Fears of Schizophrenia: Anxiety and Delusions - Psychiatry

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Fear of developing schizophrenia?


Hello doctor, I previously heard someone online say that they had schizophrenia and believed they were possessed, as well as having apocalyptic thoughts.
After hearing them talk, I've recently been thinking a lot about whether I am also possessed, and when I see cars, I start to think about the apocalypse.
Overall, I feel very similar to that person online.
However, I keep trying to convince myself that it's not real, but I can't stop thinking about it, which is really bothersome.
The more I think about it, the more scared I become, and it makes me fear that one day I might also develop schizophrenia, which terrifies me.
I have had long-term symptoms of anxiety, and I would like to ask the doctor if feeling possessed and having apocalyptic thoughts could potentially lead to schizophrenia or a delusional disorder?

Xiao Ming, 20~29 year old female. Ask Date: 2016/05/03

Dr. Zhang Zhehong reply Psychiatry


Hello: Among anxiety disorders, there is a condition known as illness anxiety disorder, which involves exaggerating physical and mental symptoms and excessively worrying about having a disease.
It may also be a secondary condition related to depression or generalized anxiety disorder.
The diagnosis of schizophrenia and delusional disorder requires an evaluation through a consultation with a psychiatrist.
Please try to relax and discuss your concerns in detail with a psychiatrist.
Consider a multifaceted approach to treating anxiety disorders, including psychological, behavioral, and pharmacological therapies.
Wishing you all the best.

Reply Date: 2016/05/03

More Info


It's understandable to feel anxious when you hear about someone else's experiences with schizophrenia or delusions, especially if you have a history of anxiety symptoms. The fears you're experiencing, such as the worry about being possessed or thoughts about apocalyptic scenarios, can be distressing and may lead to increased anxiety. However, it's important to differentiate between normal anxiety and the symptoms of a more serious mental health condition.

First, let's clarify what schizophrenia is. Schizophrenia is a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may experience delusions (false beliefs), hallucinations (seeing or hearing things that are not there), disorganized thinking, and other cognitive difficulties. It's a complex condition that typically requires a comprehensive treatment plan, including medication and therapy.

Your concerns about being "possessed" or having thoughts about the end of the world do not necessarily mean you are developing schizophrenia. These thoughts can be categorized as intrusive thoughts, which are common in anxiety disorders, particularly in conditions like obsessive-compulsive disorder (OCD) or generalized anxiety disorder (GAD). Intrusive thoughts can be distressing, but they do not equate to having a psychotic disorder.

It's also worth noting that anxiety can manifest in various ways, including excessive worry about health, fears of losing control, and preoccupations with catastrophic outcomes. These symptoms can be exacerbated by stress, trauma, or even exposure to distressing information, such as stories about mental health conditions.

To address your fears, consider the following points:
1. Recognize the Nature of Your Thoughts: Understand that having thoughts about being possessed or apocalyptic scenarios does not mean you will develop schizophrenia. These thoughts are a product of anxiety and can be managed.

2. Cognitive Behavioral Therapy (CBT): Engaging in CBT can help you challenge and reframe your anxious thoughts. A therapist can work with you to develop coping strategies and reduce the power these thoughts have over you.

3. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. Techniques such as deep breathing, meditation, and progressive muscle relaxation can be beneficial.

4. Limit Exposure to Triggers: If certain discussions or media content trigger your anxiety, consider limiting your exposure to them. Instead, focus on positive and uplifting content that promotes mental well-being.

5. Seek Professional Help: If your anxiety continues to escalate or if you find it difficult to manage on your own, it may be helpful to consult a mental health professional. They can provide a thorough assessment and recommend appropriate treatment options.

6. Educate Yourself: Understanding anxiety and its symptoms can empower you. Knowledge can help demystify your fears and reduce the stigma associated with mental health conditions.

In summary, while it's natural to feel anxious about the possibility of developing a serious mental health condition, the thoughts you're experiencing are more likely related to anxiety rather than an impending diagnosis of schizophrenia. By seeking support, practicing coping strategies, and educating yourself about anxiety, you can work towards alleviating your fears and improving your overall mental health. Remember, you're not alone in this, and help is available.

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