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Schizophrenia - General Discussion

Started by briskgull27 · · 👁 23 views · 7.5K replies

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Participants briskgull27Jason Sanchez3Taylor Howard36crimsonhound80Douglas Ramos2restlesscobra132electricpanther4swiftsurfer27Rachel Ruiz39Rebecca Flores5Brian Moore2Mark Morris3quiethound45Brenda Cook4James Gonzalez11Gerald Rivera60Megan MitchellTaylor Parker10David Stewart52Andrew Harris7mistybisonAmistyscout2Samuel Nelson24 …
Sandra Lee2 Sandra Lee2 Member
22 messages
joined Aug 2021
#7461 ·
crimsonviper48 said:Why is it that I end up back in the hospital twice a year... I take my meds regularly, though honestly, I rarely actually swallow them... Not that alcohol has ever made me feel physically sick or sent me into a depressive spiral, either, but I know I can overdo it sometimes, and god, I’m only 22... It just doesn't make sense. I can't tell if it's my borderline personality disorder tearing me apart, or if it's schizophrenia, or maybe they're just teaming up against me... Therapy helps, specifically small group sessions, but still... ending up in the ER twice a year is just way too much...

Maybe try finding a new psychiatrist? And stop drinking.
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#7462 ·
Sandra Lee2 said:Maybe try finding a new psychiatrist? And stop drinking.

It’s really not as simple as just deciding to quit drinking.
Dealing with that kind of addiction is honestly one of the hardest battles anyone can face.

That said, if someone is living with schizophrenia and staying consistent with their prescribed medication, they really shouldn't be mixing those two things—mixing antipsychotics with alcohol is a dangerous game.

I'll be the first to admit, though, that I don't always follow that rule perfectly myself...🤦
Matthew Castillo5 Matthew Castillo5 Regular
264 messages
joined Apr 2013
#7463 ·
Harold Anderson3 said:It’s really not as simple as just deciding to quit drinking.
Dealing with that kind of addiction is honestly one of the hardest battles anyone can face.

That said, if someone is living with schizophrenia and staying consistent with their prescribed medication, they really shouldn't be mixing those two things—mixing antipsychotics with alcohol is a dangerous game.

I'll be the first to admit, though, that I don't always follow that rule perfectly myself...🤦


They *shouldn't*, sure, but honestly? From everyone I know struggling with this, they're more likely to mix the booze with their pills than they are to actually stay away from the bottle.
fadedhound86 fadedhound86 Member
17 messages
joined Jan 2022
#7464 ·
I’ve been dealing with these absolutely brutal mood swings lately... I honestly have no idea what’s causing them, but it’s like I’m flipping between being totally miserable and feeling great five different times in just two days... (and then it flips right back again)
Carol Barrett2 Carol Barrett2 Regular
363 messages
joined Jul 2017
#7465 ·
fadedhound86 said:I’ve been dealing with these absolutely brutal mood swings lately... I honestly have no idea what’s causing them, but it’s like I’m flipping between being totally miserable and feeling great five different times in just two days... (and then it flips right back again)

Between bipolar and depression, we might as well just throw schizophrenia into the mix while we're at it. You should talk to your doctor about getting something specifically for that. I had a long talk with my psychiatrist ages ago—she agreed with me and actually added something extra to my prescription just to handle those mood shifts.

I'm doing okay now, thank God—been stable for over two years. I still have some occasional setbacks, nothing major, but nothing where I completely lose my grip or have an episode. Though, to be fair, there were a few close calls where it almost went south.

The worst part is when money gets tight—when you're struggling financially and can't even afford the basics. That's when the anxiety really starts to claw at me.

I've been diagnosed with paranoid schizophrenia, though personally, I don't feel like that's quite right. It’s more like I get totally disoriented in space. When I go to a mall or somewhere with my family and I lose sight of them for even a second, I just lose all sense of direction and panic.

I can't even find the exit or anything. My mom actually told me recently that I absolutely have to carry my phone on me at all times because of this.

But I don't carry anything. No ID, no phone, no cash—nothing. It's like that every time I head out with my folks. I can't even move around without someone keeping an eye on me, period.

