Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Your diagnosis of schizophrenia may have made you feel hopeless as far as getting better. It is a biogenetic condition and not something that goes away but can be treated just like other conditions with medication. What you feel and believe can also be related to feelings of depression because disorders can coexist.
The more you feel down the more you find yourself stuck. As a result of it, you may not feel like doing anything both for yourself and to manage the symptoms such as taking medication.
Sometimes you'd have to remind yourself that you're doing the best you can with the resources that you're given. Patience is something you can allow yourself to feel. You're yourselves best advocate and it is up to you to stay on track even when you feel disappointed about the results or feel like you don't want to do anything and just give up.
Your diagnosis of schizophrenia may have made you feel hopeless as far as getting better. It is a biogenetic condition (the brain is producing too much dopamine) and not something that goes away but can be treated just like other conditions with medication. What you feel and believe can also be related to feelings of depression because disorders can coexist.
What you feel corresponds to your condition. You'd want to force yourself to go to the doctor or work with the therapist even when a part of you does not want to. That part is the illness trying to take over you. Medications can work to an extent and at times your doctor may even change them. As far as not knowing if others are genuine or you feel that they're making fur of you, try to remind yourself to stay neutral and unless someone is directly saying something to your face that is negative, remember that the schizophrenia can make you perceive things in a distorted way some of the time.
You may want to wear a bracelet or something that would remind you to stay neutral. People are generally good. You'd want to start getting out of your house more. Isolating is not healthy. If there is someone that you like or trust that can go out with you once in a while, ask them to do so and to insist that you go out even when you feel low and not in the mood. You're dealing with a condition that is trying to take over your life and your personality and your goal is to push yourself to take your medication and do the things that you know are good and healthy for you.
You may actually look into Pregnenolone (it's a hormone) and it had been researched for treatment of schizophrenia.
You can purchase it online or at your local health store.
The pregnenolone is a hormone and not a psychotropic medication. It can be taken with other pills and you'd want to let you doctor be aware of you taking it so they can monitor your progress. Besides mental illness it helps with energy levels, building muscle, alleviates depression. It had shown to be effective in treating schizophrenia. You may want to read some of the research on it to become more familiar with it.
If you have not felt better with this medication, exploring a different one with your doctor is a good idea. Try not to take in every comment people make to you about being lazy. People do not know what you're experiencing/going through and they can't identify with different mental conditions that can rob one of wanting to do things. Anhedonia is something that can affect your behavior and motivation level as well as whether or not you start or even carry to completion certain projects. http://www.netdoctor.co.uk/special_reports/depression/anhedonia.htm
Yes, the medications you're on should be helping with the OCD and mood. Of course, if you do not feel that the medication is working, the doc most likely will change it or up the dosages. That is very common when working with psychotropic medication because different people respond to the same medication uniquely. What works for one person may not work for another. As long as you discuss your concern and lack of progress with these medications, there should be no problem of the doctor and you looking into other options. Just make sure that you go to your next appointment and bring these concerns to his attention. You can write down what are some of the things you're experiencing and struggling with like the slowed reaction time, the social isolation, the lack of motivation and your mood as well as being easily distracted.
Definitely your sleep when poor can affect your memory and concentration during the day. It would also affect your energy level. The medications may not be addressing the sleep problem. You may want to rule a sleep disorder by having a sleep study done by a neurologist. Then you'd know for sure what is going on such as sleep apnea or REM sleep disorder.
When you were young you may have perceived certain shadows or images as scary because children's imagination can run wild. As an adult, different things can cause that such as the schizophrenia in visual hallucinations or something called hypnogogic hallucination (this latter one is not connected to a mental health disorder but is due to how the brain works) and is not uncommon.
Exactly- a time when you couldn't help it no matter what.
Take the lower dosage first. I think they also come in 20mg bottles and then the following month start with the 50mg.
