Schizophrenia is a common clinical psychiatric disorder, and the best time for treatment is the first onset and the best efficacy within 2 years of illness. Therefore, early detection of schizophrenia manifestations in the family and timely treatment are crucial to the patient’s prognosis. Early detection, early treatment and formal treatment are related to whether schizophrenia patients can study, work and live normally in the future. The following manifestations are common symptoms of schizophrenia:
First, everyone thinks that the person is acting mentally deranged, while the patient firmly denies having the disease
Generally speaking, people who experience physical and psychological discomfort, such as headaches, fever, anxiety, fear, insomnia, etc., are self-aware and take the initiative to request treatment. Patients with schizophrenia, on the other hand, are the opposite. More than 90% of patients with acute schizophrenia, who show signs of mental disorder, simply do not admit that they are mentally abnormal and do not even acknowledge that they are mentally ill, which is called non-self-knowledge. If a person shows signs of mental disorder, but denies it and refuses to seek medical help, family members should pay attention and consider that he is suffering from schizophrenia.
2. Psychotic symptoms such as hallucinations, delusions and bizarre behavior
As the patient progresses, hallucinations, delusions, and bizarre behavior often appear. These three types of psychotic symptoms are characterized by the presence of a child, the creation of something out of nothing, and detachment from reality. Hallucination is a kind of illusory perception: hallucination of hearing, vision, smell and taste. Hallucinations are most common with hallucinations of hearing. There are two types of hallucinations: real and false.
1.Hallucination: there is no one talking in reality, but the patient will hear a voice. You can tell how many people, male or female voices, and whether the voice is that of someone you are familiar with or someone you don’t know. The content is varied, including command hallucinations and commentary hallucinations. The content is often unfavorable to the patient, such as ranting and swearing. These voices may talk to each other to comment on the patient, insult the patient, or order the patient to do something. Some patients hear a voice saying it out when they think of something, called thinking of sound.
2.True hallucinations: The patient’s ears hear voices out of thin air;
3.Pseudophantomonal hearing: the characteristics are: the patient feels the sound, generally speaking, is not clear enough, not distinct and vivid, it does not have the objective reality of the true phantom hearing, and often incomplete. These hallucinations are not heard through the ears and are not heard in the head. These hallucinations are not located in the objective space, but only in the subjective space of the patient (inside the brain, inside the body). Whether it is true or false, the patient is convinced.
4.Visual hallucinations: Some patients may see people, things, or even horrible ghosts and gods that are invisible to others;
5.Phantom smell: Patients smell special odor.
6.Phantom taste: Some patients may taste strange taste from food or drinks.
7.Somatic hallucinations.
(1) Some patients feel that their body shape has changed, feeling that their head has become smaller, legs shorter, etc.
(2) Some patients have perceptual syndrome, for example, they may see other people’s faces change shape, become very scary, etc.
(3) Delusion: It is a false morbid belief, a pathological reasoning and judgment.
There are 4 characteristics, especially 1 and 2 are important as follows.
1. There is no factual basis at all, no objective basis of reality, but the patient is convinced.
2. The content of the delusion is incompatible with the patient’s religious beliefs or cultural background, all related to the patient himself, and definitely in conflict with the patient’s personal interests.
3. Delusions are unique to the individual.
4. The content of delusions varies depending on the patient’s cultural background and personal experience.
(3) Thought disorder
The thought association process or reasoning logic of schizophrenia patients may be abnormal.
1. Scattered and broken thinking: the patient’s language has no theme, leaving people uninformed, preverbal, and unintelligible to others.
2, pathological symbolic thinking: some patients will confuse concrete concepts and abstract concepts, the abstract concept of concrete, for example, a patient wears red underwear outside, indicating that he has a red heart;
These are all disorders in the form of thinking. In addition, there are some patients have solitary thinking: all day long indulge in the fantasy of thinking that they think they are advanced, new theories or inventions, which is actually very ridiculous.
Fourth, there is emotional indifference and reduced will
The longer the schizophrenia illness lasts, the more emotionally indifferent the patient becomes, starting with a slight indifference to relatives and gradually developing into a lack of affection for family members. The patient’s attitude is indifferent and indifferent even to matters that are of immediate interest to him or her. The patient’s face lacks expression, his words are very bland, and he is very cold to his relatives, like a stranger. Some patients are emotionally uncomfortable, emotionally inverse, they encounter very happy things, but no happy expression, in a very sad occasion, but full of smiles. In severe cases, they often have a diminished will, do not take off their clothes and shoes when they go to bed, and never take the initiative to change their clothes even when they are dirty. They do not consider or rarely consider their work, study, life, marriage, and future, and do nothing but eat every day.
The above are common symptoms of schizophrenia, and the patient will not have all of them, but always have some of them. If you find these symptoms, you should go to a psychiatric hospital in time to avoid missing the best time for treatment.