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Schizophrenia - General Discussion

Started by briskgull27 · · 👁 374 views · 7.5K replies

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Sarah Wood8 Sarah Wood8 Active Member
95 messages
joined Aug 2007
#2521 ·
Harold Anderson3 said:That whole experience you described with derealization... honestly, it could very well be schizophrenia, except for one major detail: the fact that your condition improved without any medication.

Regarding the genetic side of things...
The general prevalence of schizophrenia in the US population is about 1%. However, I suspect there are actually twice as many people carrying the gene, perhaps closer to 2%. I arrived at that conclusion based on two points: first, if one identical twin develops schizophrenia, there’s only a 50% chance the other will, despite them having identical DNA. Similarly, if both parents have it—which would mean their child almost certainly carries the gene—the actual chance of the child developing the disorder is still only around 50%. So, beyond just having the genes, you need some kind of trigger to activate them, and I'm convinced that comes down to environmental stressors, especially during early childhood. My own upbringing was pretty traumatic (much like my mother's), which, combined with our genetics, led to this diagnosis. My half-brother also had a really difficult childhood, but he stayed healthy because he doesn't carry "that gene."


I honestly feel like so many symptoms get slapped with a schizophrenia diagnosis just because people don't know any better. Depersonalization and derealization are everywhere these days, especially among young people, usually triggered by intense trauma, chronic stress, or various drug use—but those specific symptoms haven't ever actually caused schizophrenia, no matter how long they persist. In my opinion, it’s physically impossible for those sensations to evolve into schizophrenia on their own.
And that’s exactly what I find most infuriating—this trend where people who clearly don't know what they're talking about love to spread this absolute nonsense that you can actually develop schizophrenia from depersonalization or derealization. From everything I've gathered by reading hundreds of firsthand accounts on international DP/DR forums, that's just flat-out wrong; you can't "develop" a psychotic disorder from these sensations, because derealization is simply the brain's way of reacting to stress, regardless of what triggered it in the first place.
Of course, if you tell someone experiencing derealization that they're actually developing schizophrenia, you're just going to make things a hundred times worse for them.
It turns out the whole thing boils down to this irrational fear of developing schizophrenia just because of a few overlapping symptoms—which, honestly, is completely idiotic.
Depersonalization and derealization exist as distinct symptoms far more often than they do as part of schizophrenia, and honestly, they don't lead anywhere else besides the symptoms themselves. Without an actual underlying foundation for schizophrenia, you aren't going to spiral into it. At least, that’s how I see it. If that weren't the case, I would have been diagnosed by now, or maybe I eventually would have developed it if I actually carried the gene—but since I don't, all this derealization stuff is just a dead end.
That’s exactly why I think that tiny 1% of the population supposedly lacking any genetic predisposition for schizophrenia is just being misdiagnosed. They’re likely presenting with symptoms that look similar on the surface but actually have absolutely nothing to do with schizophrenia itself.
I’ve been hearing all this chatter lately about people getting slapped with a schizophrenia diagnosis, only to turn around a year later acting completely normal, as if the whole thing was just some massive mistake.

To be honest, I was fully aware of my situation at the time. I knew exactly where I stood and who I was, but there was this massive disconnect on a purely experiential level—my perception of myself and the world around me was just completely warped. It was like I couldn't recognize the world anymore, and there were plenty of moments where I wasn't even sure if I still knew who I actually was. In other words, I KNEW the facts, but I didn't FEEL them.
I used to get hit by these waves where just staring at a plain house facade or watching people pass by outside my window would completely drain me. It was like looking at anything ordinary sucked me straight into another dimension, and honestly, it felt like pure hell.

Schizophrenia? Please. It’s not that, it's something else entirely.
Medication hasn't done a damn thing for me, and honestly, I don't have much faith in it anyway—not for what I'm dealing with. Now that I'm finally seeing some light at the end of the tunnel, I’ve realized just how much certain mental health professionals love to spread misinformation and stir up drama about needing these pills. It feels like they're just pushing sketchy formulas to line the pockets of Big Pharma. From my own experience, nothing worked except for the heavy-duty anti-anxiety meds that basically just knocked me out.