It's almost like I'm on the spectrum or something. 👎
crimsonviper48 crimsonviper48 Newcomer
9 messages
joined Mar 2023
#7466 ·
Harold Anderson3 said:Are you saying you've lived with schizophrenia for 22 years, or that you're 22 years old, or that you're a "young" 22-year-old, or maybe that you've been hospitalized twice a year for 22 years?

I'm honestly a little lost here; I can't make heads or tails of what you're trying to tell me about being 22. 🤷

Well, I'm 22, and I've been in treatment since 2012... first for depression, and now it's schizophrenia and borderline personality disorder... yeah, that's it...
Andrew Doyle Andrew Doyle Regular
268 messages
joined Aug 2011
#7467 ·
crimsonviper48 said:Well, I'm 22, and I've been in treatment since 2012... first for depression, and now it's schizophrenia and borderline personality disorder... yeah, that's it...

That’s quite an unusual combination, if I do say so myself. Usually, the latter tends to walk hand-in-hand with certain clinical markers indicating a neurotic disorder, while schizophrenia sits firmly on the other side of the spectrum. But regardless, let the doctors document what they need to; I know for a fact it isn't easy for you, no matter what those diagnostic numbers look like.
At 22, it's certainly the age where these types of disorders tend to come to light. I truly hope you have a solid support system behind you. 🙂
Ethan Clark3 Ethan Clark3 Member
10 messages
joined Nov 2022
#7468 ·
Could schizophrenia actually stem from mitochondrial damage (our cells' energy source)?
It seems like more and more research is pointing toward this theory, and I guess the same might apply to bipolar disorder and depression too.
For example, check this out: https://pubmed.ncbi.nlm.nih.gov/25446950/#:~:text=Mitochondrial%20deficit%2C%20altered%20re dox%20balance,to%20neuroprogressive%20changes%20in %20schizophrenia.
Mitochondria are pretty vital for regulating cell functions, like bioenergetics, calcium homeostasis, redox signaling, and programmed cell death. They also seem essential for various aspects of neurodevelopment and how neurons function.

That said, if mitochondria are damaged, it could mess with brain bioenergetics during development and alter critical neural processes, which might lead to neurodevelopmental issues. One widely accepted mechanism linked to the neurodevelopmental roots of schizophrenia is an immune inflammatory pathway. However, I suppose we still don't fully understand the exact source of that inflammation or the underlying neurobiological mechanisms behind schizophrenia.

Recent findings suggest that disruptions in mitochondrial network dynamics might lead to various nervous system disorders involving inflammatory pathologies. In schizophrenia, we see mitochondrial deficits, altered redox balance, and chronic low-grade inflammation. It’s possible that responses to oxidative or nitrosative stress caused by mitochondrial dysfunction could trigger those immune pathways, potentially leading to neuroprogressive changes. We're basically looking at how genomics, proteomics, and imaging studies all seem to support the idea that mitochondrial damage plays a role in the development of schizophrenia.

So, maybe mainstream medicine should consider ways to improve mitochondrial function for schizophrenia and similar conditions, rather than just focusing on lowering dopamine levels?

To quote Dietary Ketosis and Mitohormesis: Potential Implications for Mitochondrial Function and Human Health : At any rate, several studies have shown that ketogenic diets can increase mitochondrial content, and plenty of research suggests these diets boost the expression, amount, or activity of mitochondrial proteins involved in oxidative phosphorylation and fat oxidation.

Plus, sugar isn't just bad for our waistlines and teeth; it's also tough on our mitochondria and contributes to various metabolic health issues. Consuming too much sugar puts stress on the mitochondria, causing them to release free radicals. I think that's what they call oxidative damage.
Carol Barrett2 Carol Barrett2 Regular
363 messages
joined Jul 2017
#7469 ·
I don't really have much of a sweet tooth, honestly—but I definitely go a bit overboard with the sugar when I'm making my coffee. 🕺
Harold Anderson3 Harold Anderson3 Regular
732 messages
joined May 2023
#7470 ·
Carol Barrett2 said:I don't really have much of a sweet tooth, honestly—but I definitely go a bit overboard with the sugar when I'm making my coffee. 🕺

Go ahead and enjoy your coffee, even if you add some sugar, just try not to overdo it too much.
Hang in there, you're doing fine. 🙂
Carol Barrett2 Carol Barrett2 Regular
363 messages
joined Jul 2017
#7471 ·
Jurica222 said:Is there any mental health stuff going on here?