You don't have to click the accept button on those posts where I am clarifying your question; only those that are new questions you find the answer helpful.
I don't know in the UK. You can decide to do 2 -10mg caps or there are some that are 25mg rather than 20mg and take 1. The Swanson prices seem the most reasonable and that is who I use in the US.
Atrium Inc. - Pregnenolone 25 mg 90 tabs by Atrium Inc
Douglas Labs - Pregnenolone 25 mg 60 tabs by Douglas Labs
There are side effects to pretty much anything we consume. You would want to watch for side effects (not every one gets these) Some things to watch for would be oily skin, acne, heart palpitation, weight gain, headaches. You do not have to increase to 50mg if you're noticing improvement in your mood with the lower dosage.
You're looking to see if it helps you with your concentration, energy and mood.
You would feel it (it would feel differently than the way it feels oily now) If you're using facial toners to ward of the oily skin you may not feel any differently. If you are not prone to acne even w/ having oily skin, look for break outs. To be honest with you, I did not have any problems w. the pregnenolone but with the DHEA.
w/ = with
w/o = without
Break out= your face gets pimples, or you may get them on your back or shoulders. Of course, you may not get them. It is just a side effect that may or may not manifest in your case.
Yes w/ means with. I put it as w/=with and w/o is means without.
Yes, there is another thing called Piracetam 800. None of these should aggravate your asthma. It is used for depression and memory problems. But, I do not know where in the UK it may be purchased. There are many online pharmacies that sell and ship worldwide though.
I will be off line now, and will check posts and reply again tomorrow.
Yes, it is called Piracetam 800 and some companies sell it under the name Nootropil. It does not have side effects. The link I sent you in the earlier post I think serves the UK. If you scroll all the way down there is a phone number for UK clients.
Other natural options without side effects are Omega Fatty Acids supplements such as Fish oil or Flax Seed oil. You may also get a full spectrum amino acids (these are the building blocks of the brain) Supplementing with B-vitamins complex is another thing. It has calming effect and can improve one's mood. If you can use Swanson, I suggest you use them because their prices are really good.
You may also chose to listen to Gamma brain wave recordings to improve memory/concentration. Here is some info. You can find some good Mp3 files on amazon http://www.brainsync.com/brainlab/brain-states/gamma.html
Both Fish Oil and Flax seed oil have omega 3 fatty acids. There are some that also have omega 6 and 9. These are good supplements for memory and concentration.
The OCD would be something that has to be treated by therapy besides medication or supplements. Cognitive Behavioral Therapy is effective in threating OCD as well as neurofeedback.
Neurofeedback also referred to biofeedback is therapy that allows you to learn how to re-program your brain. http://www.umm.edu/altmed/articles/biofeedback-000349.htm
I would suggest the organic flax seed oil from Swanson since it includes all omega fatty acids 3-6-9.
I think the pregnenolone was the one thing that had been widely researched and I at the moment can't think of other than those mentioned.
The neurofeedback can't really be compared to medication or supplements because it is actually you learning to reprogram your mind. The others are aids. Cure is a relevant term. Think of mental illness as something let's say as diabetes. You do not cure it but you manage it with medication as to where you live a better and healthier life.
I meant to ask you about your OCD- Are you struggling mostly with obsessive thinking or compulsive behaviors ex: checking things over and over, counting, engaging in some kind of a ritual, repetitive hand washing, etc?
The medication alone will not be sufficient to help you manage the OCD. Not sure why your doc said that. Therapy is very effective along with the medication. In severe cases of OCD when the person is still suffering a lot even with medication and therapy, there is also neurosurgery -
If you're working with someone now in therapy that is a good thing. If the medication is not as effective, you can always ask for different medication from the person who's prescribing it (I gather you're not seeing the same psychiatrist now?)