In the end, I had to take matters into my own hands by cutting ties with everyone—the psychiatrists, the doctors, the medication, all of it.
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2522 ·
Sarah Wood8 said:I honestly feel like so many symptoms get slapped with a schizophrenia diagnosis just because people don't know any better. Depersonalization and derealization are everywhere these days, especially among young people, usually triggered by intense trauma, chronic stress, or various drug use—but those specific symptoms haven't ever actually caused schizophrenia, no matter how long they persist. In my opinion, it’s physically impossible for those sensations to evolve into schizophrenia on their own.
And that’s exactly what I find most infuriating—this trend where people who clearly don't know what they're talking about love to spread this absolute nonsense that you can actually develop schizophrenia from depersonalization or derealization. From everything I've gathered by reading hundreds of firsthand accounts on international DP/DR forums, that's just flat-out wrong; you can't "develop" a psychotic disorder from these sensations, because derealization is simply the brain's way of reacting to stress, regardless of what triggered it in the first place.
Of course, if you tell someone experiencing derealization that they're actually developing schizophrenia, you're just going to make things a hundred times worse for them.
It turns out the whole thing boils down to this irrational fear of developing schizophrenia just because of a few overlapping symptoms—which, honestly, is completely idiotic.
Depersonalization and derealization exist as distinct symptoms far more often than they do as part of schizophrenia, and honestly, they don't lead anywhere else besides the symptoms themselves. Without an actual underlying foundation for schizophrenia, you aren't going to spiral into it. At least, that’s how I see it. If that weren't the case, I would have been diagnosed by now, or maybe I eventually would have developed it if I actually carried the gene—but since I don't, all this derealization stuff is just a dead end.
That’s exactly why I think that tiny 1% of the population supposedly lacking any genetic predisposition for schizophrenia is just being misdiagnosed. They’re likely presenting with symptoms that look similar on the surface but actually have absolutely nothing to do with schizophrenia itself.
I’ve been hearing all this chatter lately about people getting slapped with a schizophrenia diagnosis, only to turn around a year later acting completely normal, as if the whole thing was just some massive mistake.

To be honest, I was fully aware of my situation at the time. I knew exactly where I stood and who I was, but there was this massive disconnect on a purely experiential level—my perception of myself and the world around me was just completely warped. It was like I couldn't recognize the world anymore, and there were plenty of moments where I wasn't even sure if I still knew who I actually was. In other words, I KNEW the facts, but I didn't FEEL them.
I used to get hit by these waves where just staring at a plain house facade or watching people pass by outside my window would completely drain me. It was like looking at anything ordinary sucked me straight into another dimension, and honestly, it felt like pure hell.

Schizophrenia? Please. It’s not that, it's something else entirely.
Medication hasn't done a damn thing for me, and honestly, I don't have much faith in it anyway—not for what I'm dealing with. Now that I'm finally seeing some light at the end of the tunnel, I’ve realized just how much certain mental health professionals love to spread misinformation and stir up drama about needing these pills. It feels like they're just pushing sketchy formulas to line the pockets of Big Pharma. From my own experience, nothing worked except for the heavy-duty anti-anxiety meds that basically just knocked me out.

In the end, I had to take matters into my own hands by cutting ties with everyone—the psychiatrists, the doctors, the medication, all of it.