Just out here chasing a personal best—three whole years without a hospital stay. @Harold Anderson3, I'm right there with you.
Ethan Clark3 Ethan Clark3 Member
10 messages
joined Nov 2022
#7472 ·
It’s pretty concerning how scientific studies have shown that certain antipsychotics, like clozapine, damage mitochondria:

Clozapine damages mitochondria and triggers inflammation in insulin-responsive cells, specifically those linked to obesity. These issues seem closely tied to the metabolic changes seen in studies regarding metabolic syndrome, obesity, insulin resistance, and diabetes.

Here is another study: Resveratrol prevents haloperidol-induced mitochondrial dysfunction by inducing autophagy in SH-SY5Y cells

Haloperidol is a common antipsychotic that can increase neuronal oxidative stress, which might lead to side effects like tardive dyskinesia and neurite retraction. Autophagy acts as a defense mechanism against mitochondrial damage caused by the buildup of reactive oxygen species (ROS). While resveratrol is an antioxidant known for neuroprotective qualities, it wasn't clear if it could actually stimulate autophagy to mitigate the damage caused by haloperidol.

Maybe that’s why people in the West, who are treated with antipsychotics, struggle to ever fully step away from them, making relapses feel almost expected.
I guess it's also interesting that in lower-income countries, the rates of lasting recovery after a first psychotic episode are much higher—which seems similar to what happens with non-antipsychotic treatments or very low doses, like what they've tried in Finland and a few other places.
crimsonviper48 crimsonviper48 Newcomer
9 messages
joined Mar 2023
#7473 ·
Ethan Clark3 said:Could schizophrenia actually stem from mitochondrial damage (our cells' energy source)?
It seems like more and more research is pointing toward this theory, and I guess the same might apply to bipolar disorder and depression too.
For example, check this out: https://pubmed.ncbi.nlm.nih.gov/25446950/#:~:text=Mitochondrial%20deficit%2C%20altered%20re dox%20balance,to%20neuroprogressive%20changes%20in %20schizophrenia.
Mitochondria are pretty vital for regulating cell functions, like bioenergetics, calcium homeostasis, redox signaling, and programmed cell death. They also seem essential for various aspects of neurodevelopment and how neurons function.

That said, if mitochondria are damaged, it could mess with brain bioenergetics during development and alter critical neural processes, which might lead to neurodevelopmental issues. One widely accepted mechanism linked to the neurodevelopmental roots of schizophrenia is an immune inflammatory pathway. However, I suppose we still don't fully understand the exact source of that inflammation or the underlying neurobiological mechanisms behind schizophrenia.

Recent findings suggest that disruptions in mitochondrial network dynamics might lead to various nervous system disorders involving inflammatory pathologies. In schizophrenia, we see mitochondrial deficits, altered redox balance, and chronic low-grade inflammation. It’s possible that responses to oxidative or nitrosative stress caused by mitochondrial dysfunction could trigger those immune pathways, potentially leading to neuroprogressive changes. We're basically looking at how genomics, proteomics, and imaging studies all seem to support the idea that mitochondrial damage plays a role in the development of schizophrenia.

So, maybe mainstream medicine should consider ways to improve mitochondrial function for schizophrenia and similar conditions, rather than just focusing on lowering dopamine levels?

To quote Dietary Ketosis and Mitohormesis: Potential Implications for Mitochondrial Function and Human Health : At any rate, several studies have shown that ketogenic diets can increase mitochondrial content, and plenty of research suggests these diets boost the expression, amount, or activity of mitochondrial proteins involved in oxidative phosphorylation and fat oxidation.

