Thursday, March 24, 2011

Schizophrenia and Mental Disorders- What you should know.

Schizophrenia and Mental Disorders


What you should know.

by Angela L Burke



In the study of the paranormal, one common explaination for ghost sightings and paranormal experiences, that I have heard frequently suggested, is that maybe the person has schizophrenia or some other mental form of delusional disorder.

Because this has been a common and frequently misunderstood assumption for those who have never had a paranormal or suggested haunting experience, many people have kept their experiences a secret, out of the fear of being labeled as psychotic, crazy or schizophrenic.

I think that those who are going to research claims of hauntings and paranormal experiences need to at least have a basic knowledge of what those type diseases are and their symptoms. I think that the majority of people that paranormal researchers interview, are not suffering from mental disorders or schizophrenia. However, the possibility that you could encounter someone with these type claims who does suffer from a mental disorder, is always a possibility. Especially, now that television has saturated the airways with TV shows related to everything from sea monsters, to aliens, to ghost stories and demon possessions. So it is possible that you could encounter someone who truely suffers from these disorders, and may have these fears intertwined within their behaviors. Remember that when you research the paranormal, there are many aspects that have to be considered and understood in order to rule them out. If you are not aware of the true symptoms and behaviors of persons with these disorders, how can you properly evaluate claims of paranormal experiences?

This is a brief overview of common mental diseases and disorders that have been suggested as possible causes, related to paranormal experiences. This should be something that paranormal researchers make themselves familiar with.

Having been in the nursing field for twenty years, I have cared for many patients with mental and schizophrenic type disorders and diagnosis. I have seen many bizzare behaviors and heard many claims of hearing voices or having visual hallucinations, however, not one of them ever claimed to see ghosts or told tales of being haunted. In fact, most of their claims were way more bizarre than that.

The most common symptom I have encountered, has been of a more paranoid nature. One particular example would be a patient that I cared for who was convinced that there was a government conspiracy against him and that he could hear coded messages about terroist acts thru his am radio. He also believed that he had a million dollars in the local bank and that all the nurses were trying to poison him. He frequently would sneak into the nurses station and telephone the bank, demanding his money be brought to him by armed guards. On one occasion, he even called the local police to report a hostage crisis at the nursing facility, which resulted in the SWAT team being deployed and the facility being put on lock down for several hours. He had extreme mood swings, poor personal hygiene. He had difficulty with trusting anyone and had very poor socializing skills. His behaviors were often times erradic, explosive and full of anxiety. Other times, he could be seen in a sureal mood, mumbling or talking to himself, or sitting quietly in almost a trance like state. This type behavior , to me, in my own experience, has been the type behavior and symptoms I have seen the most, with people diagnosed as Schizophrenic.

Another example was a woman who had bizarre hallucinations. On one occasion while having a rather normal conversation with me about her lunch menu, she began to scream histerically because she was convinced that I my back was crawling with black spiders. This same lady also tore her room apart because she claimed that her TV set was sending radiation waves into her brain with subliminal messages in order to control her mind. These behaviors could occur anywhere from a few days or a few moments of each other. These behaviors could occur anywhere at anytime. Unlike typical claims of paranormal experiences which might only occur once in a persons otherwise normal lifetime. Just because a person has an experience or even several unexplained experiences, that they cannot explain, does not make them crazy. To label someone as such without trying to understanding their experience, is shameful in my opinion.



Schizophrenia is a serious brain disorder that distorts the way a person thinks, acts, expresses emotions, perceives reality, and relates to others. People with schizophrenia -- the most chronic and disabling of the major mental illnesses -- often have problems functioning in society, at work, at school, and in relationships. Schizophrenia can leave its sufferer frightened and withdrawn. It is a life-long disease that cannot be cured, but usually can be controlled with proper treatment.