Oh, you want to do what is best for you though. If the clinicians are not available to help you, you may want to find someone else that is more reliable and available. You see, for the disorders to be managed, you have to stay consistent and get all the help you can. You may find yourself doing different things ex: taking the medication, working w/ a therapist, using workbooks, CD/Mp3 self help tools, exercising, trying to go out and do things w/ people instead of isolate and so on. As I mentioned before- You're your own best advocate! Stay proactive and if you need to, look for new therapist/doctor starting today.
Overcome OCD Audio CD
The Ocd Workbook: Your Guide to Breaking Free from Obsessive Compulsive Disorder
OCD Treatment with Subliminal Affirmations: Control Obsessive Compulsive Disorder & OCD Symptoms, Solfeggio Tones, Binaural Beats, Self Help Meditation Hypnosis
Each person has their own issues that are unique to them. Your mom nor anyone else should not make comparisons. There is something called a base line, meaning the level of functioning a person has that reflects what the norm for them in regard to their behavioral health. It is different for each person. Progress is also an individual thing. You can't compare yourself to another person even if they have the same diagnosis as you. Your mom may have said that to you because she's felt frustrated or sad about your situation. Regardless, you want to stay positive and not feed into negative comments as they don't help anyone. It would be something you'd have to practice time after time. You're already dealing with your symptoms and don't need additional aggravations.
If there are no psychiatrists in your area, then you would want to at least stay with the doctor that can prescribe the psychotropic medication. That doctor should be able to listen to your report of whether or not you're feeling better, worse or the same. As a result of that, they can figure out what medications or dosages to consider.
I will be off line now and check posts later in the day.
It can be frustrating when it seems that people are rejecting you. This woman seemed to be interested in making some money online rather than establishing friendships. Try not to personalize it though. If you find true friends, they accept you for who you are. I agree with the other person's feedback at the end that she seemed to be uncomfortable if there were romantic connotions in the posts on your end. Yet, name calling as she said "weird" is not nice. She could have just said she's no longer interested in the chat. You may try free online forums (support groups) where you can find people with similar interests or even mental health conditions similar or same as yours. They can be more understanding. www.dailystrength.org
Feeling down because if this is understandable. Feeling like you want to end it or teletransport to another time is not healthy. Please if you absolutely feel suicidal, call the UK Crisis Line # 084 57 90 90 90, a friend, your sponsor or counselor/doctor, or even go to the hospital. Try not to think that you're bad or worthless because some people do not understand you or do not want to be friendly. People have different motives and friendships often are established based on mutual interests. Meaning, if you find someone that you think can be a potential friend but they have different interests from you, a friendship may not develop. Try the forum site I've attached in this thread and remember to stay positive. When you're dealing with mental health issues you want to surround yourself with positive people not those who bring you down. Also, keep in mind that people can't really get to know you well online and personal face to face relationships are something to keep pursuing.
Nootropil (Piracetam) does not have any major side effects like medications do. It really works.
If you're making these sort of facial expressions, that can be strange when and if others are observing it. You'd know because you do not observes others doing it in public. If you're doing it at home, it can be seen as some sort of self stimulation as well as a habit. If you can't control yourself from making these, that could be some sort of facial tics. Antipsychotic medications can cause something called Tardive Dyskenisia which is marked by tics. http://www.tardivedyskinesia.com/ also you can go on youtube.com to view videos of it and see if it's something you're familiar with or not.
If on the other hand these are volitional movements and you can control or stop them at will, it would be something you chose to do and it can also be related to your diagnosis of schizophrenia.
If you do these in public, you may want to monitor yourself if these are volitional, because although others may find it funny, it is not really something people engage in doing in public.
Volitional means purposeful - something you're doing on your own.
If you can't control these facial expressions, they could be either facial tics or possibly a side effect from medication. It is something to ask your doctor who prescribes your medication especially if they had seen your expressions.
As far as why you think of having sex, that is as I mentioned a fantasy (wish) and if you find them physically attractive, that can be arousing as well.
