Do people with schizophrenia care about others?

I am a mental patient. I have been ill for twelve years. During these years, I have basically not been idle at home. Except for the occasional hospitalization when I am ill, I have been working outside at other times. When it comes to making money, I am also a person who has both elders and younger children. I cannot live in society just because I have this disease. My family is an ordinary family. I understand that it is indeed difficult for a family to rely on just one person to work. Although I have this disease, there are times when I am sober. When I am sober, I go out to work to help my family solve some difficulties. I can also spend some money to be filial to my parents. I also work harder to educate my children. Sometimes This disease is indeed very uncomfortable. Only you know it in your heart, but you have to endure it and try not to drag down your family. I hope the society can appeal and don’t bully such patients casually. They are very fragile. It doesn’t matter if you don’t help. But don’t deliberately hurt such patients. Although I have this disease, I feel that I am equal to you normal people. I am not worse than you. I am also very confident, and I will not do anything to hurt others. . Because I am a timid person who is full of kindness. I hope that everyone can be kind and don't discriminate against anyone. …

In my daily work, I often come into contact with patients with schizophrenia. Whether the patient is suffering from schizophrenia for the first time or has been suffering for many years, emotional incoordination is one of the main manifestations; in fact, many patients suffer from schizophrenia in the early stages of the disease. It is not easy to be discovered by family members, especially those who are introverted and rarely communicate with others. They are not good at expressing their emotions. Often when seeing a doctor, family members will report that the patient does not like to talk or interact with others for a long time, and is a loner. Being alone, having no friends around you, etc.; these are all signs of emotional decline.

We all know that most patients with schizophrenia have symptoms of hallucinations or delusions. Under the control of these symptoms, patients will have disordered behavior, leading to disharmony in cognition, emotion, and volition. In addition to family members, Some patients are just the opposite and are very worried about the "safety" of their family members. Of course, this is not ordinary concern, but a kind of pathological stubbornness.

I once treated a schizophrenic patient with severe delusions of persecution. The patient asked his family and relatives not to leave home without permission. He would call his relatives at any time to ask everyone to report that they were safe; he often suspected his neighbors, colleagues, and even others. It is strangers who threaten the safety of the whole family. They are in fear all day long, sometimes carry knives with them, and call the police repeatedly, seriously disrupting social security and the lives of people around them. For such "concern", everyone may notice it at a glance. Understand, this is a symptom of pathology. This is the symptom of patients with severe delusions of persecution, and it is also a unique manifestation of schizophrenia.

What is emotional apathy

The characteristic of emotional apathy can be seen as "the withering of the source of emotion". It lacks corresponding emotional response to the external environment. True emotional apathy often has a negative impact on the psychological - A negative result in the physiological response test is different from the flat emotional reaction of depression, and also different from the emotional numbness of patients with organic mental illness. In our customary usage, we often call those with a lighter degree than emotional apathy as flat emotions. How do we evaluate a patient's emotional apathy? First, look at the relationship and attitude of the patient and his relatives; second, the patient's interests and pursuits in life; third, the attitude towards the current situation; fourth, the arrangement of daily life; fifth, the plans and wishes for the future. It can be seen that intimacy with relatives is only one of the manifestations of emotional indifference. Schizophrenia patients will show emotional indifference and alienation of family affection in more aspects. When we evaluate, we not only observe expressions, words and behaviors, but also What’s important is understanding the subjective experience. If the patient's disease worsens further, he or she will lose the original emotional experience of the things around him and will often be expressionless or often giggle, which is also one of the symptoms of the patient's overall mental decline.

So most schizophrenia patients with protracted illness are increasingly alienated from their family members. This itself is a symptom of the disease, unlike positive symptoms such as hallucinations and delusions. Emotional decline is Those that cannot be improved through treatment, such as the negative symptoms we often discuss in psychiatric clinics, are difficult to achieve significant improvement in treatment, which is also the key reason why it is difficult for patients to recover.

As the course of the disease prolongs, the symptoms of schizophrenia also become more complex. In addition to some patients with negative symptoms who are more difficult to treat, many patients with schizophrenia whose main manifestations are positive symptoms , good clinical results can still be achieved in the initial treatment. Early detection, early treatment, and taking reasonable and effective treatment measures are one of the ways to avoid prolongation of the disease and stubborn symptoms. Whether it is for family members or patients, insisting on treatment is indeed is a difficult task.

Thank you for your attention, I hope my answer can help you.

Do schizophrenics care about others?

Yes!

Clinical manifestations

1. Clinical manifestations

The clinical symptoms of schizophrenia are complex and diverse, and can involve perception, thinking, emotion, volitional behavior and cognition In terms of function and other aspects, symptoms vary greatly between individuals, and even the same patient may show different symptoms at different stages or stages of the disease.

(1) Perceptual disorders Schizophrenia can cause a variety of sensory disorders. The most prominent sensory disorder is hallucinations, including auditory hallucinations, visual hallucinations, smell hallucinations, taste hallucinations, and tactile hallucinations. Auditory hallucinations are the most common.

(2) Thought disorder Thought disorder is the core symptom of schizophrenia, which mainly includes thinking form disorder and thinking content disorder. Form of thinking disorder is mainly characterized by obstacles in the process of thinking association, including obstacles in the process of thinking association activities (quantity, speed and form), coherence and logic of thinking association, etc. Delusions are the most common and important thought content disorder. The most common delusions include persecution delusions, relationship delusions, influence delusions, jealousy delusions, grandiose delusions, non-blood delusions, etc. It is estimated that up to 80% of schizophrenia patients have persecutory delusions. Persecutory delusions can manifest themselves as varying degrees of insecurity, such as being watched, ostracized, worried about being drugged or murdered, etc. Under the influence of delusions, patients will become defensive. or aggressive behavior. In addition, passive experiences are also more prominent in some patients, affecting the patients' thinking, emotions and behaviors.