Plus, sugar isn't just bad for our waistlines and teeth; it's also tough on our mitochondria and contributes to various metabolic health issues. Consuming too much sugar puts stress on the mitochondria, causing them to release free radicals. I think that's what they call oxidative damage.

Just one question... are Modafinil and Pramipexole less harmful, or is it all essentially the same thing?
Ethan Clark3 Ethan Clark3 Member
10 messages
joined Nov 2022
#7474 ·
I don't have specific data on individual medications, so I suppose it’s worth looking into what information is actually out there.

But, here is what Zoloft—or sertraline—actually does:
Sertraline triggers MPT in isolated liver mitochondria
MPT, which involves the progressive permeabilization of the inner mitochondrial membrane, disrupts the membranes, causes them to swell, and eventually leads to cell death.

It's probably no wonder why people stay on antidepressants for years without much real improvement. They just end up gaining weight.
Andrew Doyle Andrew Doyle Regular
268 messages
joined Aug 2011
#7475 ·
There is absolutely no way you're going to gain weight from taking Zoloft; if anything, you might actually lose some weight instead.
Ethan Clark3 Ethan Clark3 Member
10 messages
joined Nov 2022
#7476 ·
Taking antidepressants or steroids like prednisone can sometimes cause some extra weight gain.

Antipsychotics, antidepressants, and certain mood stabilizers are probably the biggest culprits when it comes to weight changes. Most of the major antidepressants—like Prozac, Zoloft, or Lexapro—tend to make gaining weight a bit more likely.
cosmiclynx79 cosmiclynx79 Active Member
50 messages
joined Jan 2021
#7477 ·
I don't get how antidepressants are supposed to cause weight gain. The logic goes that they increase appetite, right? But here's the thing: I eat normally, I don't binge, I actually track my calories, and yet, I'm still gaining weight. It makes zero sense.
Carol Barrett2 Carol Barrett2 Regular
363 messages
joined Jul 2017
#7478 ·
cosmiclynx79 said:I don't get how antidepressants are supposed to cause weight gain. The logic goes that they increase appetite, right? But here's the thing: I eat normally, I don't binge, I actually track my calories, and yet, I'm still gaining weight. It makes zero sense.

Me? I manage to keep my weight steady. Mostly by just... skipping dinner and handing it over to the enemy. 😁 Or I'll just have something tiny for dinner. Like last night—just a bit of cheese and a banana. Breakfast is where I really struggle, though. My mom knows how to cook a killer meal, and she'll whip up something great for breakfast, but it feels like a total crime if I don't load up on bread. 🕺

I don't even eat much bread at lunch.
Andrew Doyle Andrew Doyle Regular
268 messages
joined Aug 2011
#7479 ·
Ethan Clark3 said:Taking antidepressants or steroids like prednisone can sometimes cause some extra weight gain.

Antipsychotics, antidepressants, and certain mood stabilizers are probably the biggest culprits when it comes to weight changes. Most of the major antidepressants—like Prozac, Zoloft, or Lexapro—tend to make gaining weight a bit more likely.

Speaking purely from my own decade-plus experience dealing with SSRIs and SNRIs, I’ve only ever seen weight loss. The official prescribing information explicitly states that you could see either weight gain or loss, so honestly, the research and anecdotal evidence are just going to support whatever side you choose to believe. Besides, if someone is battling constant nausea and restlessness, they aren't exactly looking to pack on the pounds; quite the opposite happens.

cosmiclynx79, look—some medications definitely slow down your metabolism (I’m thinking of things like pregabalin, which is frequently prescribed as a psychotropic drug, though not technically an antidepressant), but generally speaking, once a patient starts feeling better and that agitation finally settles down, there's a much higher probability they’ll actually start enjoying food again, just like they’ll start enjoying other parts of life. When it comes to common psychiatric drugs that are notorious for causing weight gain, antidepressants are the main culprits.
fadedhound86 fadedhound86 Member
17 messages
joined Jan 2022
#7480 ·
I am definitely going to give this keto diet a shot once I get back home to the States. It’s actually pretty wild to think about how it was originally designed to treat epilepsy rather than just being some trendy health fad everyone follows nowadays...

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