Cliff Notes for Schizophrenia Sub-types. Careful! Do not Diagnose others after reading this!

Posted: September 3, 2012 in Helpful Websites

1.5% of our population has Schizophrenia, worldwide. And children born later in the sibling  hierarchy are found to have less incidence. And if you are in an urban environment, versus rural,  and genetic legacy, your likelihood is higher. But does any of that matter when you or a loved one has been diagnosed with Schizophrenia?  Schizophrenia is a diagnosis that has unjustly been reacted to much as leprosy once was. You must have the symptoms for more than six months, or you may have “Schizophreniform” I like to think of it as a “form of Schizophrenia” but as the features last a month or less, the duration does not qualify for a full blown diagnosis of Schizophrenia. Just what is Schizophrenia anyway? Well it is a neuro-cognitive malfunction. Meaning, the organ called the brain is relating to it’s environment in maladaptive ways. And I haven’t met one person who suffers with this, that thinks this is a easy disease to deal with! And some super young people do suffer from it. Usually, but not always it happens in the very late teens to mid to late twenties, but it can occur earlier or later, and often is associated with a stress event, but again, not always.

It is not “Split Personality” or Disaasociative Identity Disorder (DID). However, like in DID the person may hear voices talking to them (some DID individuals have personalities that do talk to each other though not the norm). The voices are generally negative, condemning and contradictory to the persons innate character. The voices tend to be heard “outside” of one’s head, versus inside. For instance, the television can tell them to do such and such.  One’s work, hygiene, organizational abilities, interpersonal relationships, and even physical coordination are all disrupted to name a few. Let me go over the sub types briefly… remembering that there are a host of other pathology’s that can interfere with the full diagnosis of schizophrenia.

A) Paranoid Schizophrenia; No verbal skill loss, and often still able to hold a job, though interpersonal relationships are bound to suffer. Watch for aloofness, argumentativeness, anger, grandiose or persecutory delusions. This person may seem pretty functional, albeit emotional regulation is poor… and a lot better prognosis for independent living compared to the other two types. On a personal note; I have witnessed these behaviors in early to middle stage Alzheimer’s patients not attributed to Schizophrenia but the Alzheimer’s. On another personal note, a previous acquaintance of mine who had paranoid schizophrenia had the entire SWAT team out for a “dinner date”  as he pulled his sawed off shotgun to get the FBI who was hiding in the bushes to “get him”, so monitoring and medication  is essential!

B) Disorganized Type; Poor emotional responsiveness, a “flat” or inappropriate emotional affect. Inability to plan, complete activities of daily living, and unable to think in a coherent fashion. There are many remissions and onset is earlier. Custodial care is necessary on some level. There is minimal functioning but a sense that things are not “quite right” with the person.

C) Catatonic Type: Motor rigidity or excessive motor activity that does not serve a purpose. This person will need full on custodial care because they potentially  are unable to carry out any self-care which would extend their life. They often have Echopraxia (repeated imitation of movements) or Echolalia (repeated verbal expression) of others. These characteristics can be expressed also with drugs, a general medical condition or Manic or Major Depressive Mood, so don’t jump to conclusions too fast.

Find out medically what might be going on with any sub-type,  and then take each step one at a time. Ask for help. Contact NAMI (National Alliance on  Mental Illness)http://www.nami.org/ Understand that people may not understand your position as a patient or a family member or friend. One study done early in the 1940’s at a in-patient facility gained so much success that when visited by the same person every day for a full year, every single Schizophrenic patient was able to be discharged. If you are aware of the study located in New York with volunteer students,  please contact me so that I can post it. Nevertheless, this study proves the power of human compassion and consistency with mentally ill people! Other researched influences (besides genetics), seem to have mixed findings.

Written by the Author of this blog, Julie

Source; DSM-IV-TR

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Comments
  1. wow, nice page, very informative, i learned a lot…thanks for that information. keep it up. lista de emails lista de emails lista de emails lista de emails lista de emails

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