Health 6 Mar. 2024 13:40
Schizophrenia is a psychiatric disorder that is common in Thailand. It has symptoms of ringing in the ears, hallucinations, abnormal behavior, and aggression. If not treated quickly, it may affect the quality of life. and living together in society
Dr. Natthaphat Lamliangphon, psychiatrist at BMHH- Bangkok Mental Health Hospital, said schizophrenia is a disease caused by abnormalities of the brain. This results in abnormal thoughts and perceptions. This usually occurs between adolescence and adulthood. The patient will have behavior that is different from normal people, such as believing that someone is going to harm them. or hallucinations
Causes of schizophrenia
- Genetics, especially in families with members suffering from schizophrenia will be more likely to have this disease than normal people This is because some abnormalities may be inherited.
- brain abnormalities Caused by abnormalities of neurotransmitters in the brain that results in patients having abnormal thoughts Perceptions that do not match reality There is a change in mood and behavior from normal people.
- Psychological condition People who experience stress in their daily life, such as poor relationships with others. Being in an environment where strong emotions are used, blaming, criticizing, nagging, and manipulating affects the progression of the disease. Stimulate the disease to relapse or difficult to control symptoms
3 schizophrenia syndromes
1. Thought syndrome
- Delusion: A belief that is distorted from reality and cannot be corrected with reason, such as delusional thoughts that someone is malicious or trying to do harm, delusional thoughts that one has special powers or is important. , delusional thoughts that oneself is controlled or followed by others.
- Ideas of reference: The idea that things around them have connotations related to them. For example, a patient may believe that a power outage means they are being punished.
- Irrational thinking: Incoherent or illogical thinking. For example, a patient may believe that they can control the weather with their thoughts.
2. Sensory Syndrome
- Hallucination, the perception of things that do not actually exist. There are many types of hallucinations, such as
- Auditory hallucination: Hearing sounds that do not come from outside, such as hearing people speak, music, or other sounds.
- Visual hallucinations: seeing images that do not come from outside, such as seeing images of people or animals. see moving pictures or seeing overlapping images, other sensory hallucinations such as sensory hallucinations olfactory hallucinations Taste hallucinations or hallucinations through movement
3. Behavioral symptoms
- changed behavior Patients may change their behavior from before, such as being withdrawn, sluggish, not paying attention to their surroundings, speaking confused and disjointed. or have violent and aggressive behavior
- Problems regulating emotions Patients may not be able to control their emotions, such as mood swings, anger, or laughing or crying without reason.
- Problems thinking and deciding Patients may have problems thinking and making decisions, such as thinking slowly and having difficulty making decisions. or unable to solve the problem
There are many approaches to treating schizophrenia, including taking medication to balance chemicals in the brain. This will control the symptoms and prevent them from reoccurring. But if the medicine is not effective Doctors may consider using defibrillation, psychosocial treatments such as social training. and providing counseling to patients, psychotherapy To make patients understand themselves Recognize and understand your own problems more, family therapy To provide guidance to relatives in taking appropriate care of patients and group therapy By organizing group activities between patients to encourage each other.
However, caring for patients with schizophrenia must begin with understanding the patient. Because the patient did not intend to create a nuisance. Therefore, you should forgive and not blame the patient. You should not argue with the patient about their mental illness. But one should express sympathy for the suffering the patient suffers from mental illness. Including offering help with patience, encouraging but not forcing, such as encouraging patients to help themselves. Help with simple housework without using force. And should avoid unnecessarily criticizing the patient and take care of the patient in taking all the medicines as prescribed by the doctor.
Dr. Natthapat Lamliangphon, M.D.
Psychiatrist at BMHH- Bangkok Mental Health Hospital
2024-03-06 06:40:00
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