I want to highlight this part. You really hit on the core of what mental illness is. Mental illnesses (including schizophrenia) are primarily disorders of emotion rather than reason. We can choose our thoughts, but we can't choose our feelings. So, if someone thinks they have schizophrenia, or fears they do, it doesn't mean they actually have it unless they truly feel it. Someone might tell you that you have schizophrenia, but that doesn't make it true, because schizophrenia isn't born from negative thoughts; it's born from feelings. I don't think anyone can influence their mental state through sheer willpower. Likewise, if someone tells you that you don't have it and you believe them, if you actually *do* have it, you still have it regardless of what you think about it.
Regarding what you mentioned about schizophrenia passing after a year: there's a term called acute psychosis (which can be labeled as schizophrenia), which means someone might only experience one episode, take medication for a while, gradually taper off, and the condition never returns. About 20% of people diagnosed with schizophrenia recover completely.
Larry Lewis Larry Lewis Regular
819 messages
joined Dec 2010
#2523 ·
I was under the impression that schizophrenia was an incurable condition—truly, a lifelong sentence. So, tell me... am I part of that lucky 20% who needs a little extra incentive to play along?🙂
Dana Alvarez Dana Alvarez Newcomer
5 messages
joined Sep 2011
#2524 ·
So, the takeaway is basically that Anika doesn't really have a clue what kind of chaos might be brewing or how to spot it. She's also unsure if her thoughts actually align with her core beliefs... I guess she's also wondering if there's any way to prevent this illness or catch it early on. Also, does anyone know where that girl from out of the blue disappeared to?
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2525 ·
Dana Alvarez said:So, the takeaway is basically that Anika doesn't really have a clue what kind of chaos might be brewing or how to spot it. She's also unsure if her thoughts actually align with her core beliefs... I guess she's also wondering if there's any way to prevent this illness or catch it early on. Also, does anyone know where that girl from out of the blue disappeared to?

I suppose you can recognize the patterns, but you don't really have any control over how the condition progresses on its own... unless, of course, you decide to see a therapist. Honestly, I think you might be worrying a little too much about things you can't change. Did you ever experience that sensation of being completely numb, where you just didn't care about anything happening to yourself or the people around you? That was definitely my experience when I first started dealing with this. As for outofblue, she isn't actually a young girl; she's a married woman, and I suspect she just found other interests and moved on from this forum. I truly hope she's doing well.🙂
Justin Fisher Justin Fisher Member
17 messages
joined Oct 2011
#2526 ·
I’ve got a question for you guys: how are you supposed to act when you’re dealing with someone who likely has schizophrenia?

To give you a bit more context: I have this guy I went to college with, and we’ve always had this kind of loose connection where we’d catch up every once in a while after graduation. We go through these stretches where there’s zero contact, and then out of nowhere, he’ll call me and we’ll set something up to hang out. Usually, he’s the type where once we actually meet up, he’ll be calling me constantly for the next few weeks—like, every single day—and it’s always for these super weird, random reasons (not important right now what they are, but basically just totally disconnected conversations and questions). Honestly, I didn't think much of it at first because even back when we first met, he was always a bit of a "lone wolf" type, and people tended to steer clear of him because he’s just a pretty eccentric guy.
Then, about a week ago, we grabbed coffee, and he told me he’d been seeing a psychiatrist and that she’d diagnosed him with schizophrenia. To be totally blunt, I don't know much about the condition beyond the most basic stuff you see on TV. I actually asked him—kind of jokingly, honestly—if he hears voices, and he said he’d gone through a phase of that. But I didn't really take it seriously or realize he actually had a diagnosis. Looking back, though, our whole friendship has always felt a little... off? He definitely seemed more scattered and strange than usual. If he hadn't mentioned the therapy and the meds, I probably wouldn't have even questioned it, because like I said, he’s always been a bit of an oddball. For example, we’ll be talking about one thing, and suddenly he’ll jump into something completely unrelated and just start cracking up. During our hangout, there were so many moments where I just couldn't follow his train of thought. On one hand, it felt like he was using it as a defense mechanism to shut himself off, but on the other, it just looked like total chaos was going on inside his head. Basically, I didn't fully grasp the gravity of it all.

Afterward, I talked to my boyfriend about it and told him how surprised it actually made me. My boyfriend used to have a really close friend who struggled with schizophrenia, and unfortunately, that friend ended up taking his own life. He described behavior that sounded almost identical to what I was seeing with this guy. Now, it's not like there's a massive problem right this second, but he did mention that before his friend passed, he had developed this intense fixation on a girl he was in love with, and he warned me that there’s a chance this guy might start obsessing over me (since he knows I have a boyfriend). And honestly, that’s exactly what happened—ever since we saw each other, he’s been calling me nearly every day. It’s not that I mind him; he’s sweet and fun to hang out with, and I don't have any issue being friends, but I’m genuinely worried about him developing some kind of fixation on me.
So, the big question is, how should I handle this? It feels hard for me to be distant or pushy, but I also don't want to send any mixed signals that he might misinterpret in some crazy way.
Maybe I’m just being a little dramatic about the whole thing, and maybe nothing will ever happen, but I’d really love to know what to do just in case.
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2527 ·
Justin Fisher said:I’ve got a question for you guys: how are you supposed to act when you’re dealing with someone who likely has schizophrenia?