No one can know what you're thinking about whether or not you're making facial expressions or not. When you had been little, that can be some sort of tics. You would have had to be given a diagnosis. Schizophrenia is not a disorder that is diagnosed in little kids so the medication they had given you then may have been for something else.
Arousal and excitment can trigger these tics.
It is normal to experience arousal and excitement. If you had these issue with the facial expressions when you were a child, these may have not necessarily been caused by the schizophrenia at that time- in your childhood. I thought you meant that you had experienced these facial expressions when you were little.
People can become aware of themselves when they think about sex. They can become self conscious. There is a difference b/w these and being paranoid or suspicious. Paranoia and suspiciousness would relate to the schizophrenia. They are unhealthy responses.
Would you like me to opt out of the question so another therapist can give their view point on this as well? Maybe it would be helpful to hear from a male therapist?
You can always open another thread with a question to me in the future by typing for Dr.Rossi at the start of your question.
You're not being rude or bothering me. I thought that a male therapist may better elaborate about the sexual arousal and subsequent behavior you were asking about. I want to make sure that you get the most assistance that is helpful to you and you only pay for helpful answers.
If I am getting this correct- you're saying now that these facial expressions did not occur when you were little (child) only as you started to suffer from the schizophrenia. If that is correct, then these facial expressions can relate to the disorder.
B/W means between
Yes, both the copying and the facial expressions can relate to the schizophrenia disorder. The behavior refers to something called disorganized behavior.
Playing computer games and spending too much time online can be addictive. It happens even to those who have not been diagnosed with any mental illness. In a way, that is so because it removes a person from reality through distraction and fantasy.
For you to have become addicted to the games can also be because of the OCD. You have become obsessed about playing the games and as a result of it, may have found yourself spending more and more time on the computer. This site Just Answer is intended for question and answer purposes only. Usually a person posts a question here and there and it is not intended as a form of therapy/counseling or intervention. All of the experts in the mental health section are licensed clinicians in their field either psychology, therapy, social work, psychiatry, etc.
You may decide to take a break off of the site as you do not want to become dependent on it. I did send you some free forum support groups that you can use. It would also be helpful to see your counselor often and to work on the things that you want with her. That is why she's there for you- to help you feel better, to assist you in making changes that would lead to positive outcomes such as you socializing more, feeling more optimistic and motivated.
Experiencing life as meaningless would relate to you finding comfort in the games where no one was judging you, where your mind was preoccupied with the game rather than worrying about what others are thinking and basically dealing with reality through escapism. As far as loving certain Japanese cartoon females that relates to fantasy and most likely identifying with those images in the same way you could identify with actual actors on TV. Playing these games offered you a safe environment where you withdrew from external stressors and critical people. But, withdrawing too much into it can be unhealthy as you would want to socialize with others and do a lot more other things than play the games, watch TV or spend too much time on the computer. Social interaction is good. You're an adult know and realize that people can be mean and that should not prevent you from interacting with those who are a positive influence on you. Even your volunteering is good and healthy activity.
It is a response to your comment - " life had nothing unless I played computer games and loving certain Japanese cartoon females? " A comparison that you found the cartoon characters lovable as some people find live actors lovable.
Yes, you're an adult and you've realized along the way that some people are going to make unpleasant comments and not to give too much attention to their comments because negative comments can bring your mood down.
I've mentioned staying on the medication prescribed by your doctor and the pregnenolone and piracetam. You'd also want to stay consistent in working w/ your therapist.
*I'm opting out of this thread now so it does not seem like we're going in circles and another clinician can offer their feedback.
Hi, I'd like to help you with your question.
It seems you have been working with Dr. Rossi on your issues and she has been a great help to you. She thought a different perspective might help. Can you give me an idea of the problem you would like help with?
Yes, I have read through your talks with Dr. Rossi. She made very good points.
