Depression
I am a patient with schizophrenia and have taken the latest medication, Lurasidone, but unfortunately, it has not been effective.
My main concern is that I have many racing thoughts and often find myself repeatedly thinking about things that happened just a moment ago.
I have no idea when these past events will come to mind; they just appear without any reason, leading to a decline in my mood.
Currently, I have no other medications to switch to, and I am left with only Clonazepam, which has many side effects.
To be honest, I feel a bit weary of my long-term illness.
With that said, I would appreciate any advice from the doctor!
Da, 40~49 year old female. Ask Date: 2021/01/19
Dr. Liao Dinglie reply Psychiatry
Hello, internet user: Suffering from schizophrenia can indeed be quite troubling as it reduces the efficiency of thought processes.
Thought process impairment is one of the characteristics of schizophrenia.
Sometimes thoughts may be interrupted, other times they may be intruded upon or detached, and at times, conflicting thoughts may arise simultaneously, leading to hesitation and difficulty in making decisions, which hampers the ability to proceed to the next step.
The repetitive recalling you mentioned, known as rumination, is also one of the dilemmas associated with this condition.
Medication treatment can lead to significant improvement.
Although Lurasidone has not been helpful, you can continue discussing with your physician about other medications that may be available.
Sometimes, combining medications that adjust serotonin levels can also improve certain thought process issues.
Keep it up! Wishing you all the best and continued recovery! Dr.
Ding-Lieh Liao
Reply Date: 2021/01/19
More Info
Coping with schizophrenia, particularly when dealing with intrusive thoughts and low mood, can be a challenging journey. It’s important to recognize that you are not alone in this experience, and many individuals with schizophrenia face similar struggles. The symptoms you describe, such as repetitive thoughts and low mood, can significantly impact your quality of life, but there are strategies that can help you manage these symptoms effectively.
First and foremost, it’s essential to maintain open communication with your healthcare provider. Since you mentioned that you have been on medications like Latuda, which you found effective, but are currently limited to using Clozapine (可制律), it’s crucial to discuss your concerns about side effects and overall efficacy with your doctor. They can help you weigh the benefits and drawbacks of your current medication and explore potential alternatives or adjunct therapies that may alleviate your symptoms without exacerbating side effects.
In addition to medication management, cognitive-behavioral therapy (CBT) can be a valuable tool for managing intrusive thoughts. CBT focuses on identifying and challenging negative thought patterns and replacing them with more constructive ones. This therapeutic approach can help you develop coping strategies to deal with unwanted thoughts and reduce their emotional impact. Engaging in therapy can also provide you with a safe space to express your feelings and experiences, which can be incredibly therapeutic.
Mindfulness and grounding techniques can also be beneficial in managing intrusive thoughts. Mindfulness involves focusing on the present moment without judgment, which can help you detach from the cycle of rumination. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help you center yourself when intrusive thoughts arise. Grounding exercises, such as focusing on your surroundings or engaging your senses, can also help redirect your attention away from distressing thoughts.
Establishing a routine can provide structure and stability in your daily life, which can be particularly helpful when dealing with low mood. Incorporating regular physical activity, even if it’s just a short walk, can boost your mood and improve overall well-being. Exercise releases endorphins, which are natural mood lifters. Additionally, maintaining a balanced diet and ensuring you get enough sleep are crucial components of mental health.
Social support is another vital aspect of coping with schizophrenia. Connecting with others who understand your experiences can provide comfort and reduce feelings of isolation. Consider joining a support group for individuals with schizophrenia or mental health challenges. Sharing your experiences and hearing from others can foster a sense of community and understanding.
Lastly, it’s essential to practice self-compassion. Living with schizophrenia can be exhausting, and it’s okay to acknowledge your feelings of frustration or hopelessness. Allow yourself to feel these emotions without judgment, and remind yourself that it’s a part of your journey. Celebrate small victories and progress, no matter how minor they may seem.
In summary, managing intrusive thoughts and low mood in the context of schizophrenia requires a multifaceted approach. Open communication with your healthcare provider, engaging in therapy, practicing mindfulness, establishing a routine, seeking social support, and practicing self-compassion are all critical components of your coping strategy. Remember, recovery is a journey, and it’s okay to seek help along the way. You are not alone, and there is hope for a brighter future.
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