To give you a bit more context: I have this guy I went to college with, and we’ve always had this kind of loose connection where we’d catch up every once in a while after graduation. We go through these stretches where there’s zero contact, and then out of nowhere, he’ll call me and we’ll set something up to hang out. Usually, he’s the type where once we actually meet up, he’ll be calling me constantly for the next few weeks—like, every single day—and it’s always for these super weird, random reasons (not important right now what they are, but basically just totally disconnected conversations and questions). Honestly, I didn't think much of it at first because even back when we first met, he was always a bit of a "lone wolf" type, and people tended to steer clear of him because he’s just a pretty eccentric guy.
Then, about a week ago, we grabbed coffee, and he told me he’d been seeing a psychiatrist and that she’d diagnosed him with schizophrenia. To be totally blunt, I don't know much about the condition beyond the most basic stuff you see on TV. I actually asked him—kind of jokingly, honestly—if he hears voices, and he said he’d gone through a phase of that. But I didn't really take it seriously or realize he actually had a diagnosis. Looking back, though, our whole friendship has always felt a little... off? He definitely seemed more scattered and strange than usual. If he hadn't mentioned the therapy and the meds, I probably wouldn't have even questioned it, because like I said, he’s always been a bit of an oddball. For example, we’ll be talking about one thing, and suddenly he’ll jump into something completely unrelated and just start cracking up. During our hangout, there were so many moments where I just couldn't follow his train of thought. On one hand, it felt like he was using it as a defense mechanism to shut himself off, but on the other, it just looked like total chaos was going on inside his head. Basically, I didn't fully grasp the gravity of it all.

Afterward, I talked to my boyfriend about it and told him how surprised it actually made me. My boyfriend used to have a really close friend who struggled with schizophrenia, and unfortunately, that friend ended up taking his own life. He described behavior that sounded almost identical to what I was seeing with this guy. Now, it's not like there's a massive problem right this second, but he did mention that before his friend passed, he had developed this intense fixation on a girl he was in love with, and he warned me that there’s a chance this guy might start obsessing over me (since he knows I have a boyfriend). And honestly, that’s exactly what happened—ever since we saw each other, he’s been calling me nearly every day. It’s not that I mind him; he’s sweet and fun to hang out with, and I don't have any issue being friends, but I’m genuinely worried about him developing some kind of fixation on me.
So, the big question is, how should I handle this? It feels hard for me to be distant or pushy, but I also don't want to send any mixed signals that he might misinterpret in some crazy way.
Maybe I’m just being a little dramatic about the whole thing, and maybe nothing will ever happen, but I’d really love to know what to do just in case.

I think you might be overthinking things a little. While it’s incredibly heavy that your boyfriend's friend took his own life following some relationship drama, that event is really just a catalyst rather than the root cause of everything else. Honestly, I'm not sure what his feelings toward you are right now, but if he was the type of person who used to call you every single day, there's no reason he shouldn't do that now too. If talking to him doesn't feel like a burden, then please, reach out. But if it does feel overwhelming, don't force it. Just try to treat him with the same consistency you always have.
Justin Fisher Justin Fisher Member
17 messages
joined Oct 2011
#2528 ·
Harold Anderson3 said:I think you might be overthinking things a little. While it’s incredibly heavy that your boyfriend's friend took his own life following some relationship drama, that event is really just a catalyst rather than the root cause of everything else. Honestly, I'm not sure what his feelings toward you are right now, but if he was the type of person who used to call you every single day, there's no reason he shouldn't do that now too. If talking to him doesn't feel like a burden, then please, reach out. But if it does feel overwhelming, don't force it. Just try to treat him with the same consistency you always have.

