#psychotic disorder

[madpunks]

people end up not wanting to associate with schizophrenics because we're "embarrassing" and "gross". we talk to ourselves in public, we forget to bathe and brush our teeth or become too delusional to do so, some of us can become terrified of bathrooms because of hallucinations or delusions and refuse to use them and use incontinence products instead, we forget to change our outfits for days at a time sometimes, eating can sometimes be impossible when you become convinced your food is poisoned or tampered with, being in places with overhead speakers or loud radios or TVs can be distressing and impossible to navigate for delusional people or those who are easily prone to command hallucinations, we often jump and panic and react to hallucinations and delusions and "cause a scene".

we're viewed as an inconvenience at best, and an outright danger at worst. we are neither of these things. it can be easy to decide to not associate with someone who has these problems, but it's impossible for the person experiencing them to just stop them from happening. you can make the choice to look down on someone and abandon them because they experience psychosis, but they can't choose to turn their psychosis off. one of these actions hurts and impacts a lot more than the other in reality. witnessing a hallucinating person will not irreparably damage you for life. please consider that this is not a choice for the schizophrenic person, and they don't want it, either.

[rachymarie]

look idk who on Goddess' green Earth decided ableism towards the severely mentally ill was cute but it needs to stop

looking at u "delulu" girlies*

*also schizoposting/lobotomycore girlies and "I'm in your walls" bros and all u other sadistic creeps. (also the oldest and most ingrained in society which is still kind of a bad and lazy excuse for ableism: "that's psychotic" as negative) all of u just go straight to jail and don't pass go. and don't come out till you've thought about your actions and decided to treat disabled folks better

[schizopositivity]

just a reminder its okay to feel sad or weird on your birthday. theres no rulebook on how to behave for holidays. you might be depressed and just happen to be sad that day. you might have a dissociative or psychotic disorder that makes the one day about you confusing, and makes you have trouble with your identity as you are suddenly a year older. you might have anxiety and dont like having the attention be on you. whatever the reason is, its ok to feel however you feel on your birthday. you may see other people throw parties and celebrate their days and thats also fine. but just because other people behave that way doesnt mean you have to too. its your day to feel how you feel, do what feels comfortable to you, and enjoy it or just treat it like any other day. you are never wrong or ungrateful for feeling how you feel.

[speakingofpsychosis]

I would love to know more about cognitive issues associated with schizophrenic spectrum disorders.. im schizotypal & have been told the issues Ive been having with thought withdrawal n decreased motor activity n precision, among others, are caused by schizostuff and not dissociation, like i assumed.. i was very explicitly told dissociation does not manifest itself in same ways schizostuff does but not explained on account of what exactly they differ and i havent been able to find anything myself.. so i suppose info regarding thst topic could he of great use to many people. I apologize for lack of personal experience described its incredibly hard to put it into words. thank you for running this blog!

Hi! There are several ways schizophrenia effects cognitive function.

The cognitive symptoms of schizophrenia may, in part, be related to changes in the brain. Research, including a 2021 study, shows that people with schizophrenia have reduced cortical thickness, which may contribute to changes in thinking and memory.

Gray and white matter support cognitive functions like attention, memory, and language. A 2019 study reported that people with schizophrenia had less brain matter in several areas, including gray matter in the cortex, than people without schizophrenia.

The rate at which you receive, assess, and respond to new information is called your processing speed. This cognitive quality impacts how quickly you think, learn, and respond to your environment.

The volume of white matter in the brain affects processing speed.

There can be some degree of overlap with negative symptoms and they can be mutually exacerbating or compound each other. For example the loss of verbal ability combined with attention deficit can make conversation extremely difficult to the point it is avoided. Similarly, the negative symptom of avolition (the loss of the will to do things) combined with diminished executive performance makes many domestic tasks or chores increasingly complex and again, avoided.

Here’s a list of common cognitive functions impaired in schizophrenia:

Attention & Concentration

Social Cognition

Problem solving

Declarative memory

Working memory

Attention/concentration

Cognitive functions impaired in schizophrenia

Executive function

Social cognition

Processing speed

I wish you nothing but luck on your journey. 💚

[romanananan]

just saw some random ass person call one of the people i was following delusional and i just need to remind yall that delusions are not fucking funny. delusions are shit that can fuck your entire day up and ruin your life + calling people a delusional freak isnt the power move you think you can own people over on the internet

[schizobpd]

friendly reminder that schizospec people don't owe you creativity, entertainment or answers to be valued.

