Shi Jinyu took the fruit out of the bathroom and said, "You, don't think so much, just think about yourself."
Guanzheng nodded and said: "I know. Schizophrenia usually has neurasthenia like headache, insomnia, dreaminess and easy awakening, loss of work, inattention, nocturnal emission, menstrual disorders, fatigue and fatigue, although there are many discomforts. , But no painful experience, and do not take the initiative to seek medical attention.
There will also be personality changes. People who have always been gentle and quiet suddenly become quite unreasonable. They lose their temper or become suspicious about a trivial matter. They think that everyone around them can’t get along with him. When they see someone talking, they suspect that they are talking about themselves, and even others cough. The suspicion is directed at oneself and suspicious of the surrounding environment.
And the mood is abnormal. Laughing for no reason, becoming indifferent to relatives and friends, distancing and ignoring, that is, not caring about others, and ignoring others' concern for him, or being nervous, anxious, or afraid for no reason. Instead of being active, enthusiastic, and eager to learn and progress, he became sloppy, irresponsible, even absent from work, decreased academic performance, inattentively listened to lectures, did not hand in homework, or even played truant; Not enterprising, just get along, and can't afford to be held up by three poles every day.
The most important thing is abnormal behavior. The look of enthusiasm and optimism in the past is silence, hesitation, expressionlessness, or standing, sitting, staring blankly, being alone and not sociable, or yelling at the air, mumbling to oneself, or doing something inexplicable The trick is puzzling. These conditions are the characteristics of schizophrenic patients. How much can you be sure
Shi Jinyu waved his hand and said! : Not in the sky. "
Shi Jinyu sighed and said, "Okay, I know all of this. I didn't teach you this? I'm taking care of these things, so you can take care of your body. When you are better, you can do whatever you want."
Although Guan Zheng nodded his head, he still remembered it, and said: "Schizophrenia can have a variety of sensory disturbances. The most prominent sensory disturbance is hallucinations, including auditory hallucinations, visual hallucinations, olfactory hallucinations, and hallucinations. And hallucinations, and auditory hallucinations are the most common. Thinking disorder is the core symptom of schizophrenia, mainly including thought form disorder and thinking content disorder. Thinking form disorder is mainly manifested by the disorder of thinking association process, including the process of thinking association activity Obstacles such as speed and form, coherence and logic of thinking associations. Delusions are the most common and most important thought content obstacles. The most common delusions are persecution delusions, relationship delusions, influence delusions, jealous delusions, exaggerated delusions, and nonsense. Pedigree delusions, etc. It is estimated that up to 80% of patients with schizophrenia have persecution delusions, and persecution delusions can be manifested in varying degrees of insecurity, such as being watched, being rejected, worrying about being administered drugs or being murdered, etc. Under the influence of delusions, patients will make defensive or aggressive behaviors. In addition, passive experience is also prominent in some patients, which has an impact on patients' thinking, emotions, and behaviors.
Apathy and uncoordinated emotional responses are the most common emotional symptoms in patients with schizophrenia. In addition, emotional symptoms such as uncoordinated excitement, irritability, depression, and anxiety are also more common. Most patients with will and behavior disorders have decreased or even lack of will, manifested by reduced activities, solitude, passive behavior, lack of due enthusiasm and initiative, decreased interest in work and study, not caring about the future, and no clear plan for the future. Some patients may have some plans and plans, but they are rarely implemented.
Cognitive dysfunction has a high incidence of cognitive deficits in patients with schizophrenia. About 85 percent of patients have cognitive dysfunction, such as information processing and selective attention, working memory, short-term memory, learning, and execution. Cognitive deficits such as function. There is a certain correlation between the symptoms of cognitive deficits and other psychotic symptoms. For example, the cognitive deficit symptoms are more obvious in patients with obvious thinking form disorders, and the cognitive deficit symptoms in patients with obvious negative symptoms are more obvious. Cognitive deficits may be related to some positive symptoms. Symptoms are related and so on.
Cognitive deficits may occur before the clarification of psychotic symptoms, or decline sharply with the appearance of psychotic symptoms, or gradually decline with the prolonged course of the disease. Known defects are more obvious. "It is well known that patients with schizophrenia may have dangerous behaviors at any time. These mainly refer to wounding and destroying property, self-harm, suicide, and sudden departure. These dangerous behaviors are governed by specific mental symptoms, including
Such auditory hallucinations are vivid and specific, come and go suddenly, and the content is often threatening. It is difficult for patients to distinguish the authenticity and absolute compliance. For example, if the auditory hallucinations make the patient die, the patient will not hesitate to commit suicide by jumping off the building, hanging himself, or hitting the wall with his head. This kind of suicide often happens suddenly, and the family can’t see any
The aura, only afterwards (if the suicide was unsuccessful), the patient was willing to say that it was a "voice" to let him die. Therefore, this kind of suicide is extremely dangerous..."
Shi Jinyu stuffed an apple in Guan Zheng’s mouth, and then said: “For another example, a patient heard a voice out of thin air, praising him for how talented he is, and asked him to go to a certain place before midnight the next day to accept an important” appointment. "So, the patient walked out of the house without any preparations and boarded the train to other places. In short, due to the dangerous content and unpredictability of commanded auditory hallucinations, the family members were very This must arouse great attention. If the patient is found to have this symptom, family members must be with the patient at all times.
Patients with schizophrenia may experience depression and even pessimism at different stages of their illness. It is particularly important to note that a considerable number of patients who succeeded in suicide committed suicide during the recovery period of the disease. After the psychiatric symptoms were eliminated, the patient was burdened with a heavy thought burden on his back, unable to correctly deal with practical problems such as further education, employment, and marriage, and felt desperate, so he chose to commit suicide. In this regard, we must take precautions before they happen, find out the patient’s psychological distress as soon as possible, and rectify them in time.
For patients who have clearly expressed their suicidal ideas, family members should neither panic nor evasive. They should take the initiative to discuss the pros and cons of suicide with the patient, help the patient comprehensively and objectively evaluate various difficulties encountered in reality, and find practical and feasible ones. Solution. Am I right? "
Guan Zheng said, "I know you know all this, but I can't help but want to talk about it."
Shi Jinyu understood Guan Zheng and said, "Boy, wait a minute, wait for you to get better." (End of this chapter)