Contrary to popular belief, schizophrenia is not a split personality. Schizophrenia is a psychosis, a type of mental illness in which a person cannot tell what is real from what is imagined. At times, people with psychotic disorders lose touch with reality. The world may seem like a jumble of confusing thoughts, images, and sounds. The behavior of people with schizophrenia may be very strange and even shocking. A sudden change in personality and behavior, which occurs when people lose touch with reality, is called a psychotic episode.

Schizophrenia varies in severity from person to person. Some people have only one psychotic episode while others have many episodes during a lifetime but lead relatively normal lives between episodes. Schizophrenia symptoms seem to worsen and improve in cycles known as relapses and remissions.

Schizophrenia is a brain disorder that affects some 2.2 million American adults, most often before the age of 30. It interferes with the way a person acts, thinks, and feels and frequently causes difficulty distinguishing between what is real and what is imaginary. This, in turn makes patients prone to delusional beliefs about themselves or others. Schizophrenia also affects ordered thinking, making it difficult to concentrate, maintain attention span, or develop normal motivation. It can also affect the ability to experience normal emotions in social situations, often causing a person to become unusually unresponsive or withdrawn.Often times leading to severe bouts of depression and even suicidal tendencies.





Helpful definitions in understanding schizophrenia include the following:

Psychosis: Psychosis is defined as being out of touch with reality. During this phase, one can experience delusions or prominent hallucinations. People with psychoses are not aware that what they are experiencing or some of the things that they believe are not real. Psychosis is a prominent feature of schizophrenia but is not unique to this illness.



Schizoid: This term is often used to describe a personality disorder characterized by almost complete lack of interest in social relationships and a restricted range of expression of emotions in interpersonal settings, making a person with this disorder appear cold and aloof.



Schizotypal: This term defines a more severe personality disorder characterized by acute discomfort with close relationships as well as disturbances of perception and bizarre behaviors, making people with schizophrenia seem odd and eccentric because of unusual mannerisms.



Hallucinations: A person with schizophrenia may have strong sensations of objects or events that are real only to him or her. These may be in the form of things that they believe strongly that they see, hear, smell, taste, or touch. Hallucinations have no outside source, and are sometimes described as "the person's mind playing tricks" on him or her.



Illusion: An illusion is a mistaken perception for which there is an actual external stimulus. For example, a visual illusion might be seeing a shadow and misinterpreting it as a person. The words "illusion" and "hallucination" are sometimes confused with each other.



Delusion: A person with a delusion has a strong belief about something despite evidence that the belief is false. For instance, a person may listen to a radio and believe the radio is giving a coded message about an impending alien invasion. All of the other people who listen to the same radio program would hear, for example, a feature story about road repair work taking place in the area.

People with schizophrenia vary widely in their behavior as they struggle with an illness beyond their control. In active stages, those affected may ramble in illogical sentences or react with uncontrolled anger or violence to a perceived threat. People with schizophrenia may also experience relatively passive phases of the illness in which they seem to lack personality, movement, and emotion (also called a flat affect). People with schizophrenia may alternate in these extremes. Their behavior may or may not be predictable.

In order to better understand schizophrenia, the concept of clusters of symptoms is often used. Thus, people with schizophrenia can experience symptoms that may be grouped under the following categories:

Positive symptoms -- Hearing voices, suspiciousness, feeling under constant surveillance, delusions, or making up words without a meaning (neologisms).


Negative (or deficit) symptoms -- Social withdrawal, difficulty in expressing emotions (in extreme cases called blunted affect), difficulty in taking care of themselves or perform basic daily tasks, such as hygiene and dressing themselves, inability to feel pleasure (These symptoms cause severe impairment and are often mistaken for laziness.)

Cognitive symptoms -- Difficulties attending to and processing of information, in understanding the environment, and in remembering simple tasks

Affective (or mood) symptoms -- Most notably depression, accounting for a very high rate of attempted suicide in people suffering from schizophrenia



Types of schizophrenia are as follows:

Paranoid-type schizophrenia is characterized by delusions and auditory hallucinations but relatively normal intellectual functioning and expression of affect. The delusions can often be about being persecuted unfairly or being some other person who is famous. People with paranoid-type schizophrenia can exhibit anger, aloofness, anxiety, and argumentativeness.


