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Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10643
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
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Is paranoia real? Having a schizoid affective disorder, I

Customer Question

Is paranoia real? Having a schizoid affective disorder, I think it's not always the case of being paranoid, sometimes the reaction I get is because of my unsociable behaviour or because I am misunderstood, if I don't make what I say clear?
Submitted: 4 years ago.
Category: Mental Health
Expert:  Dr. Z replied 4 years ago.
DoctorZ :

Hello I believe I can help you with your concern

DoctorZ :

Paranoia is a real symptom that individuals have, especially individuals with a diagnos of Schizoaffective Disorder

DoctorZ :

But sometimes paranoia can be mistaken for another symptoms or situation, why don't you tell me exactly what you feeling and going through so that I can better help you

Customer: I feel I am upsetting everyone I know because I think I have wasted my life not having achieved much, unlike my brothers. I don't show much emotion. Inside my head I want to reach people and connect with em but I am not able to do the basic skills. All of my life I have deliberately put obstacles in my way and now I have put one that has made my life unbearable. I have chronic gum disease that cannot be cured.
DoctorZ :

I am sorry that you experiencing this, I can understand how this must make you feel. So far I do not see a symptom of paranoia in what you are saying. Why do you think you have difficulty connecting with other people or putting obstacles in your way?

Customer: I have always been very shy with bad social skills and with the medication I take it makes me behave like a zombie. I put obstacles in my way because all my adult life I feel guilty and total lack of belief in myself because everything has been done for me. I have not stamped my individual personality on society. I am the third of four brothers and I am treated like the youngest
DoctorZ :

I am so sorry that you are feeling this way. I can understand the feeling like a "zombie" with the medication. The typical medication regimen for individuals with schizoaffective disorder can have that effect. So what kind of stamp on society would like to make if you had no obstacles in front of you?

Customer: Something creative
DoctorZ :

What would you like to do that is creative? Art? Music? Acting?

DoctorZ :

Have you considered therapy to help with your social skills? Or even possibly group therapy? Group therapy can have a really good impact with individuals that have difficulties interacting socially because then you can interact with other individuals that similar symptoms as you in a safe environment. In addition you can also learn techniques on how to interact with other from the group therapist and learn from the other members of the group

DoctorZ :

Also since you have a passion for creativity, most communities have classes and groups designed to express your creativity in a positive environment like community theater, art classes and groups (or even art therapy), creative writing, sculpting, and many others that can fit your creative interests

DoctorZ :

In addition individual therapy can help with the self-guilt that you have and help you think more positively about your life. One such therapy is called Cognitive Behavioral Therapy that is really good in this area. It can help you think more positively about your life and can help you find your individuality and be more independent.

DoctorZ :

This link may help you. This is called a thought record. It will help you keep track of any negative thoughts you have. You put the negative thought on paper, the emotion accompanying, the evidence to support it, and the evidence against it. Then I want you to come up with an alternative thought for the situation (more positive and plausible). This will help you change you way of thinking to be able to think more positive and not automatically go to a negative type of thinking.

DoctorZ :

The reason I focus on the negative thoughts that you said you have been having (e.g. guilt) is because it is most likely a precursor to your difficulties interacting with others. If you change the negative thoughts to more positive, it will help your behavior and will help you to act more socially appropriate with others.

DoctorZ :

I see that you are offline right now, so if you have any questions, concerns, or need to discuss this some more, you are more than welcome to ask me anytime and I will respond promptly.

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