A brief discussion about schizophrenia
and lack of insight.
Schizophrenia is a nightmare for a person and his/her family. It totally destroys one's life without having treatment. Schizophrenia occurs worldwide in all ethnic groups with about 0.5%It is more common in men. Children of an affected parent have an approximate 10% risk of developing the illness, but this rises to 50% if an identical twin is affected. The usual age of onset is the mid-twenties but can be older, particularly in women.
Schizophrenia type
Acute schizophreniaChronic schizophrenia
Acute schizophrenia may also present with disturbed behaviour, disordered thinking, or with insidious social withdrawal and other so-called negative symptoms and less obvious delusions and hallucinations.
chronic schizophrenia (negative symptoms) Flattened (blunted) affect Apathy and loss of drive (avolition) Social isolation/withdrawal (autism) Poverty of speech (alogia) Poor self-care
Schizophrenia cause
Schizophrenia symptoms
Hallucinations are typically auditory but can occur in any sensory modality. They commonly involve voices from outside the head that talk to or about the person. Sometimes the voices repeat the person’s thoughts. Patients may also describe ‘passivity of
thought’, experienced as disturbances in the normal privacy of thinking, such as the delusional belief that their thoughts are being ‘withdrawn’ from them and perhaps ‘broadcast’ to others,
and/or that alien thoughts are being ‘inserted’ into their mind. Other characteristic symptoms are delusions of control: believing that one’s emotions, impulses or acts are controlled by others.
Another phenomenon is delusional perception, a delusion that arises suddenly alongside a normal perception, such as ‘I saw the moon and I immediately knew he was evil.’ Other, less common, symptoms may occur, including thought disorder, as manifest by incomprehensible speech, and abnormalities of movement, such as those in which the patient can become immobile or adopt awkward postures for prolonged periods (catatonia).
Schizophrenia treatment
Drug treatment
A number of antipsychotic agents are available.
(first-generation) drugs such as chlorpromazine and haloperidol.second-generation drugs such as olanzapine and clozapine.
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