No, no, I’m not saying he’s actually gonna kill himself 😲 I just mean I don't want him to spiral into this whole obsession if there's a way to prevent it

So, what, am I supposed to like, distance myself from him or something?
driftinggull21 driftinggull21 Active Member
247 messages
joined Mar 2010
#2529 ·
Justin Fisher said:No, no, I’m not saying he’s actually gonna kill himself 😲 I just mean I don't want him to spiral into this whole obsession if there's a way to prevent it

So, what, am I supposed to like, distance myself from him or something?

Schizophrenia isn't spread through social contact...😁 so, if you don't like the person, avoid them; if you do, hang out with them. If they become acutely psychotic, they won't be able to maintain quality relationships with anyone anyway. At that point, step back and let the family handle it.
Justin Fisher Justin Fisher Member
17 messages
joined Oct 2011
#2530 ·
driftinggull21 said:Schizophrenia isn't spread through social contact...😁 so, if you don't like the person, avoid them; if you do, hang out with them. If they become acutely psychotic, they won't be able to maintain quality relationships with anyone anyway. At that point, step back and let the family handle it.

yeah, that makes total sense 😁
actually, I was wondering more about how to even act when they get stuck in one of those "loops," you know? Like, when I can't even follow what they're saying anymore—should I just let them ride it out, or should I try to pull them back to reality?
I mean, I know his illness isn't my responsibility or anything, but I've never actually been close to someone living with schizophrenia, so I'm just trying to figure out the best way to handle it if he starts getting 🤷
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2531 ·
Justin Fisher said:No, no, I’m not saying he’s actually gonna kill himself 😲 I just mean I don't want him to spiral into this whole obsession if there's a way to prevent it

So, what, am I supposed to like, distance myself from him or something?

Well, look... having a fixation on something is often a symptom of schizophrenia, though it isn't always directed at a specific person. For instance, when I was first dealing with my diagnosis, I found myself hyper-focused on a few random things—it didn't really matter how important they were, I just couldn't see anything else happening around me. There was also this girl I used to play games with; she was part of my life long before I got sick, but the illness just sort of amplified those feelings. Eventually, she told me no, and I had to accept that reality. You'll just have to observe how they treat you. It doesn't necessarily mean (though it could) that they'll become obsessed with you specifically. Personally, I don't think that would happen in my case, at least not in the way you're worried about, especially since you already have a boyfriend.
Justin Fisher Justin Fisher Member
17 messages
joined Oct 2011
#2532 ·
yeah, I gotta admit, it’s starting to feel more like he’s just got this weird fixation on certain things, you know? Like, for instance, whenever we settle on a plan or make an agreement, I feel this sudden, intense pressure to immediately confirm that I heard him or that I actually received whatever info he sent, almost like I have to check a box right away just to satisfy him
Michelle Evans Michelle Evans Regular
320 messages
joined Jan 2013
#2533 ·
Justin Fisher said:yeah, that makes total sense 😁
actually, I was wondering more about how to even act when they get stuck in one of those "loops," you know? Like, when I can't even follow what they're saying anymore—should I just let them ride it out, or should I try to pull them back to reality?
I mean, I know his illness isn't my responsibility or anything, but I've never actually been close to someone living with schizophrenia, so I'm just trying to figure out the best way to handle it if he starts getting 🤷

As long as they aren't in an acute psychotic state, you can try to redirect them. (I assume they aren't, otherwise they'd be under intensive clinical care)

I’ve actually received three different pieces of advice from three separate doctors on this exact issue.
One suggested ignoring it entirely, the second said to correct them, and the third recommended a mix of both—ignore it while they're in an acute phase because nothing else will work, then step in to correct once the medication kicks in. It really depends on the situation, though. I tend to follow that third approach most often.
You'll eventually learn how they react to it, so just adapt as you go.

