1. Does schizophrenia require additional medication in the spring? It is true that schizophrenia has a spring onset, or tends to increase. Every spring, the rate of hospitalization in psychiatric hospitals surges; by the winter months and before Chinese New Year, schizophrenic tendencies stabilize and hospitalization rates drop to a low point. But this is just a popular tendency. The pattern may not apply to everyone. We believe that in the spring, families should be doubly vigilant, and if the patient develops anorexia, bad temper, reluctance to contact people, or insomnia, they should go to the hospital and ask their doctor to adjust their medication. However, in the absence of any signs of onset, it is not enough to preemptively add medication. 2.After the first child has schizophrenia, the mother wants to have a second child, is it suitable? This question should be analyzed from 3 aspects. (1) Parents’ advanced age: When a mother has her first child, she is usually around 25 years old. Even if the child is 15 years old with schizophrenia, the mother is already 40 years old, and the father is often 2 years older than the mother, which is 42 years old. The aging of sperm and eggs reduces the genetic advantage and increases the chance of having a mentally retarded child. (2) Sibling care: Even if a second child is born, how much affection will there be between the child and the sick child, who is more than 16 years apart? Can you really count on the sick child when he or she grows old in the future? Relative affection is dependent on the cultivation, if the second child grew up to see his brother or sister usually lazy, do not care about themselves, the onset of the fuss, making family unrest. He will be alienated from the patient since childhood, and will grow up to be sympathetic to the sick brother or sister who is more than 16 years older? If the second child grows up to see his sick brother or sister happy to take care of himself, most of the time he can go to work and have a family normally, and he has deep feelings for his sick brother or sister, does such a sick brother or sister still need the care of his younger sibling who is more than 16 years younger than him? If a normal couple has already given birth to a schizophrenic child, the chance of having another one with schizophrenia is about 10% (12% to 14%), and if the second one crashes into schizophrenia, the family’s luck is too bad. If the parents are mentally normal, but the parents have a parent or sister with a history of schizophrenia, this also increases the chance of having a child with schizophrenia. How do you measure recovery from schizophrenia? Recovery from schizophrenia is measured not only by the disappearance of the patient’s psychotic symptoms, but also by the return of laziness, apathy, self-care, and the ability to work. This measurement is not a problem for highly educated people, but for lowly educated people, it may be a problem. The family members of lowly educated people may think that if they do not make any noise or talk to themselves, the illness is considered cured, and when the doctor asks the patient in detail, the patient does not know how long he or she sleeps every day, does not know his or her plans for the future, and cannot say how much medication he or she takes. It is not only the doctor’s job to evaluate the condition, but the family’s observation is also important, because the clinic is very busy, and if the family says “yes”, the doctor may prescribe medication, thus delaying the patient’s treatment. Singing the role of shamans: Despite the fact that man has gone to the moon, there is still a market for shamans in rural areas to cure illnesses. If the ghost does not forgive you, your illness will not be well, linking the illness with your virtue, you are always ill, you can only blame yourself, not the shaman. For example, when the family invites the shaman, they gather around the shaman and watch the shaman do the spell, and the patient feels that he is helping me and realizes that someone is helping, which is a force that helps the patient calm down. If the shaman says that the ghost is from the southeast and you need to go to the northwest to take refuge, it is tantamount to asking you to change your environment and psychological stress to change your environment, which is good for relief. Plus the more you believe in the shaman’s explanation, the more effective it is for suggestive diseases (such as hysteria). The other kind of effectiveness is not the credit of the shaman, but the fact that the disease itself is self-limiting. For example, the hallucinations of schizophrenia-like psychosis get better after 10 days, and it gets better whether you treat it or not. If you ask the shaman to burn incense for a spell within 10 days, then the relief of the hallucinations is attributed to the shaman. Be careful not to make unnecessary efforts: Who is not anxious when their child is born with schizophrenia? For example, the mother of a schizophrenic patient, who is now 30 years old, remembered that when she was pregnant with the patient, she had a ring-shaped red spot on her skin, and then asked the doctor who delivered the baby 30 years ago if there was any effect on the fetus. I think this kind of consultation is meaningless: if there is no effect, you feel that the cause of the disease has not been found, adding to your heart; if there is an effect, you feel that the cause of the disease has been found, but there is no way to make up for it, still adding to the problem. Since this coin is tossed out, the positive and negative results are the same, what else is there to toss? 6. What does it mean when the sedative effect of a drug disappears? Some patients started taking olanzapine especially sleepy, taking half a year down, now after taking olanzapine feel especially awake, no drowsiness phenomenon, he doubts whether the disease is almost recovered? We believe that this is not an indication that the disease is almost over, nor is it a reduction in efficacy, but a tolerance to the sedative response to olanzapine, which only means that the withdrawal of olanzapine now will cause rebound insomnia. 7. Family talk: When family members tell their medical history, they often mention that they were seen in front of Dr. Zhang San and how their condition changed, and then they went to Dr. Li Si and how the patient changed. This is fine, but do not say “Zhang San really killed people! We’ve been seeing her for a year, and he’s been treating us like we’re depressed, for a whole year! Li Si, this is a quack, give me random medication, treating us like dummies, drooling! This time we came to see you by name, and everyone said you looked good.” This kind of belittling the doctor who is not present and flattering the doctor who is present is a bad quality that will make the doctor think differently, “If I can’t cure him, he will say the same thing about me tomorrow when he goes to another doctor, I have to stay away from him.” , so the doctor will be more cautious with you, speak more formally, and you will not be able to enjoy the phone or email consultation provided by the doctor outside the clinic. 8, the variable of choosing a doctor: go to a restaurant to order food for dinner, how do you order food? First, you touch your wallet to see how much money you have, and then you order food as needed, so that you can match meat and vegetables and eat comfortably. Only the big head only order expensive, not good. The same is true for medical visits, which are consumed on the premise of having enough money and on demand. For example, several times to see a doctor, still the diagnosis is not clear, the treatment is not effective, it is not appropriate to spend more immortality, should not spare money, find some reputable doctors to see, wait until the diagnosis is clear, the condition is in remission, the purpose of seeing a doctor is to get medicine, you should find a convenient clinic, the simpler the better. Only when you have a new problem, for example, a relapse, an adverse drug reaction, or a new problem consultation, do you need to see a reputable doctor again for a follow-up.