Can a neurosis turn into schizophrenia?

  People who suffer from neurosis often worry that they will turn into schizophrenia. This fear is not necessary. In fact, neurosis and schizophrenia are two completely different disorders in nature, and neurosis does not turn into schizophrenia. Why, then, do some people have a vague understanding of this? This is because some patients with schizophrenia have neurosis-like symptoms early in the course of their illness, and superficially they look like neurosis in terms of both symptomatology and examination, so some are misdiagnosed as having neurosis and are only diagnosed when the symptoms of schizophrenia are very obvious. This situation indicates that the patient was suffering from schizophrenia from the beginning and not from neurosis to schizophrenia. The most prominent feature of neurological symptoms in early schizophrenia is that the patient is extremely concerned about his or her illness, actively seeks medical help, has profound painful experiences with symptoms of neurosis such as headache, dizziness, insomnia, dreaminess, anxiety, and restlessness, and has a strong desire to get rid of these symptoms, and is often even anxious because the illness is delayed; whereas in neurological symptoms in early schizophrenia symptoms, the patient does not care enough about his or her illness, shows indifference, and lacks painful experience of the symptoms of the illness, and at the same time, the patient may have bizarre and incomprehensible thoughts or practices (thought disorders and behavioral abnormalities). Therefore, after a thorough assessment and analysis of the patient’s symptoms and presentation, the doctor can detect the basic core symptoms of schizophrenia that are hidden by the symptoms of neurosis, thus enabling the doctor to make a differential diagnosis.