Generally speaking, when someone's treatment is working well, they participate in social life just like anyone else. I haven't noticed much of a behavioral difference compared to how they were before the diagnosis. So, it's probably best to just treat them as you normally would, as if you didn't even know they were dealing with schizophrenia...
Justin Fisher Justin Fisher Member
17 messages
joined Oct 2011
#2534 ·
Thanks a ton, Michelle Evans! 🙂 So, I actually just got off the phone with him again—and honestly, he’s acting totally normal, nothing out of the ordinary at all. I don't think I'm going to change how I act toward him or anything, because if I hadn't found out the truth, I probably wouldn't have changed a single thing anyway.
Kenneth Campbell Kenneth Campbell Member
28 messages
joined Feb 2009
#2535 ·
Sarah Wood8 said:I can definitely relate to what you're saying. About a year and a half ago, I was hit by a wave of derealization so intense it felt like I’d been dropped straight into hell. It wasn't just a weird feeling; I was fully aware that everything was wrong and that my brain was malfunctioning, which honestly made the terror even worse. I remember spiraling into these sudden, violent physical tremors from pure panic. I ended up in the ER at the local hospital several times because I couldn't breathe or think, and even though things have improved significantly since then, I still carry the remnants of it today. The way the world looked was completely distorted—it's almost impossible to put into words. It felt like I was living someone else's life, or maybe a thousand different lives all at once, with time itself becoming a tangled mess in my head. I'd lose the ability to recognize my own bedroom, my street, or even the city I grew up in. It's a living nightmare, like being trapped in a fever dream where your past self feels totally erased. The one thing that kept me grounded was the fact that I remained lucid enough to know this wasn't schizophrenia. I didn't spiral into those paranoid delusions about losing my mind that so many people fall into during these episodes. I actually diagnosed myself and took that specific concern to various psychiatrists across the state, and none of them ever told me I was wrong. In the end, no medication did much for me; it just eventually started to subside on its own. Of course, it’s easy to play philosopher now that I’m feeling better, but back then, it was pure survival. It also helped knowing there’s no history of mental illness in my family, which gave me some peace of mind.

I was reading somewhere that scientists supposedly found this specific gene linked to schizophrenia. Apparently, it’s some kind of ancient virus that integrated itself into human DNA way back in prehistory, back when we were barely even human—probably just some transitional primate or something like that.
I’ve been sitting here wondering about this: is schizophrenia actually rooted in an organic, genetic foundation—something we often mistakenly label as purely "psychological"—when in reality, it's hardwired into our DNA and passed down through specific genetic lineages?

What are the actual odds of someone developing this without any genetic predisposition? I’m pretty convinced that schizophrenia is fundamentally rooted in genetics—it feels like something so tangible and organic at its core. What are the chances of someone just waking up to it out of thin air if there isn't a family history involved? Even if they develop similar symptoms, can we even call that schizophrenia, or is it just some other psychological burden masquerading as the real thing?

I realize I’m throwing out a lot of questions here, and maybe my understanding of schizophrenia isn't exactly textbook perfect, but I’m honestly convinced it’s almost entirely genetic. I keep hearing these stories about people being diagnosed without any history of it in their family tree, but to me, that just sounds impossible. If this condition actually degrades the brain—specifically the gray matter, as the science suggests—it feels like there has to be some underlying organic trigger that doctors haven't quite pinned down yet. It doesn't make sense to me that something this physically destructive would just spontaneously emerge from nothing, or simply stem from other neurotic issues like anxiety, paranoia, or derealization. There has to be a biological root cause at play.

The idea that this just happens spontaneously without any genetic component sounds completely absurd to me—it’s like someone claiming they broke their leg while just lying there in bed.

Hey everyone... 😉

Laypeople tend to lump everything under the umbrella of "schizo," and they often self-diagnose various syndromes based on something they read or something someone whispered in their ear. It's similar to when someone reads medical literature on oncology and then starts noticing "symptoms" of carcinoma everywhere.
One simply needs to relax and enjoy life without overthinking or manufacturing misery by exaggerating certain phenomena or sensations. Neurotic anxiety is often the root cause. 🙂 Just unwind and accept life—and yourself—as you are, while still striving to address weaknesses and pursue personal growth and virtue. That is the solution...

