One day, Dr. Clove received a question: “Do schizophrenics also suffer from depression?” ]
He threw the problem to everyone.
This is not true. Heroes from all walks of life have expressed their views.
Negative symptoms of schizophrenia
The first person to appear was a big fellow with a gloomy and stiff voice.
I am the second son of a prominent [schizophrenic] family.
I can see what you can’t see and hear what you can’t hear.
I, can connect things that you think have nothing to do with each other, intuitively feel that someone loves me and someone wants to hurt me.
I cry when I am happy and laugh when I am sad.
Although I am in the same space with you, I am not in your world.
Besides, I don’t feel any pleasure in doing things in what, and I’m not interested in what I used to like to do.
I am lazy and have no pursuit at all. I don’t do anything at ordinary times.
Moreover, I treat my relatives like strangers. I have no desire or desire.
You see, I have both schizophrenia and depression.
Dr. Clove shook his head.
No, what you described as depression is just a [negative symptom] of schizophrenia.
Schizophrenia is a disease that has damaged deeper [thinking] functions, so the shallower [emotional] functions are incomplete.
However, depressed patients are not [without desire or desire] [treat relatives like strangers]. They are emotional, but full of strong [depression].
You have no obvious depression or other typical depression manifestations, and you are not like the person we are looking for.
Drug-induced Parkinson-like symptoms
Another slow, stiff voice began.
I am the sworn brother of the second son of schizophrenia.
Although my nickname is [exercise inability caused by antipsychotic drugs], I am very depressed.
Look, I walk slowly.
You see, I also eat slowly.
You see, I don’t usually move very much.
Alas, I am not happy all day long.
Doctor clove hey hey smile, replied:
It is true that you are not well known to all, but don’t look at me. I don’t know.
Since you have already given your nickname, why not tell everyone together:
- When your joints bend, why do you click and stop like gears? The [decrease in activity] in your mouth is actually mainly a decrease in physical movement? Also, when this most important anti-Parkinson’s drug comes, why do you lose your prestige immediately?
Depressive episode with psychotic symptoms
A middle-aged woman seemed a little unconvinced, and her voice was quite infectious.
Dr. Clove asked about depression. What are you members of the [refined] family doing here?
I come from another prominent family-depression family, called [depressive episode with psychotic symptoms].
I have [core symptoms] unique to depression.
Including depression, decreased interest and lack of pleasure. In serious cases, one will also feel that one’s sins are monstrous, deserve death, inexcusable and should be destroyed humanely.
Look, do I meet your requirements?
Dr. Clove shook his head:
What I am looking for is really a member of the fine division family.
Your two families are closely related and many members have both characteristics.
However, because schizophrenia damages the deeper [thinking] function and the [emotional] function is mostly incomplete, these [centrists] are also classified into the fine family.
Your delusion is accompanied by severe depression and is not a symptom of [schizophrenia].
I am not looking for a member of your depressed family.
Depressive schizoaffective disorder
A strange person came forward.
Then, wouldn’t I be the only one who meets your requirements?
My name is schizoaffective disorder depressive type.
My symptoms of [schizophrenia] and [depression] are obvious.
Moreover, I am indeed a member of the fine division family.
Doctor clove said with a smile:
The person I want is a person who has depressive symptoms after suffering from schizophrenia. Generally, this occurs when schizophrenia improves but does not recover.
Although your performance is very consistent, it is ruled out by your birth: your two major types of symptoms have the same time, and there is no sequential relationship.
Post-schizophrenic depression
Just as the onlookers were about to disperse, the thin old man in the corner suddenly made a voice:
Well, it was me.
Let’s tell you a story first.
In the past, a gentleman from a [refined] family took refuge in a depressed family temporarily after being hit by antipsychotic drugs.
He is post-schizophrenic depression.
Some people said that he had the blood of a depressed family, but he only hid it well until the symptoms of fine points were suppressed.
Some people also said that the host he sojourned in was depressed because of his humiliation of the disease and despair of the future. The gentleman was only wrongly blamed.
Others said that he became like a member of the depressed family, only a side effect of antipsychotic drugs.
In short, since then, he has been faded out of everyone’s view. Even if he is discovered by doctors, he is often abused as another disease.
That gentleman, it’s me.
Dr. Chen Zhimin came out, took the gentleman’s arm and said, “Please let me cure you!” ]
How to treat depression after schizophrenia?
There is no commendable special means to cure you, nothing more than antipsychotic drugs and antidepressants, but the disease needs to be carefully screened and treated differently.
- If the patient is disappointed with the future or encounters social discrimination due to disease causes after the symptoms of schizophrenia are basically relieved, then doctors need to combine psychological treatment with drug treatment and help the patient and his family to establish sufficient and effective social support. If the patient’s depressive state belongs to a stage in the development of schizophrenia, that is to say, if the patient still has psychotic symptoms such as hallucinations and delusions under the depressive state, antipsychotic drug treatment needs to be continued, and medication cannot be interrupted because the main symptoms are depressive symptoms, let alone doubt the doctor’s diagnosis.
Although some new antipsychotic drugs also have certain antidepressant effects, it does not mean that only one drug can always [take] both diseases.
Depression after schizophrenia generally does not reach severe level, but if the symptoms are more serious, antidepressants need to be added.
After all, about 10% of schizophrenic patients commit suicide successfully, which is closely related to their depression and despair.