The man who shot 17 people in Izhevsk, 11 of whom were children and committed suicide, was registered in a psycho-neurological dispensary with a diagnosis of sluggish schizophrenia. Shortly before, another schizophrenic patient beat his father with a hammer and injured his mother while on holiday in Turkey.
Are all people with this disease a danger to others? How to suspect schizophrenia and what to do so that a sluggish illness does not go into an acute stage?
told about this neuropsychologist, candidate of psychological sciences, director of the Scientific and Practical Center “Dom” Svetlana Shishkova.
Schizophrenia is a mental disorder. Such a diagnosis can only be made by a psychiatrist. As a rule, to confirm the diagnosis, the patient is invited to the commission, which includes several doctors.
Sluggish schizophrenia is a chronic stage of the disease in which the disease does not manifest itself in any way. Such a patient is no different from healthy people – he is absolutely adequate, he can work, study, play sports. This can be compared to gastritis. With an exacerbation of the disease, a person feels extremely unwell and cannot eat. But outside the acute stage, he leads a normal life and can use almost everything, with minor restrictions.
However, even with a slight emotional, physical and intellectual overload, the disease can worsen and then there is a disorder in the adequacy of the perception of the real world. Since at the moment the social situation is extremely unstable and people are completely immersed in the information agenda, cases of exacerbation of the disease are recorded very often. Since social instability is superimposed on interseasonal exacerbations (they tend to occur in autumn and spring), many patients with schizophrenia, who usually require maintenance therapy, require adjustment of the prescribed treatment. Therefore, even patients in long-term remission should consult a doctor.
It is also worth contacting doctors for citizens who have not previously turned to psychiatrists, but now they are experiencing strong feelings, anxiety and fear. This is especially important for those who have relatives with schizophrenia.
In the development of this disease, genetic and hereditary predisposition is of great importance, and instability can “rock” the nervous system and give rise to the disease. In a person with a sensitive nervous system, the onset of the disease can occur at any age.
Do not delay in contacting a doctor if a person
– experiencing intense fear and anxiety
– completely immersed in these states (cannot switch and be distracted)
– sees bright negative pictures and images – cannot distinguish whether this is happening in reality or it seems to him
– logical arguments do not help him return to the real world
– does not respond to humor and jokes
This is the so-called five symptoms of schizophrenia, the totality of which (and not two or three points from this list) helps to make a diagnosis.
Should patients with schizophrenia be registered?
All patients with schizophrenia are registered with a psychiatrist. But for registration, it is necessary that the patient is in the doctor’s field of vision. A large number of people with sluggish schizophrenia simply do not turn to specialists and are not registered. In addition, this diagnosis practically does not imply restrictions. A patient with schizophrenia is advised to avoid specialties associated with intensive communication, an abundance of stress gene factors and conflict situations.
Calls to limit the freedom of these patients experts reject. Considering the number of patients with schizophrenia (according to the WHO – 20 million people in the world) and the number of people with an undiagnosed disease, people who do not pose a danger to others can also fall under the “skating rink”.
At the same time, work with such patients should be carried out constantly and not only doctors, but also the patients themselves, as well as their relatives, who are the first to experience an exacerbation, should be active. To stabilize the condition, complex treatment is required – drug therapy, work with a psychoneurologist or psychotherapist (who teach a person to cope with emotional waves that rock the psyche).
Self-administration of drugs is excluded. It is also not recommended to repeat the previously prescribed course. All appointments are made only by the attending physician who supervises the patient.