[forkaround]

I have stopped watching DFF for about 2 episodes and here's why:

Non has some sort of mental illness. That we can all agree. AFAIK the show itself has not confirmed the MI he has, it's all be guessed by fans from the meds he takes. Now these meds can't be just a coincidence. Sammon is a doctor after all. She would know. So we can reliably say the meds are intentional and that leaves us with three diagnosis: MDD, Bipolar Disorder and Schizophrenia. Afaik the exact illness has not been confirmed. And the thing is - I've taken this medication.

I was diagnosed with Major Depressive Disorder with psychotic features when I was 19/20. So when I say I know what that is like, Ich been knew.

Before I get to my main point I would like to take a second to talk about The Eclipse. Akk and Ayan both were on medication for Depression but during the entire run of the show they never used the word 'depression' in the English sub at least. Instead what they said was 'depressive disorder'. Depression is one of those words like gaslight which people have blown out of proportion and having a show use 'depressive disorder' breaks it away from Depression. To me that is people bts being aware of the social, current connotations, being aware of social media and being kind to someone suffering from a MI.

In DFF, Non tries to commit suicide with his medications at least twice. Let me say that again, he tried to commit SUICIDE with his medication at least twice! That is not kind, that is not careful. That is stigmatizing. That is a baked narrative about psychotic disorders playing out as is. And the most terrifying part is: no one notices. No one can tell that this is wrong. Instead people are happy making Non just a victim. Just a victim is how we are always seen. Just a mental illness is all we have always been.

And it sucks!

Especially when psychosis in these cases is usually a very negative self image, absolute paranoia, very high anxiety, and much more. Most psychotic people don't go around killing people and even hinting at that is so toxic and normalized it's scary. It's dangerous because it's normalized. Add to that: we don't see so much more of what his life is. Yeah we see some glimpses of PheeNon relationship but in that same episode it ends with Non cheating on Phee. Honestly the reasons don't matter.

As far as I've seen, Non is not a character who is written with care around the mental illness he has. And it can be argued it's because it's a horror story. I ask you: So what? so what if it's a horror story? Is it impossible to have empathy for someone with a psychotic disorder even for a second?

If they had never had the pills showing up I would have been happy with this show but they did. They willingly, intentionally played into the stereotypes about people with psychotic disorders. Used MI as a plot point without showing the other side. It hurts but more than that it's annoying. It's annoying because Sammon is a doctor. It's annoying because we know even doctors rarely understand psychotic disorders.

This may be just a horror show to many people but Non's life is very much reality for many of us who have psychotic disorders (or any MI that isn't empathized by the general populous.) It's a reminder that even when we are written by doctors, our lives are horror movies.

[gray-gray-gray-gray]

Chapter 22 of Psychosis, Trauma and Dissociation: A Psychological Assessment Perspective on Clinical and Conceptual Distinctions Between Dissociative Disorders and Psychotic Disorders

Behaviorally - and symptomatically - individuals with dissociative disorders are difficult to distinguish from those with psychotic disorders. This chapter reviews how a range of psychological instruments can inform us on the differences between these two sets of disorders - with the dissociative disorders in focus being DID and OSDD.

Certain forms of voice hearing and experiencing 'made' thoughts and feelings, as in the Schneiderian first-rank symptoms, are more commonly reported in patients with dissociative disorders than in patients with schizophrenia - even though these first-rank symptoms have long been emphasized in the diagnosis of schizophrenia. It's suggested by some authors that psychotic symptoms could be driven by dissociative mechanisms, while others go so far as to question whether dissociation is a 'distinct nosological category' from schizotypy. The clinical and theoretical importance comes from the fact that these two groups are often given different treatments.

The following is a comparison of results between dissociative disorders and psychotic disorders on the following kinds of measures: a) cognitive testing, b) structured personality tests/broad psychiatric symptom measures, c) trauma-focused measures, and d) projective tests like the Rorschach Inkblot Test.