(3) Affective disorders Apathy and incoordinated emotional responses are the most common emotional symptoms in patients with schizophrenia. In addition, emotional symptoms such as incoordinated excitement, irritability, depression and anxiety are also common. .

(4) Most patients with will and behavioral disorders have reduced or even lack of will, which is manifested by reduced activities, isolation, passive behavior, lack of due enthusiasm and initiative, and reduced interest in work and study. Not caring about the future and having no clear plans for the future, some patients may have some plans and intentions, but rarely implement them.

(5) Cognitive dysfunction has a high incidence of cognitive deficits in patients with schizophrenia. About 85% of patients have cognitive dysfunction, such as information processing and selective attention, working memory, short-term Cognitive deficits in memory and learning, and executive function. There is a certain correlation between cognitive deficit symptoms and other psychotic symptoms. For example, patients with obvious form of thought disorder have more obvious cognitive deficit symptoms, and patients with obvious negative symptoms have more obvious cognitive deficit symptoms. Cognitive deficits may be related to some positive symptoms. related to the occurrence of symptoms, etc. Cognitive deficits may occur before the symptoms of psychosis become clear (such as the prodromal stage), or may decline sharply with the emergence of psychotic symptoms, or may gradually decline as the course of the disease prolongs. It is initially believed that patients with chronic schizophrenia are more likely to have cognitive deficits than first-episode psychosis. Cognitive deficits are more pronounced in people with schizophrenia.

Generally speaking, through active treatment, including psychological and drug treatment, the symptoms of most patients can be significantly improved.

These are generally the symptoms of schizophrenia patients. When the symptoms of schizophrenia patients are significantly improved, they belong to the normal life category. At this time, they have the feelings of normal people

We often find that for some schizophrenia patients, you would never know that they are schizophrenia patients in life, but at this time, they are just like a normal person. If you have normal feelings, you will naturally care about others. What I have to say is that he is still abnormal when he is sick, but he is normal when he is living a normal life.

So I said he cares about people.

Some may be "too" concerned, while others may be indifferent. Let's see why?

We all know that hallucinations and delusions are the characteristic symptoms of mental illness, especially schizophrenia. Auditory hallucinations are the main hallucinations, while persecutory delusions are the most common delusions.

The patient has persecutory delusions, that is to say, he firmly believes that someone is going to do harm to him, and he always suspects that he is being followed or monitored. In severe cases, he does not even dare to eat food cooked by others, and he is deeply afraid of being followed. People who have been poisoned must close their doors and windows even when sleeping at night, or carry knives to defend themselves.

Under the influence of this persecutory delusion, the patient's alertness is highly enhanced. I believe many family members have this experience: after patients arrive in an unfamiliar environment, they always look around to see if anyone is "aiming at them." If this is a kind of self-defense, then the patient will also intentionally protect his family members while defending.

Persecutory delusions are not only limited to patients’ worries about their own safety, but also include patients’ worries about their family members. For example, some of my patients do not allow their family members to go out, some do not allow their family members to make phone calls, and some patients buy a lot of food on their own as backup, worrying that their families will not be able to eat.

We can completely understand that the patient made these actions out of "concern" for his family. Of course, this is also based on his own insecurity and is a pathological emotional reaction.

Besides, for those who are indifferent, it is difficult for them to take the initiative to care about others

This includes two situations:

First, as we all know, patients As the disease progresses, the symptoms will eventually be dominated by "negative symptoms." Therefore, many patients who have been ill for a long time show us that they are lazy, withdrawn, talk little, and do not know how to manage their personal lives. They are even more indifferent to their family members and have no corresponding affectionate response;

Second case: due to the effect of antipsychotic drugs. In particular, traditional antipsychotic drugs have a strong blocking effect on dopamine, leading to a significant decrease in dopamine in the mesolimbic system, which is called people's "reward system" and is responsible for people's feelings of joy. When there is a significant and sustained decrease in dopamine in this area, it creates an artificial "negative symptom."

The above is my brief introduction to the emotional reactions of mental patients. I hope the answer will be helpful to you. Please pay attention. I will continue to update related medical issues.

?Hello, the main characteristic of schizophrenia patients is delusion: many schizophrenia patients will "take over" some phenomena that have nothing to do with them, and schizophrenia patients will I imagine that I have great power, that I have incomparable rights, wealth, talents, etc.; I suspect that people close to me will harm myself, so I believe in myself.

?Guidance:

?We should not regard schizophrenia patients as "murderers" who harm others. In many cases, they are just neurologists with relatively withdrawn behavior and incomprehensible behavior to ordinary people. Disease patients will also care about others like normal people.

Will care. The patient is mentally distressed and stressed. Chinese people cannot understand this disease. Treat mentally ill people as bad people. Bully. Cause harm. The community committee doesn't care. Danger to life

Schizophrenia.

Some schizophrenics care about people.

Yes, I am schizophrenic.

My presiding doctor wrote to me about schizophrenia and superstition in Buddhism and Taoism [covering face]

[crying] But we schizophrenics also need our parents, relatives and the care of others.