A person will not suddenly suffer from external factors such as strong mental stimulation. Some physical and physical and chemical factors may also cause mental disorders.
Here we mainly talk about schizophrenia , a non-organic mental disorder.
Schizophrenia and Bipolar disorder do not occur suddenly. Some patients have a short onset time, as if they are acute onset and are stimulated by a certain event. In fact, there is often a long latent process in the early stage, but the patient's performance during this latent period did not attract the attention of people around them.
Based on my more than 30 years of work experience and observation, combined with traditional psychiatry's theory of the common pathogenesis of schizophrenia, the development process of the following five periods of schizophrenia is proposed.
1. Seed phase:
Biological gene or brain structural defects lay the hidden dangers of schizophrenia. But many people with genetic defects will not get sick. It is mainly manifested as a patient's personality deviation, which seems to be somewhat different from some children in some aspects because the child is younger and will not attract the attention of parents.
Parents always think that when their children grow up, the problem will disappear naturally. The factors in this aspect are mainly related to biological genetic genes and individual nerve types. The outstanding manifestations are difficult for some children to take care of since childhood.
This stage is the earliest stage of mental disorder prevention. Children with family history, obvious personality deviations, difficult environmental adaptation, and strange thoughts should pay attention to children. They are susceptible to mental disorders in the future. It does not mean that they will definitely be schizophrenia, but are easily associated with various mental disorders.
This period mainly refers to early childhood and adolescence.
2. Germination period:
On the basis of biology, during the growth process, it is influenced by family education and social environment, and gradually forms stable personality defects, deviating from the normal model level of social requirements, specifically manifested as a stable reaction style in cognition, emotion and behavior, deviating from the consistency with the majority of people in society, presenting the "niche", "non-mainstream" and "alternative" characteristics in the public eye of society.
This stage does not manifest as a mental disorder, but mainly manifests as obvious deviations from normal thoughts and behaviors. In real life, the following situations will occur, such as sensitive and suspicious, strong self-esteem, difficulty in interpersonal coordination, inferiority complex, fewer successful experiences in real life, insufficient sense of rules, constantly strengthening one's cognitive bias in frustration, and obvious defects in social functions. The outstanding performance of
in this stage is "sexuality" The change of personality and the ability to deal with environmental changes is insufficient, stubborn, and prone to stubbornness, always think that others are not friendly enough, have weak self-reflection, and have obvious external attribution tendencies. The problem is others, I am not wrong, and I lack the flexibility to deal with people and things.
If you provide timely help at this stage, help patients adjust their cognition, resolve psychological contradictions, objectively understand themselves and the environment, and improve patients' response and responsiveness. The ability of a mixed environment, schizophrenia may be terminated, no longer enter the next stage, or delay the time to enter the next stage.
This stage mainly refers to adolescence and middle-aged periods, and is the two high-incidence periods of schizophrenia.
3. Long-term nourishment:
personality defects continue In the process of socialization, many social discomforts and psychological conflicts are manifested, and during this period, they are in serious anxiety, confusion, fear, irritability and pain. The prominent manifestation of this stage is the contradiction of environmental adaptability.
People are social animals. Survival and develop in society, they must fulfill their obligations, objectively evaluate themselves and others, abide by the rules of the society's game, adapt to the requirements of the environment, respond to various conflicts and contradictions in the environment, establish appropriate benchmarking objects, and make timely turns when they cannot solve problems. This is the common requirement of society for everyone.
This is exactly the most difficult part of schizophrenia.
At this stage, many people have shown obvious discomfort in work, study, life, and interpersonal communication. At the least, efficiency is the least, and at the worst, it is difficult to do so, performance declines, work errors, interpersonal tensions, etc., but the symptoms of splitting have not yet appeared, indicating that at this stage, the patient still has a certain ability to control his spiritual world.
4. IV. Explosion period:
problems accumulate to a certain level, undergo qualitative changes, exceeding the patient's limit, and the mental system collapses.
This stage seems to be "normal", but in fact it is on the eve of a storm. People around you just feel that this person is a little "strange" from the outside, and no symptoms of hallucinations, delusions, or weird behaviors are found.
Outsiders seem calm, but in fact, a bigger storm is brewing, and various contradictions and conflicts in the patient's hearts are constantly accumulating and entangled.
At this stage, patients are not focused and are surrounded by anxiety, confusion, and fear. They are very painful inside. Some children will talk about their pain with their parents, but most parents do not realize the seriousness of the problem. They are often supplemented with simple comfort and preaching, and even think that the children are seeking troubles and seeking trouble, and scolding them.
The last door was closed, and the child no longer had hope of asking for help, and he had to bear the difficulties himself.
At this stage, the patient is on the verge of mental breakdown, only one fuse is missing. Many people think that the child is sick without encountering any major events. At this stage, even a slight straw may crush the camel. What we are talking about is that the patient is no longer able to bear the burden after long-term internal and external consumption.
