with one’s own body and thoughts, and indifference to the flow of time. People with schizophrenia are generally introverted, quiet, prefer solitude and have limited interests in the pre-disease period. After the onset of the disease, this picture continues to worsen. They often become unresponsive (blunt) to events in terms of affect. Because of this decreased emotion, they may appear callous and indifferent, but this does not mean that they are not in pain or distress. In addition to their inappropriate or meaningless laughter/cry, they exhibit an affectively inappropriate attitude. In other words, the person’s reactions have no connection with the situation or the content of the thought.
Another important and distinctive symptom seen in patients with schizophrenia is related to perception disorders. We can talk about two types of perception disorders in patients with schizophrenia: Hallucination (hallucination) and illusion (illusion). Hallucination is the presence of a perception when there is no stimulus.

They perceive non-sensations such as hearing voices/speech, seeing dreams. Their patients may have auditory hallucinations such as hearing voices, visual hallucinations such as seeing things that do not exist, olfactory hallucinations such as hearing non-existent odors, or tactile hallucinations such as feeling sensations that are not in their body. In addition, symptoms such as abnormal, disorganized behavior and speech, and apathy towards the environment, also known as negative psychotic symptoms, social withdrawal, lack of pleasure (anhedonia), speech poverty, loss of energy, and decreased personal care and hygiene can be seen.

Illusion is the wrong/different perception of an existing stimulus. For example, the patient may perceive a relative or part of his body as an animal. The main problem here is that schizophrenic individuals accept their hallucinations and illusions as real. Therefore, he may act in accordance with what the voices he hears or run away from an animal he thinks he has seen. In some cases, these reactions result in physical harm to those around them or to themselves (for example, killing someone because they say they are evil). At the same time, delusions (delusions) are seen in people with schizophrenia. Delusions are distorted misconceptions with no real basis and disrupt the relationships schizophrenics establish with other people and their environment. Such conditions are more common in paranoid schizophrenics. For example, thinking that the doctors/wife/friends are actually spies and working for a country that wants to steal their projects, so they want to make him talk by giving him medicine.
Although there is no significant regression in the intelligence of schizophrenic patients, some cognitive dysfunctions (such as reasoning, abstract thinking, problem solving, and voluntary action) and problems with memory may be experienced in individuals who are exposed to a significant destruction in the later stages of the disease.
Impoverishment can be seen in the thought content of schizophrenic patients. Speech may be conceptually weak or even meaningless. The reason for this is the deformity of thought. In thought disorder, words and sentences are separated from each other. Schizophrenic patients, who experience situations such as stopping in thought from time to time, jumping from one thought to another, and many thoughts coming to the mind at the same time, get caught up in the harmony or rhyme of sounds and words rather than the meaning of the thoughts. Sometimes they repeat what other people say as they are. Sometimes they break up and reassemble words to define new words or concepts. They use formulaic words. However, it should be noted that there is no definite condition that these thought disorders will always be seen when schizophrenic patients are talking. On the other hand, if the patient is observed carefully, even when his thoughts are most scattered, it can be seen that there is a meaningful connection between his thoughts and behaviors.

Let us give an example of a meaningful relationship between the thoughts and behaviors of a schizophrenic patient:
-Fears are falling on my side, and then smoking suggestions are falling in order to overcome these fears and succeed. He tells me to smoke on cigarettes. I don’t look for anything other than a cake like this. (To the question of what does Pastaf mean) Pastaf means to get away from the subject you know or not. That means being alone with things you don’t know.
An example of the deterioration of thought content in schizophrenic patients can be as follows:

-If everything happens on time; I am referencing an earlier document. At the time I had some suggestions from some tried-and-tested views. He has one ear that concerns my daughter. Her name is AYŞE. This dairy syrup needs to be reconsidered.
As an example of the inconsistency between emotions and situations in patients with schizophrenia:

-Often times when talking about one thing, I think of five or six different things at the same time. People don’t understand me when I laugh at a topic that has nothing to do with what I’m talking about. This must seem strange to them. But they don’t see what’s inside of me and what’s going around in my head.

Types of Schizophrenia

The classification of types in schizophrenia is made according to the dominant symptoms and these symptoms may change over time. Controversy continues in clinical circles about the types of schizophrenia. Therefore, the types that everyone agrees on will be briefly mentioned here.

Paranoid Type: In this type, whose thought content is dominant, there are delusions based on ideas such as seeing others as bad/enemy, greatness, being under the influence. For example, convictions that the environment is full of evil, such as “they are following me, they are plotting against me, they will kill me”; delusions of grandeur such as “I am God, I am a prophet”; “They overwhelm me with their rays. Delusions of influence such as “They control my dreams” are seen.

Scattered Type: Exhibits emotionless and superficial attitudes. The patient, who has a disorganized and irregular flow of thought, repeats what he has established with stereotypical words. Disintegration and destruction develop very rapidly. It lives in its own inner world and does not connect with the outside. Symptoms such as undressing naked, awkward postures, hyperactivity, and repetition of what others say or do are seen.
Catotonic Type: Catatonia (freeze) means that the person remains motionless in a certain position for a long time. The patient does not respond to anyone who wants to establish an external relationship. He does not eat, drink, sleep, speak. Sometimes he lies in bed for hours as if he is in a coma01.08.2020

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