On cognitive testing: People with dissociative disorders did 'remarkably unremarkable', with an average of 100 IQ with normally distributed scores ranging from the lower to high ends. There was nothing out of the ordinary. Meanwhile, people with schizophrenia typically showed low overall scores on intelligence tests, as well as deficits in verbal and delayed memory. Unfortunately there have been no studies that have directly compared dissociative and psychotic disorders in cognitive or neuropsychological testing.

On structured personality tests/broad symptom measures: There are some validity issues here! The MMPI-2 has several 'validity' scales, of which the F scale is notable as it is often elevated to such a degree in dissociative disorder patients that the profile is considered invalid. The F scale is essentially meant to assess if the individual is "bad at faking." Patients with a psychotic disorder are often less likely to provide an invalid profile on the MMPI, but it can still happen sometimes. There's a similar pattern on the MCMI-III, with psychotic patients reporting less symptoms than dissociative patients, while dissociative patients often provide a profile that would often be considered 'exaggerated.'

The MMPI - Scores in the paranoid, schizophrenia, and bizarre thoughts scales are often elevated in patients with psychotic disorders, but scores in the schizophrenia scale are also elevated in people with a dissociative disorder. In addition, elevations on the hypochondriasis scale can be seen in dissociative disorders where it isn't in psychotic disorders.

The MCMI - Using the MCMI-II, a study found that dissociative disorder individuals were characterized by avoidant and self-defeating personality features. However they also showed high levels of borderline, passive-aggresive, schizotypal, schizoid, and even paranoid personality disorder pathology. Contrary to expectations, high scores on the schizotypal and thought disorder scale on the MCMI-III may be more indicative of a dissociative disorder than a psychotic disorder. There seems to be a reasonably consistent pattern of both psychotic disorder and dissociative disorder patients reporting high schizophrenia scores using the MCMI, which is somewhat replicated on the MCMI-III on the schizotypal and thought disorder scales.

The SCL-90 and BSI - Patients with a dissociative disorder score higher on many scales on these, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, anger-hostility, phobic anxiety, paranoid ideation, psychoticism, and the general symptom index. A substantial correlation between the subscales of psychoticism and paranoid ideation has been made with the SCL-90 and Dissociative Experiences Scale. The Global Symptom Inventory (a summary score for the SCL-90) is also obviously elevated in people with dissociative disorders. Allen et al. (1996) found significant correlations between the Dissociative Experiences Scale total and all nine BSI scales, except interpersonal sensitivity.

On trauma-focused symptom measures: There is a lack of research in the TSI/TSI-2 profiles in patients with DID and psychotic disorders. The only study of psychotic disorder patients with the TSI found that in those with trauma histories, TSI elevations were positively correlated with the severity of hallucinations and delusions. The psychotic disorder patients had a mean score of 62.47 compared to a mean score on the Dissociation scale of 81.45 in a sample of patients diagnosed with DID. Note that the latter study used the TSI-2 while the first used the TSI, however! In summary, many psychotic disorder patients suffer from trauma-related experiences, but not as pronounced as among severely dissociative patients.

On projective testing: Interestingly, distinctions come to light on projective testing like the Rorschach Inkblot Test. Dissociative disorder patients show a greater capacity to be self-reflective, to modulate affect, to think logically, and to see others as potentially collaborative despite traumatic flooding than psychotic diorder patients. Both groups misperceive others and manifest some perceptual inaccuracies. Dissociative disorder patients show a greater level of self-reflection combined with a desire to actively seek change, which is not prominent in psychotic disorders. But, there is a clear need for more research.

[thesoftpsychotic]

sending so much love to my psychotic peeps this friday!!!

