Yesterday I received a message from a fan:
"I have been diagnosed with depression for a while, and there were hallucinations and delusions later. I would like to ask me if this is because of depression? "
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In fact, this question is not only this fan friend who is confused. Many depressed patients with and their families have also asked me similar questions. Let me answer them together today.
1. Will depression develop into schizophrenia ?
First of all, I want to tell you not to worry too much. Some friends may feel scared when they hear that depression is also a mental disorder, and they feel that depression will develop into sperm. In fact, the truth is not what you think.
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Although depression and schizophrenia are both mental illnesses, the two are two different types of mental illnesses, and their pathogenesis, pathogenesis, manifestations, prognosis, etc. are different.
Depression is mainly manifested as loss of appetite, distraction, loss of interest, inferiority, sense of valuelessness, self-blame, inattention, and repeated thoughts of dying.
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It belongs to mood disorder or emotional disorder . It is a group of clinical symptoms or states centered on self-experience of depression. Most of them may tend to have recurring attacks, and most of them can be relieved each attack.
But be careful, patients with neurotics such as depression are self-aware and will not experience some problems such as out of control of behavior.
pictures are from the Internet, and schizophrenia is a serious mental illness. The symptoms are more manifested as abnormal cognition, thinking, emotions and behavior. Patients are more often in a state of lack of self-awareness during the onset.
When schizophrenia occurs, the patient's mental activities and environment are inconsistent, such as the son getting married and crying loudly; the mother laughs loudly at the funeral of her mother; her behavior may not comply with social norms, such as keeping her at the door and opening and closing, smiling and spitting at passers-by.
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and schizophrenia are hallucinations and delusions. In clinical cases, patients often report that they can hear someone talking to him or feel someone trying to persecute him, and is even manipulating him, but this perception is often contrary to reality.
In addition, schizophrenia can also manifest as other symptoms such as emotional indifference, declining will or conflicting intentions.
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But overall, there is still a considerable difference between schizophrenia and depression. The patient's emotional state can be described as empty and has no emotional reaction.
2. What are the differences between depression and schizophrenia?
So, why do some patients think they will develop from depression to schizophrenia?
The big reason is that after the patient diagnosed with depression, he showed hallucinations and delusions, so he blindly determined that he had a tendency to schizophrenia based on his symptoms.
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In fact, although hallucinations and delusions are not typical symptoms of depression, when depression develops to a certain level, patients may also experience the above symptoms. At this time, we need to analyze according to the specific situation:
The hallucinations of depression are short-lived and fragmented, and most of the patients' delusions are close to reality and are related to the environment or the events they are in. For example, patients are suffering from academic pressure, interpersonal pressure, career development pressure, etc.
pictures are from the Internet. Negative events such as infringement and deletion of
cause patients to have negative hallucinations and delusions. They may think that others are criticizing themselves and criticizing themselves, but this idea has traces and is actually related to their own experience.
Generally speaking, depression is basically self-aware when hallucinating hallucinations, and does not last for a long time.
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. Most of the hallucinations of schizophrenia are continuous, clear, and out of reality. Patients may have many bizarre ideas, but there is no evidence that can be verified in real life.
There are also some patients' hallucinations that may also have some commanding tone (such as our common paranoia of persecution, which always feels that someone is monitoring him or hurting him, or that someone thinks he is manipulated and monitored, etc., such as thinking that he is installed with a wiretap.), so patients with schizophrenia have no self-control when they attack.
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, so when the patient has hallucinations and delusions, he needs to seek medical treatment in time. The doctor carefully distinguishes delusion from schizophrenia, and avoid making random judgments on his own.
Here I would like to emphasize that it is best to seek help from professionals as soon as possible after suffering from depression. Do not stay at home and check unreliable information online.
Don’t end up with depression not being serious, and it will scare you even more seriously, so it will be more costly.
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I am Director Xia of the Psychiatric Department. If you have anything to know about depression, you can leave a message in the comment area. I hope I can help you!
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