Disorganized-type schizophrenia is characterized by speech and behavior that are disorganized or difficult to understand, and flattening or inappropriate emotions. People with disorganized-type schizophrenia may laugh at the changing color of a traffic light or at something not closely related to what they are saying or doing. Their disorganized behavior may disrupt normal activities, such as showering, dressing, and preparing meals.
I found this video to be a very good example of a disorganized type schizophrenia.


Catatonic-type schizophrenia is characterized by disturbances of movement. People with catatonic-type schizophrenia may keep themselves completely immobile or move all over the place. They may not say anything for hours, or they may repeat anything you say or do senselessly. Either way, the behavior is putting these people at high risk because it impairs their ability to take care of themselves.


Undifferentiated-type schizophrenia is characterized by some symptoms seen in all of the above types but not enough of any one of them to define it as another particular type of schizophrenia.



Residual-type schizophrenia is characterized by a past history of at least one episode of schizophrenia, but the person currently has no positive symptoms (delusions, hallucinations, disorganized speech or behavior). It may represent a transition between a full-blown episode and complete remission, or it may continue for years without any further psychotic episodes.





Mental Health and Delusional Disorder

Delusional disorder, previously called paranoid disorder, is a type of serious mental illness called a "psychosis" in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue. People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences. In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Some studies have indicated that delusions may be generated by abnormalities in the limbic system, the portion of the brain on the inner edge of the cerebral cortex that is believed to regulate emotions. The exact source of delusions has not been conclusively found, but potential causes include genetics, neurological abnormalities, and changes in brain chemistry. Delusions are also a known possible side effect of drug use and abuse. As well as alcohol abuse.


Types of Delusional Disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

Erotomanic: Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.

Grandiose: A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery that either has or has not been properly recognized Or they may believe that they have some sort of social status or are someone famous or of high religious or governmental status .

Jealous: A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.

Persecutory or Paranoid: People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them or is out to get them. They frequently believe that they are being cheated, stolen from, stalked and or harrassed. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities and make numerous court appeals in civil suits.

Somatic: A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.

Referencial: The belief that everyday things in the normal environment, such as advertisements, newscasts, song lyrics, book passages and trade signs are directly addressed to him or have some secret coded meaning.

Mixed: People with this type of delusional disorder have two or more of the types of delusions listed above.

What Are the Symptoms of Delusional Disorder?

The presence of non-bizarre delusions is the most obvious symptom of this disorder. Other symptoms that might appear include:

An irritable, angry, or low mood

Hallucinations (seeing, hearing, or feeling things that are not really there) that are related to the delusion (For example, a person who believes he or she has an odor problem may smell a bad odor.)

Want to dig deeper? Below is an interesting website I stumbled upon which list 176 different diseases and possible causes of delusions.

176 causes of delusions:

http://www.wrongdiagnosis.com/symptoms/delusions/causes.htm



Dissociative Identity or Multiple Personality Disorder

Dissociative identity disorder is a psychiatric diagnosis that describes a condition in which a person displays multiple distinct identities or personalities (known as alter egos or alters), each with its own pattern of perceiving and interacting with the environment. The diagnosis requires that at least two personalities routinely take control of the individual's behavior with an associated memory loss that goes beyond normal forgetfulness; in addition, symptoms cannot be the temporary effects of drug use or a general medical condition

Individuals diagnosed with DID demonstrate a variety of symptoms with wide fluctuations across time; functioning can vary from severe impairment in daily functioning to normal or high abilities. Symptoms can include:

Multiple mannerisms, attitudes and beliefs which are not similar to each other

Unexplainable headaches and other body pains

Distortion or loss of subjective time

Comorbidity

Depersonalization

Derealization

Severe memory loss

Depression

Flashbacks of abuse/trauma

Sudden anger without a justified cause

Frequent panic/anxiety attacks

Unexplainable phobias

Auditory of the personalities inside their mind

Paranoia

Patients may experience an extremely broad array of other symptoms that may appear to resemble epilepsy, schizophrenia, anxiety disorders, mood disorders, post traumatic stress disorder, personality disorders, and eating disorders.