At this point, what are the main issues you feel you are dealing with? What do you feel are your most prominent symptoms? Have they changed since you and Dr. Rossi started talking? And are you still taking the same medications or have they changed in any way?
It sounds like you might need to change therapists and doctors. If you feel they are not giving you the care you need and especially not working with you to find new ways to cope, then you may need to find new professionals to help you.
You can try asking your regular physician for a referral or you can search on line at http://therapists.psychologytoday.com/rms/. You can also contact your local United Way for information about the community mental health center in your area. They can offer you therapy, a psychiatrist and case workers on a sliding fee scale.
You also may want to try self help. There are numerous resources available to offer information and support to you as you work to reduce your symptoms. Here are some to help you get started:
After struggling for 20 years with your illnesses, I am sure you are aware of most of the symptoms and issues. But sometimes it helps to review the basics in case you learn something new that can help you.
If you feel anxious, there are ways we can work together to help you overcome or at least reduce your anxiety so it is easier for you to face going out and facing others. Although your symptoms are consistent with your diagnosis, it does not hurt to try different techniques to reduce the anxiety to make it easier for you.
Yes, of course. I would be happy to help in any way I can.
Can you tell me more about some of your anxiety symptoms? And have you ever been diagnosed with an anxiety disorder (except for the OCD)?
Anxiety disorders such as Generalized Anxiety disorder or phobias, and like social anxiety disorder. It does not sound like you are familiar with them, so you probably do not have any besides OCD.
As you know OCD an anxiety disorder that is characterized by obsessions and compulsions. You mentioned that you have compulsions to count and do things over and over. To not perform the compulsions causes anxiety.
But the worry you feel about others laughing at you or bully you is probably part of the schizophrenic disorder. Feeling others are focused on you and paying attention to you is a symptom. Medication and therapy can help you deal with these feelings. But learning to be calm and centered by focusing on relaxation can help as well. Here are some ideas you might want to try:
Learn to breathe deeply- pay attention to how you breathe. Focus on your breathing during the day and as you go to sleep at night. Take deep breaths once in a while and especially when you feel anxious.
Visualize a relaxing place- think of a favorite place or a relaxing scene like a beach or a peaceful field. In your mind, picture yourself there and look at the details of the place. Hear the sounds and smell the air. When you feel anxious, think of your place.
Use progressive muscle relaxation- lay down on your back. Starting at your feet, tighten and release each of your muscle groups. Move from your feet to your legs up to your head. As you go, hold the muscles tight for a few seconds then let go. This technique can help you fall asleep or relax when you feel anxious.
You can also use these techniques when you feel anxious from your OCD symptoms.
Part of that is your diagnosis. When you are dealing with your symptoms, you will naturally feel distracted by what you are feeling. And your thoughts may also keep you from being able to focus well.
When you have Schizophrenia, part of the symptoms are a lack of motivation. It is considered a type 2 symptoms. Type 1 symptoms are the ones that get added to you that you did not have before, like delusions. The Type 2 are the ones that get taken away like your motivation. Unfortunately, medications do not address the type 2 symptoms, only the type 1 symptoms. It is a matter of working on your motivation and trying to push your way through each time you experience feeling unfocused and unmotivated. You can try some of these ideas to increase your motivation:
Identify your goals- write them down so you have them to read over as you need to.
Take small steps- if a goal seems out of reach look at it one step at a time
Break your goals down- Make a main goal then write down short steps you can take to get there.
Use visualization- to see yourself achieve your goals
Get others to help you- support makes a big difference
Try some of these ideas to see if they help you achieve and become more motivated.
Computer games are designed to draw you in and hold your attention. They include a lot of action, colors and flashes. It gives your brain instant stimuli and focuses your attention. Plus it provides quick rewards for your behavior. But real life is not like that.
Studies have shown that people who play a lot of video games may end up developing attention issues because of the difference between real life action and video game action.
So you are reacting to video games as you were meant to by getting drawn in.