[livingwithocd]

can u help me understand this and give me ur understanding of it? according to the DSM. ocd can be specified into different levels of insight: fair, poor, and absent/delusional. Delusional insight describes 100% believing the idea as true. an example used in the dsm is like “if I don’t check a stove 30 times this house WILL burn down” no “possibly/what if” it WILL 100% treating it as fact. this is different to poor and fair insight in which it is not 100% fact. believing something untrue as fact is the same as the delusion of a delusion. so then is delusional insight just another word for delusion? or is it not always bc a compulsion comes with it? but how is it not a delusion if it’s believed as fact when it’s not true and wel that matches the definition of a delusion?. so then if delusional insight is in fact a part of ocd then ocd causes delusions ON its own as a symptom of ocd. Isn’t that correct? In the dsm it even specifies that if one has delusional insight obvy bc of ocd then that delusional insight wouldn’t be a Comorbid psychotic disorder. isn’t it correct to say that while ocd is not a psychotic disorder it can cause psychosis (delusions is apart of psychosis) thus making the individual psychotic (at times)? or are these not delusions? How and why. can ocd cause delusions or can it not? how do u differentiate whether it’s a comorbid psychotic disorder causing delusions or the ocd. how do u know if ur obsession is a delusion or not. if it’s bc of o d or not. is it incorrect to say that ocd can and does cause delusions sometimes, and that delusional insight = delusions, and that despite not being a psychotic disorder it can have psychotic experiences on its own?. can a delusion be similar to the stove example as said above?

i honestly am so confused! i researched about it myself a lot and learned about delusional insight in ocd as wel as having other people w ocd tell me that yea ocd itself can cause delusions and that’s what delusional insight is. however then having some people tell me that’s “not true ocd can’t cause delusions it’s not a symptom of ocd by itself” and that it must bc automatically be a comorbid disorder or something when an individual with ocd has delusions. i want to make sure I have this info correct about myself and that if people do ask abt ocd and delusions that I give them the correct info too. when I say my ocd causes delusions and ocd in general am I misinterpreting the dsm? must it be a comorbid disorder causing the delusions instead? is delusional insight not true delusions? can ur ocd cause delusions but u also have a comborbid psychotic disorder? /gen I am not asking u to dx im asking what ocd does or does not cause as a symptom btw! :]

Hi anon! I assume these two asks are together so I am putting them into one post.

Delusional beliefs/absent insight in reference to OCD specifically has to do with insight into the disorder and its symptoms. Such as the oven example, it is the belief that if the compulsion is not done, something bad will happen. The belief or thought is what is delusional. The APA writes it as “whereby the obsessional thought is no longer recognised as erroneous, but held with conviction”.

A delusion differs from this because it exists regards of insight or belief on it - those with delusions can precieve both a delusion and reality as real at the same time with no conflict.

OCD with a comorbid Psychotic Disorder [link may download PDF onto your computer] will also include symptoms such as: hallucinations, thought disorders, and negative symptoms (a decrease in the ability to emotionally respond to people/events/etc, a decrease in speaking (alogia), difficulty sticking with activities and tasks/the appearance of being unmotivated or withdrawn).

Another resource that you may find helpful on this topic: Link

[octocurse]

I feel like there’s a common misconception that you need to have Schizophrenia or BPD to have psychosis / be psychotic. However, as someone who is medically diagnosed with “true psychosis” / “Early Onset True Psychosis” (the second of which is merely a stand-in term), You don’t need to have those to be psychotic. You don’t need to be constantly hallucinating to be psychotic.

[parv0-cat]

clawing at my god damn face i hate how sensitive i can get sometimes. knowing i have psychosis makes me feel a little bit better but it does not make it any less embarrassing

[jewishranpo]

“the intrusive thoughts won” “that’s psychotic” “i’m so delusional haha” “narcissistic abuse” “the weather is so bipolar” SHUT UP!!!!!! SHUT THE FUCK UP!!!!

[speakingofpsychosis]

i hope this doesn't sound dumb, but what's schizo-spec and which disorders (sorry for the lack of use of a better word) does it include?

can you be in it even if you only experience hallucinations in periods of severe stress?

schizospec(trum) commonly refers to the following but isnt limited to them:

Catatonic, Disorganized, Paranoid, Residual & Undifferentiated Schizophrenia

Schizoaffective disorder

Schizophreniform disorder

Schizotypal personality disorder

[amprosite]

In light of US social and political issues, this article will examine three delusional disorder symptoms. Delusion disorder is epidemic and dangerous. Read

[vastimagines]

When I was in high school, my first therapist told me that my house was haunted and that i absolutely did not have schizophrenia because I was too well put together.

Six years later i have a new therapist and a diagnosis for schizophrenia. Isn't that wild.