It has been theorized that severe sexual, physical, or psychological trauma in childhood predisposes an individual to the development of DID. Most of us have experienced mild dissociation, which is like daydreaming or getting lost in the moment while working on a project. However, dissociative identity disorder is a severe form of dissociation, a mental process, which produces a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity. Dissociative identity disorder is thought to stem from trauma experienced by the person with the disorder. The dissociative aspect is thought to be a coping mechanism -- the person literally dissociates himself from a situation or experience that's too violent, traumatic, or painful to assimilate with his conscious self.

Other symptoms of dissociative identity disorder may include headache, amnesia, time loss, trances, and "out of body experiences." Some people with dissociative disorders have a tendency toward self-persecution, self-sabotage, and even violence (both self-inflicted and outwardly directed). As an example, someone with dissociative identity disorder may find themselves doing things they wouldn't normally do such as speeding, reckless driving, or stealing money from their employer or friend, yet they feel they are being compelled to do it. Some describe this feeling as being a passenger in their body rather than the driver. In other words, they truly believe they have no choice.


Bi Polar or Manic Depressive Disorder

People with bipolar disorder experience unusually intense emotional states that occur in distinct periods called "mood episodes." An overly joyful or overexcited state is called a manic episode, and an extremely sad or hopeless state is called a depressive episode. Sometimes, a mood episode includes symptoms of both mania and depression. This is called a mixed state. People with bipolar disorder also may be explosive and irritable during a mood episode.

Extreme changes in energy, activity, sleep, and behavior go along with these changes in mood. It is possible for someone with bipolar disorder to experience a long-lasting period of unstable moods rather than discrete episodes of depression or mania.

A person may be having an episode of bipolar disorder if he or she has a number of manic or depressive symptoms for most of the day, nearly every day, for at least one or two weeks. Sometimes symptoms are so severe that the person cannot function normally at work, school, or home.

One side of the scale includes severe depression, moderate depression, and mild low mood. Moderate depression may cause less extreme symptoms, and mild low mood is called dysthymia when it is chronic or long-term. In the middle of the scale is normal or balanced mood.

At the other end of the scale are hypomania and severe mania. Some people with bipolar disorder experience hypomania. During hypomanic episodes, a person may have increased energy and activity levels that are not as severe as typical mania, or he or she may have episodes that last less than a week and do not require emergency care. A person having a hypomanic episode may feel very good, be highly productive, and function well. This person may not feel that anything is wrong even as family and friends recognize the mood swings as possible bipolar disorder. Without proper treatment, however, people with hypomania may develop severe mania or depression.

During a mixed state, symptoms often include agitation, trouble sleeping, major changes in appetite, and suicidal thinking. People in a mixed state may feel very sad or hopeless while feeling extremely energized.

Sometimes, a person with severe episodes of mania or depression has psychotic symptoms too, such as hallucinations or delusions. The psychotic symptoms tend to reflect the person's extreme mood. For example, psychotic symptoms for a person having a manic episode may include believing he or she is famous, has a lot of money, or has special powers. In the same way, a person having a depressive episode may believe he or she is ruined and penniless, or has committed a crime. As a result, people with bipolar disorder who have psychotic symptoms are sometimes wrongly diagnosed as having schizophrenia.

Bipolar disorder tends to run in families, so researchers are looking for genes that may increase a person's chance of developing the illness.

Other common Mental Illnesses

Anxiety disorders are mental disorders characterized by extreme, unpleasant, and unwanted feelings of apprehension or fear, sometimes accompanied by physical symptoms.

Delirium is a mental state in which a person suddenly becomes confused and disoriented, perhaps not knowing what day it is or not recognizing a friend. It often accompanies a physical illness and usually goes away when the illness gets better.