This straw may be an important matter, or it may be a trivial matter, or even a look or a joke from a classmate, which may completely trigger the problem. When this straw appears, it is the starting point of schizophrenia.
usually experiences a life event before the onset of the disease, although sometimes it doesn't seem that important.
5. Turning period:
After the outbreak of the disease, various mental symptoms appear to varying degrees. Some are mainly hallucinations. They see dead people and monsters, hear people discuss and evaluate, some hear people pretending or murdering behind their backs, etc., some are manifested as delusion or confusion in thinking, some are manifested as emotional mania and out of control, some are manifested as restless behavior and weird behavior. These symptoms cannot be understood by outsiders. For the patient themselves, they all have specific meanings, and the symptoms often correspond to the psychological needs of survival and development.
You might as well think deeply about what elements a person needs in order to survive and develop better in this society. You can use yourself as an example to analyze it in detail. You will further understand and understand the patient's symptoms. It has been described in my other articles, so I will not repeat it here.
Under outpatient medication and hospitalization, the symptoms of schizophrenia patients are relieved and their mental function is partially restored. However, are the above-mentioned conflicts, entanglements, conflicts and other issues of the patient still there? They are just covered up by the symptoms of schizophrenia and are not so prominent.
Patients are temporarily relieved due to treatment, work, life, study, and interpersonal relationships, but the ultimate goal of all treatment and rehabilitation is to return to society and return to the original work, study and family environment. This is only a matter of time, and eliminating symptoms is only the most basic requirement.
When the patient faces the original problem again, his ability to solve these problems is mostly at the original level and method, so he enters a new round of cycles.
drug can control mental symptoms, but it is difficult to significantly improve the patient's environmental adaptability. The ability is accumulated bit by bit in long-term social practice, and is a practical experience formed after countless attempts and failures. However, patients and parents all hope to achieve rapid progress in their "ability" in the short term, so they seek medical treatment everywhere, but are unwilling to stop and think carefully about the whole story.
6. Differentiation period:
Some schizophrenia patients begin to reflect and improve themselves, and improve their own matching with social requirements. In layman's terms, they are approaching the mainstream, being accepted by society, integrating into the general environment, and obtaining a satisfactory recovery level.
However, due to the limitations of conditions, most patients fall into the cycle of remission, relapse, remission, and relapse.
Overall, about one-third of schizophrenia patients can recover well, and most patients have poor prognosis. It takes a lot of effort to become one of the third.
The process of recovery is the reverse correction of the growth process. This is a weakness of human nature that runs contrary to the opposite direction, it is painful, difficult, and requires strong will. How many people are willing to work tirelessly? It is easy to persevere for a while, but it is not easy to persevere for a long time!
A small seedling has grown into a curved tree. If you want to correct the trunk, you can imagine the difficulty.
Even if you cannot completely straighten the curved trunk, as long as you are proactive, devoted and practiced deliberately, under the control of a strong will, you will be closer to the goal and closer!
7. Postscript:
Write more than 3,000 words of content, but it actually doesn’t make much sense. It is not easy to get too much recognition, and it is difficult for doctors to have time to pay attention to these. Even if they pay attention, they do not have the time and energy to specifically solve every detail of it.
I believe that there are always some readers who really need this knowledge, hoping to provide them with some direction.
Everyone only focuses on specific mental symptoms, onset time and severity, and uses drugs according to diagnostic standards. According to the "Diagnosis and Treatment Standards" and "Treatment Guide", it saves effort and does not cause trouble. In the current situation where the trust between doctors and patients is not high, conducts according to the standard actions. Self-protection has become the first choice for most doctors. It is risky to carry out diagnosis and treatment according to the treatment plan of textbooks. It does not seek merit, but seeks no mistakes, innovates, and makes new decisions.
But I still spent two days and worked hard to code thousands of words. There are always some people who need this knowledge. Some people may think that I am just nonsense in the above situation. Some people may not perform typical enough. Interested people can compare the patients around them based on the performance in the article to see if this is the case.
If you think what I said is true, then move your little finger and encourage the spirit of typing.
Let me know that you are still following me, and make me believe that you need to continue writing!
The solution to the problem is because it involves many aspects of the patient and is difficult to express in a short article. Even if the method is explained, it still needs to be effectively implemented. Success or failure depends on details and persistence, which is even more difficult. The content of
in one sentence may even require patients to spend their whole life working hard. I hope everyone will be more persistent and patient!
does not seek to be yourself better, but only wants to be yourself better. Everyone is a unique individual, just suitable for yourself. Even if you suffer from singular , you can still bloom your own excitement!
Yancheng Psychologist Zhang Huaili , a warm mental psychology brick, share warm mental rehabilitation knowledge, and write it to readers who really need it.
