Nicole Barrett76 said:Which symptoms are generally more difficult to endure? The positive ones or the negative ones?
It seems to me that the positive symptoms are tougher, though perhaps I am mistaken.
I mean... when you are calm and "lethargic," you are less conspicuous and cause less harm to those around you.
I believe that hearing voices, thought broadcasting, and paranoia are the hardest things to cope with.
I know an acquaintance who doesn't hear voices at all, yet experiences every other symptom of schizophrenia. Before his last extended stay at a psychiatric facility, he suffered from an intense fear of being recorded. It strikes me that this was actually a fear of thought broadcasting. During his most difficult moments, he would ask his mother for medication and paper so they could communicate via writing, because if he spoke aloud, "they" would record him. I realize that schizophrenia lacks logic, but if someone fears they are being filmed, then "they"—whoever they may be—can film them regardless of whether they write or speak.
I don't believe it was the illness that made him "lethargic," but rather the medication. He functions relatively normally in most areas, except that he is significantly slowed down due to the drugs.
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P.S. You do not have to respond if you do not wish to. I certainly do not want to give any of you the impression that I am following you or stalking you; nor that I am stealing, broadcasting, or altering your thoughts, or anything of the sort.
It's definitely the negative ones, at least from the patient's point of view.
During a positive phase, a person feels energetic and emotional, and their brain activity is high, but the issue is that they can't distinguish reality from fantasy. In the beginning, the sensation can actually feel quite good. However, if a psychotic episode isn't recognized early enough, things turn ugly. For instance, hallucinations are one of the more difficult and dangerous positive symptoms that tend to emerge later on.
On the flip side, during a negative phase, the patient becomes blunt, apathetic, sluggish, lacks initiative in everything, and is often depressed. This isn't necessarily caused by medication; a person can go through a negative phase without any drugs at all, even though antipsychotics invariably lower overall brain activity levels.
For the patient themselves, the negative symptoms are more uncomfortable, whereas for their family and friends, the positive symptoms are much harder to handle.
People tend to think, 'As long as they just sleep and stay quiet, they won't do anything bad.' Sure, but they won't do anything good either. They won't do anything at all.
By the way, people more commonly use the term
productive symptoms, because there is usually nothing actually positive about them.😉