Dementia is a gradually worsening loss of mental abilities, including memory, judgment, and abstract thinking. It is more common in older people.

Depressive disorders are mental disorders associated with feelings of sadness, hopelessness, and loss of self-esteem and enjoyment. Significant levels of depression impair a person's feelings, thoughts, and behaviors.

Eating disorders are mental disorders that lead people to starve themselves or to eat huge amounts of food.

Mental retardation is a condition present since childhood in which the person has significantly below-average intelligence. These individuals may be limited in their ability to learn, work, communicate with others, care for themselves, and live independently.

Neurosis (noo-RO-sis) is a broad term covering many mental disorders that are long-lasting or recurring. People who have a neurosis remain in touch with reality, unlike those who have a psychosis. But the anxiety, depression, and distress common to neurosis can interfere with the quality of life.

Obsessive-compulsive disorderis a mental disorder that causes people to feel trapped by distressing or senseless thoughts and to feel as if they have to repeat actions.

Phobias are mental disorders that lead to a lasting, intense, irrational fear of a particular object, activity, or situation.

Post-traumatic stress disorder is a mental disorder that interferes with everyday living and occurs in people who survive a life-threatening event, such as school violence, car accidents, natural disasters (earthquakes, hurricanes, floods), or military combat.

Separation anxiety is a mental disorder in which children worry excessively about leaving their homes, parents, or caregivers.

Sleep disorders are long-lasting disturbances of sleep. Some sleep disorders have mainly psychological causes, while others have mainly physical causes.

* psychotherapy is treatment for a mental disorder that usually involves talking with a trained therapist to undercover the roots of a person's behavior or to learn new ways of thinking or behaving.

I hope that this post will help clear up any misconceptions you may have had about mental disorders and schizophrenia. I believe that it is imperative that people understand the truth of what these disorders are and how those who are afflicted with them, behave. Below you will find a list of resources that you can refer to if you have any questions related to mental health issues or should you encounter or know someone that you believe might benefit from the information. There are also many interesting case files and examples of persons with these disorders that you can search on YouTube. I found several related to DID to be most interesting.
Mental Health Resources

U.S. National Institute of Mental Health, 6001 Executive Boulevard, Room 8184, MSC 9663, Bethesda, MD 20892-9663. NIMH is the government institute that oversees research on mental disorders and provides information for professionals and the public.

http://www.nimh.nih.gov

American Psychological Asssociation, 750 First Street NE, Washington, DC 20002-4242. The American Psychological Association publishes books, brochures, and fact sheets about mental health, mental disorders, and psychotherapy. It provides referrals to local psychologists, and its website includes a KidsPsych feature.

Telephone 202-336-5500

http://www.apa.org

American Psychiatric Association, 1400 K Street NW, Washington, DC 20005. The American Psychiatric Association publishes the Diagnostic and Statistical Manual of Mental Disorders for doctors, and the Let's Talk Facts About pamphlet series for the public. Its website also posts a Psychiatric Medications fact sheet.

http://www.psych.org

National Alliance for the Mentally Ill, 200 North Glebe Road, Suite 1015, Arlington, VA 22203-3754. A self-help organization for people with serious mental illness, their families, and their friends.

Telephone 800-950-NAMI

http://www.nami.org

National Mental Health Association, 1021 Prince Street, Alexandria, VA 22314-2971. A national organization that offers information to the public about various mental disorders and mental health.

Telephone 800-969-NMHA

http://www.nmha.org





Sources

http://www.webmd.com/schizophrenia/guide/schizophrenia-types

John Hopkins Family Health Book, First Edition. 1999 John Hopkins University

http://en.wikipedia.org/wiki/Multiple_Personality_Disorder

http://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder

National Institute of Mental Health:

http://www.nimh.nih.gov/health/publications/bipolar-disorder/complete-index.shtml#pub2

http://medical-dictionary.thefreedictionary.com/Delusions

http://www.humanillnesses.com/original/Kid-Men/Mental-Disorders.html

No comments:

Post a Comment