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What is schizophrenia?
Schizophrenia; is a mental illness that seriously disturbs social relations, loses connection with reality and logic, can be delirious or stagnant. The onset of this disease, which usually manifests itself during adolescence and requires lifelong treatment, is not typical. Each patient may have its own triggering factors. As it can progress slowly, the delusion can be seen in a moment. Schizophrenia in which inherited factors play an important role is the will and personality destruction.
The question of how and why schizophrenia develops can vary widely and has its mysterious side. The presence of psychological illnesses in family or close relatives will increase the likelihood of experiencing schizophrenia. Environmental factors can result in schizophrenia if severe stressful or traumatic events are combined with inherited factors.
What are the symptoms of schizophrenia?
Since the age factor is very important for the diagnosis of schizophrenia, the fact that the patients who are symptomatic is below 45 years of age will provide significant diagnostic accuracy. The statements can be very passive (colorless painting), and they can also show very warm expressions (color painting).
The schizophrenia statements we classify as colorless are:
- Closing the bell and refusing to speak to people
- Avoidance of crowds
- Resistance to movement
- Do not want to sleep for hours
- Having difficulty in adapting to social orientation
- Symptoms of negative psychology (unhappiness, tiredness, lack of enjoyment of life)
- Continuous life questioning (Why am I, World is round, is there really a concept of God?)
- The tendency towards metaphysical subjects (5 things that we can not directly perceive but are known to exist, such as spirit, gin …)
- Deriving words that have never been heard and are meaningless (Neologism)
Discard the colorless picture. Delirious. People with this kind of schizophrenia often think for hours without doing anything. Thoughts are interconnected and often do not agree with logic. Therefore, the sentences that they establish are also meaningless sentences.
Schizophrenia indications classified as colored table are:
- Aggression comes to a point where it can harm both itself and its environment
- Hearing non-existent voices and even talking to them
- Loss of reality perception
- Seeing non-existent images (hallucination)
- The people around him and even his family doubt suspicions that he will harm or betray him
- Producing conspiracy theories
- Thinking of being followed by important institutions or organizations
- Locking himself in the room and not opening the door anyway
- Begin to assume that you are a supernatural being sent for a sublime mission
Some of the patients may also give obsessive symptoms. Excessive hand washing, extra care, extreme worry for family and other loved ones can be given as an example.
The vast majority of patients give the indication on the colored table. The doctor will not diagnose schizophrenia at first when he / she is referred to a doctor without wasting time with these symptoms. In order to be able to diagnose schizophrenia, this statement must have lived for 6 months. Therefore, in the first month, the doctor calls this a “psychotic reaction”. If the symptoms are still continuing after 1 month, it is thought to be “schizophreniform disorder”. This covers a period of 1-6 months. If the symptoms continue for more than 6 months and the patient is under 45 years old, the doctor can easily diagnose schizophrenia and determine the patient’s treatment process and the medicine to be used.
Can Schizophrenia damage the environment ?
When talking about schizophrenia, many of us will come to critical tables in terms of life safety. However, in every case of schizophrenia there are no dangerous situations. There are also types of schizophrenia that are quite calm. Even if the paranoid type of schizophrenia is observed, it is not possible for people to have social problems if they start and continue treatment on time and properly. The underlying causes in schizophrenic cases that end up harming or even killing are:
- Irregular use of medicines (Medicines should be used for life. The doctor can change the dose and the sex of the medicine according to the condition of the patient. Once you get hurt, the drug will appear to have never been used, and the symptoms will be resurfaced.
- Persecution is the act of delusions. (the thoughts of seeing evil around them)
- Addition of other personality disorders to this table
- Patient relatives can not tolerate and express their feelings clearly (these behaviors lead to an increase in the delusions of the already suspicious patient).
How should schizophrenic relatives approach the treatment process?
Schizophrenia is the most common strain of patients. Especially in shouting, suspicion and aggression, there can be taboos that end in a very painful way. In order not to experience these conditions and to be able to live a normal and quality life as much as possible, relatives of patients should pay attention to the following issues:
- It is necessary to avoid the expression of emotions that will increase the patient’s delirium.
- Prospective expectations about the patient should be reduced and reorganized.
- It is vital to know well how to deal with every detail and the right step in schizophrenia.
- Your relatives should always feel that the patient understands, loves and is with you. If attention is paid to these issues, it will not be difficult to obtain positive results.
How is schizophrenia treatment ?
There are three stages of treatment:
1 – Acute Treatment: This treatment, which is intended to calm the patient, involves a 5-10 day period. It is aimed to prevent it from harming itself and its environment.
2 – Stabilization: 1 month phase. Depending on the patient’s condition, the type of medication, dose and duration of use will be determined at this stage. Given the social position of the person, it will be very important to choose an appropriate medication that will not cause the relationship with the community to break. Thus, while the patient is being treated, he or she will have the opportunity to regulate and maintain social relationships that are in the field together with schizophrenia.
3 – Treatment of Admission: The doctor keeps the patient under observation for the life of the patient and determines the type and dose of the drug according to the latest condition.
What are the drugs used in the treatment of schizophrenia and how do they affect it ?
Schizophrenia is an antipsychotic drug. There are two types:
1 – Classical Antipsychotic Drugs: Drugs used for many years. It is quite effective but it can be very heavy for patients. It constantly makes you sleepy and drowsy. This may affect the patient’s social relationships. Nevertheless, in some cases, the use of classical antipsychotic drugs continues for some cases.
2 – Atypical Antipsychotic Drugs: A newly developed antipsychotic drug. It has been in use for the last 20 years and continues to be further developed. Side effects are very low compared to other antipsychotic drugs. There is also the functionality of increasing functionality as it does not cause disruption to socialization.
Antipsychotic drugs are used for the functioning of the brain; thus balancing neurotransmitter substances (dopamine, adrenaline, serotonin …) that affect emotions and behaviors. When this balance in the brain occurs, excessive emotional bursts (delusions) will be avoided and the patient will continue to normal life.
In much heavier cases where antipsychotic medications do not suffice, Electroconvulsive Therapy (ECT), the so-called “shock therapy”, is used. Parallel to this process is supported by “psychotherapy”.