What you describe sounds like natural desire for the opposite sex. There is nothing wrong with feeling attracted to the females you see or wanting to be with them. As long as you keep your thoughts to yourself and act out any fantasies in private, then you are not hurting anyone. It is normal for males to feel arousal when seeing females. Men think of sex many times a day. And men are geared to be visually aroused when seeing a female. So you are reacting in a normal way, just as any other male would.
You may want to consider that you have these feelings because you desire a relationship with someone. I know you and Dr. Rossi talked about ways to form relationships with others and her ideas for you were good. Because of your concerns about being hurt in a relationship, you may want to try forming friendships with others who understand your diagnosis and are more accepting. A lot of the on line and in person support groups can be great options for finding new people and eventually forming relationships. Here are some links to help you:
Let me know if you want more resources/links.
Yes, it is very normal for a male to be aroused visually by females. It is not a trait females share. Females are aroused some by sight but for the most part, it is a male trait.
A normal male will be aroused several times a day by what he sees and will think of sex several times a day. This is normal behavior.
Yes, it is normal. The male brain visually processes cues differently than females do. There are studies that prove this through visual stimulation and brain activity measurement. When males and females see the same images, males showed different processing of the images than females did. This allows them to maximize their chances of mating and passing on their genes. So your feelings and thoughts are normal.
It's fine that you don't feel like going on them. Some people enjoy those kinds of websites, but some people feel they are demeaning and do not represent the kind of attraction they feel for the opposite sex. Everyone's interests are different.
I'm not sure if all of those websites are the same since I do not have personal experience with them, but I imagine that they need to make money somehow.
I am sorry, but I cannot do that. I do not know if that site is safe.
Ok, I understand it. What is your question about it?
Cam girls are porn sites and generally should be avoided. They may also have viruses and may cause you to have problems with your computer. They need to make their money somehow so the motivation for doing what they do is most likely to get money from you.
A healthier alternative is to try to establish relationships with people you meet in real life or on sites that are legitimate like support groups or church groups.
If you have been able to control yourself so far, you will be able to control yourself in the future. You may also be able to take your mind off how you feel if you focus on trying to connect to women through healthy relationships. Focusing on developing a good relationship can take the stress off feeling alone and feeling desperate to connect to someone.
One of the reasons you might be feeling this way is because you feel alone. The last time you mentioned trying to connect to a woman was with someone on line and she was inappropriate with you. By trying to connect through support groups, which are more likely to have others who understand and accept someone with your symptoms, and also trying places like church, you increase your chances of meeting women who you can form healthy relationships with.
Thank you ahead of time for your accept!
Healthy relationships are a give and take. Both people in the relationship feel they are cared about and loved. It is important to know what a healthy relationship looks like so you can recognize any signs of trouble in the relationships you are in and take steps to fix them or move on to a relationship that can meet your needs.
Here is a link that addresses the details of a healthy relationship:
Understanding the difference between a healthy relationship and unhealthy relationship can make a difference in who you decide to be with and the outcome of your relationship.
I thanked you ahead of time for accepting my answers from yesterday. An accept for each answer or every other answer is appreciated. If you are unhappy with your answers, please let me know so we can address it.
I would love to continue to work with you if you could reimburse me for my time and expertise on the last several answers I have provided for you.
If you are having trouble with getting your accepts to go through, please contact the moderator. Sometimes there is a technical glitch and they can address that for you.
What you are feeling may not be how you would feel in reality if you are in a stable and healthy relationship. You may find that you feel differently than you think you would.
Some men find that being in a committed relationship hampers their sexual feelings, but that usually indicates a problem with the man and not the relationship itself. But until you have a committed relationship, there is no way to know for sure how you will feel.
You are not asking irrelevant questions at all. You can ask any questions you want on Just Answer. That is what we are here for.
I thought that someone else might be able to help you better than I was able to so I opted out so they could have the opportunity.