Wednesday, December 13

How To Recognize A Schizophrenic

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Have you ever wonder how does schizophrenic manifest? Can you recognize him if you meet one on the street?

First thing you need to know about schizophrenia is that it is a very serious mental illness. It manifests specially by frequent hallucinations. They are accompanied by emotional and behavioral disorders. Causes of this disease are not very well known. They are complex: physiological causes, genetic causes, environmental, etc.

Schizophrenia remains one of the most severe psychiatric disorders of this century too.

Statistically, the frequency of this disease is appreciated at 35 per 100,000 inhabitants of in the general population. The risk of illness appears to be equal for both sexes. Schizophrenia manifests between puberty and fourth decade of life, with a maximum incidence between 20-25 years. Symptoms of schizophrenia are various: lucid acute psychosis or confusion, depression, anger, neurotic condition, psychopathology symptoms like phenomena of depersonalization.

Some patients present a so-called character pre-schizophrenic. The symptoms are: a state of inhibition, rigidity, decreased activity efficiency, loss of interest towards education or professional activity, bizarre rambling, negligence, tendency of isolation. Affectivity changes, the patient remains indifferent to positive or negative emotions. Interest appears to areas of art, science, philosophy, religion, with which the subject had no tangent or has a brief training.

30-50% of schizophrenia begins with acute psychotic states: delusional and hallucinatory crisis, acute disorders of perception, alienation, total lack of consciousness of disease, states of mania, atypical depression, dream-like state.

Schizophrenic psychosis symptoms occur with variable frequency or intensity in different patients.  The clinical manifestations of this disease are:

• Delusional states are very common, though not occur at all stages of disease, are of bizarre, incomprehensible, sometimes magical or mystical (ideas of persecution, jealousy, fear of being poisoned).

• Hallucinations (false perceptions) are mostly auditory, patients hear voices, dialogue. Hallucinations can occur with injury (painful sensation). Visual hallucinations are more rare.

• Personality alterations: influence of personality, depersonalization. The patient lives a double life in the real world and representations of delusional world. He builds a vocabulary created by the illness.

• Affective disorders: the patient loses emotional contact with other people, emotional reactions are inappropriate. Sometimes there is an emotional ambivalence

• Psychomotor disorders: typical catatonic state characterized by negativity, body immobility, verbal stereotypes, automatisms.

• Disorders of social behavior: lack of initiative, interest and energy.

Family support is very important in obtaining a good remission. Patient should be helped to establish an optimal relationship between aspirations and opportunities of personality and its environment.


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