Possible Schizophrenia Symptoms in Family Dynamics

Schizophrenia?

Hello,
It has been over a month since my marriage, and things have been happening one after another.
Recently, my mother-in-law seems to be struggling with physical ailments and claims that after meditating at home (where she worships Guanyin Bodhisattva) for a long time, a friend taught her how to use "spirit possession" to alleviate her pain, and she says she has learned it.
While I was at my parents' home taking care of my mother who has heart failure, one day my mother-in-law excitedly called to inform me that the Bodhisattva conveyed a message saying that my sister-in-law would have good news for my mother in ten days (referring to pregnancy).
At that moment, I merely entertained the story and emphasized over the phone that I wouldn't tell my husband (as he does not believe in supernatural phenomena, while my mother-in-law thinks my mother, being vegetarian, would choose to believe).
I did not inform my mother about this for fear that it would lead to uncontrollable situations.
Later, I discussed it with my husband and found out that he initially did not intend to tell me.
He also mentioned that my mother-in-law performed "spirit possession" in front of him, urging him to believe.
He said that when she was possessed, her voice became an octave higher, similar to what is portrayed on television.
After witnessing this spectacle, my husband felt both angry and sad and said he wanted to take her to see a doctor.
When my mother-in-law was sleeping with her grandson, who was misbehaving, she said the Bodhisattva was sleeping between them, which might have frightened the child.

Later, my husband and I discussed whether this could be a form of schizophrenia, as the things she said during the so-called possession included prophecies that were based on our usual conversations with her and some known facts.
We are unsure what kind of pressure she might be under; we only know that she is a homemaker, helping to take care of her grandchildren, running errands for family members, and has friends she plays mahjong with.
Recently, she also told my husband that the Bodhisattva would help us conceive in August and that we would have two children.
Both my husband and I feel this reflects her subconscious thoughts, expressed in another way.
My husband has communicated with her not to perform such acts in front of children or outsiders anymore, and she has agreed.

Do you think it is necessary for her to undergo a medical examination?

Yu, 30~39 year old female. Ask Date: 2017/07/28

Dr. Ding Shuyan reply Psychiatry

Hello, in this situation, it is best to see a doctor as soon as possible.
However, the challenge lies in the fact that your mother-in-law may feel that she does not need to see a doctor.
It may be helpful to use other reasons, such as mentioning her insomnia or some discomfort in her body, to persuade her to go to the hospital for a check-up.
Sometimes, this approach can make her more willing to go.
Alternatively, you could ask close friends or relatives of your mother-in-law to encourage her to see a doctor, perhaps by mentioning a highly skilled and personable physician they know.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2017/07/28

More Info

Understanding the symptoms of schizophrenia and related disorders within family dynamics can be quite complex, especially when dealing with the nuances of individual behavior and mental health. In your situation, it appears that your mother-in-law is exhibiting behaviors that could be concerning, particularly her claims of communicating with spiritual entities and making predictions about family events. These behaviors may suggest the presence of a psychological issue, but it is essential to approach this matter with sensitivity and care.

First, let’s clarify some key points regarding schizophrenia and related disorders. Schizophrenia is a severe mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions. Symptoms can include hallucinations (seeing or hearing things that are not present), delusions (strongly held false beliefs), disorganized thinking, and impaired functioning. Schizophreniform disorder, on the other hand, shares similar symptoms but lasts for a shorter duration (less than six months) and may not lead to the chronic impairment seen in schizophrenia.

In your mother-in-law's case, her experiences of "channeling" or "inviting spirits" could be indicative of a dissociative experience or a form of psychosis, particularly if these experiences are accompanied by significant distress or impairment in her daily functioning. The excitement she expresses about these experiences and her predictions about family events may reflect a heightened state of emotional arousal, which can sometimes be seen in mood disorders or psychotic episodes.

It is also important to consider the context of her behavior. You mentioned that she is a homemaker who helps care for grandchildren and engages in social activities like playing mahjong. Stressors in her life, such as physical ailments or family dynamics, could contribute to her current state. The pressure of caregiving, combined with her own health issues, might lead her to seek solace in spiritual beliefs or practices, which can sometimes serve as coping mechanisms.

Given the complexity of her symptoms and the potential impact on family dynamics, it would be prudent to encourage her to seek a professional evaluation. A mental health professional can conduct a thorough assessment to determine whether her behaviors are symptomatic of a mental health disorder, such as schizophrenia or another condition, and can provide appropriate interventions. This could include therapy, medication, or other support systems tailored to her needs.

In terms of family dynamics, it is crucial to maintain open lines of communication. Your husband’s decision to discuss his concerns with his mother is a positive step. It is essential to approach these conversations with empathy, allowing her to express her feelings while gently guiding her toward seeking help. It may also be beneficial for family members to educate themselves about mental health issues to foster a supportive environment.

Lastly, while it is natural to feel concerned about the implications of her behavior, it is essential to avoid jumping to conclusions about a diagnosis without a professional evaluation. Mental health conditions can be complex, and behaviors that seem alarming may have various underlying causes. Encouraging her to seek help and supporting her through this process can be the most constructive approach for both her well-being and family harmony.

In summary, while your mother-in-law's behaviors may raise concerns about potential mental health issues, it is essential to approach the situation with care and encourage her to seek professional help. Open communication within the family, combined with a supportive environment, can significantly aid in addressing her needs and maintaining family dynamics.

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