Regarding the onset and pathogenesis of schizophrenia, it is a highly complex matter. It involves multifactorial triggers where several distinct elements converge to cause the disorder; however, it is clear that while genetic factors play a decisive role, they are not strictly mandatory.
It is necessary to distinguish between "process" schizophrenia (true schizophrenia) and "schizophreniform psychosis" (reactive). These two terms represent different phenomena, yet they can look nearly identical in many respects, creating the illusion of a single syndrome. In the case of schizophreniform psychosis or reactive schizophrenia, there may be no genetic predisposition at all; no one in the family needs to have a psychiatric disorder (?) (though certain indicators may suggest a higher risk for psychosis).
It must be emphasized that schizophrenia does not manifest the same way in everyone. There are infinite individual variations in the clinical picture. Even with a diagnosis like paranoid schizophrenia, it isn't true that every patient behaves identically. You see differences in the delusional system, its intensity, the level of fixation, affective status, intellectual capacity, consciousness, personality strength, education, physical appearance, attitude toward the illness (whether they deny it or accept it), insight into their actual personality, social performance, and work capacity, among many others. The diversity within a single diagnosis is striking, let alone across the entire spectrum of mental disorders. Still, certain patterns remain standard rules, as many symptom clusters present similarly across most cases.

It should be noted that any schizophrenia that appears suddenly, presenting with a turbulent onset involving disturbances in consciousness or dominated by delusions, carries a much more favorable prognosis than "process" schizophrenia, where symptoms and personality degradation develop gradually over years. The "slow-onset" type of schizophrenia has a very poor outcome and is difficult to treat—especially if it begins during adolescence and is characterized by negative symptoms: autism, inertia, social introversion, apathy, lack of interest, loss of will, loss of drive, emotional blunting, etc. Conversely, if positive symptoms predominate—delusions, hallucinations, mannerisms, social activity, etc.—and the disorder manifests later in life, the prognosis and treatment options are generally better.
Though, even here, everything is relative, and many variables must be considered.

The genetic factor is not necessarily required for the onset of schizophrenia, but it is important to note that it frequently converges with other environmental factors.
Kenneth Campbell Kenneth Campbell Member
28 messages
joined Feb 2009
#2536 ·
1. When asking why there is a "fear of madness," one could argue it is something primal, almost archetypal. Humans have an instinctive urge to distance themselves from those perceived as "insane" or mentally unstable. This isn't just a preventative measure against potential unpredictability or safety risks; it often stems from a certain fragility or lack of awareness in others—a fear that "madness" might be contagious...
The primitive mind, much like certain neurotic temperaments, avoids those with disorders because they trigger unbearable anxiety. This was especially prevalent centuries ago when mental illness was misidentified as demonic possession. In the grand scheme of history, that was perhaps the greatest evil inflicted upon humanity. Countless inquisitions and executions of innocent people were carried out due to the profound distortions held by religious and state authorities—authorities that were often more broken than any schizophrenic individual on this planet.
There is no shame in living with schizophrenia or similar conditions. The true evil lies in being a person warped by deep-seated emotional complexes, spreading slander, envy, and malice toward those who are naturally balanced or positive. That is precisely what we witnessed during the eras of the Inquisition and the World Wars.
Personally, I find no repulsion in someone struggling with schizophrenia or severe psychiatric issues. What I find truly loathsome is an individual consumed by their own emotional insecurities to the point of obsession. When such people occupy high-ranking positions within government institutions, they become machines designed to destroy human dignity. Of course, they exist within the general population as well, and they are far from rare.
2. The fear of madness, or losing self-control, is common among anxious or phobic personalities. It rarely occurs because they are actually going insane; rather, it is a byproduct of a distorted perception caused by a neurotic temperament. It can also manifest in underdeveloped personalities or through altered states of consciousness brought on by depressive affects or substance use. Furthermore, these terrors can be a standard part of adolescent development or a specific life crisis. Essentially, a weakened ego creates the pretext for anxiety or the dread of losing one's mind. Typically, the perception of "madness" implies a total loss of agency and self-control, creating an intolerable sense of discomfort born entirely from fear.
Sarah Wood8 Sarah Wood8 Active Member
95 messages
joined Aug 2007
#2537 ·
Hey, Kenneth Campbell. Thanks for the deep dive. I’m actually on board with everything you said—it pretty much aligns with how I’ve been looking at the whole situation myself. As for what religion does to humanity, or what it's done to us over the years... well, that goes without saying.
stormymason5 stormymason5 Member
17 messages
joined Oct 2011
#2538 ·
A question for anyone living with schizophrenia:

Is this condition actually the nightmare everyone makes it out to be, or is it possible to just live a relatively normal life with it?
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2539 ·
stormymason5 said:A question for anyone living with schizophrenia:

Is this condition actually the nightmare everyone makes it out to be, or is it possible to just live a relatively normal life with it?

It’s not just "relatively" normal; you can live a full life. There was a time when a diagnosis like this essentially meant the end of being able to function in society, but those days are mostly behind us. Two of the most effective medications (like olanzapine and risperidone) were developed back in the mid-90s, and they do an incredible job of managing symptoms—provided you stay consistent with them, of course, though there are some side effects to manage. They can still be quite pricey, but even with all the flaws in the American healthcare system, there is a genuine commitment here to making sure people get the care they need.
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#2540 ·
Kenneth Campbell said:Hey everyone... 😉

Laypeople tend to lump everything under the umbrella of "schizo," and they often self-diagnose various syndromes based on something they read or something someone whispered in their ear. It's similar to when someone reads medical literature on oncology and then starts noticing "symptoms" of carcinoma everywhere.
One simply needs to relax and enjoy life without overthinking or manufacturing misery by exaggerating certain phenomena or sensations. Neurotic anxiety is often the root cause. 🙂 Just unwind and accept life—and yourself—as you are, while still striving to address weaknesses and pursue personal growth and virtue. That is the solution...

Regarding the onset and pathogenesis of schizophrenia, it is a highly complex matter. It involves multifactorial triggers where several distinct elements converge to cause the disorder; however, it is clear that while genetic factors play a decisive role, they are not strictly mandatory.
It is necessary to distinguish between "process" schizophrenia (true schizophrenia) and "schizophreniform psychosis" (reactive). These two terms represent different phenomena, yet they can look nearly identical in many respects, creating the illusion of a single syndrome. In the case of schizophreniform psychosis or reactive schizophrenia, there may be no genetic predisposition at all; no one in the family needs to have a psychiatric disorder (?) (though certain indicators may suggest a higher risk for psychosis).
It must be emphasized that schizophrenia does not manifest the same way in everyone. There are infinite individual variations in the clinical picture. Even with a diagnosis like paranoid schizophrenia, it isn't true that every patient behaves identically. You see differences in the delusional system, its intensity, the level of fixation, affective status, intellectual capacity, consciousness, personality strength, education, physical appearance, attitude toward the illness (whether they deny it or accept it), insight into their actual personality, social performance, and work capacity, among many others. The diversity within a single diagnosis is striking, let alone across the entire spectrum of mental disorders. Still, certain patterns remain standard rules, as many symptom clusters present similarly across most cases.

It should be noted that any schizophrenia that appears suddenly, presenting with a turbulent onset involving disturbances in consciousness or dominated by delusions, carries a much more favorable prognosis than "process" schizophrenia, where symptoms and personality degradation develop gradually over years. The "slow-onset" type of schizophrenia has a very poor outcome and is difficult to treat—especially if it begins during adolescence and is characterized by negative symptoms: autism, inertia, social introversion, apathy, lack of interest, loss of will, loss of drive, emotional blunting, etc. Conversely, if positive symptoms predominate—delusions, hallucinations, mannerisms, social activity, etc.—and the disorder manifests later in life, the prognosis and treatment options are generally better.
Though, even here, everything is relative, and many variables must be considered.

The genetic factor is not necessarily required for the onset of schizophrenia, but it is important to note that it frequently converges with other environmental factors.

Based on everything I'm learning, my own situation seems to fall under the "process" category, though I hold onto the hope that I might eventually be able to taper off my medication entirely. I have no idea when that might happen—maybe in five years, maybe ten... and even if it never happens, I won't let it get me down.

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