the Impact of Schizophrenia on Mental Health - Psychiatry

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I have schizophrenia, and sometimes I feel that my thoughts affect my emotions.
At times, I experience a sensation of having a foreign object on my forehead, and sometimes sensory stimuli influence my thoughts.
Is this a psychiatric issue, or which specialty should I consult?

bu, 40~49 year old female. Ask Date: 2021/05/02

Dr. Wang Yaoting reply Psychiatry


Hello: Schizophrenia is a disorder characterized by an imbalance in brain chemistry, leading to abnormalities in thought processes and sensory experiences.
Therefore, it is indeed possible to have some unusual sensory experiences.
I recommend that if you experience physical symptoms that have not occurred before, and they persist or are severe, you should get checked for any underlying physical issues (you may need to see a neurologist).
If the examination shows no significant abnormalities, it may still be the schizophrenia affecting you.
I hope this answers your question :D

Reply Date: 2021/05/02

More Info


Schizophrenia is a complex and often misunderstood mental health disorder that can significantly impact an individual's thoughts, emotions, and behaviors. It is characterized by a range of symptoms, including delusions, hallucinations, disorganized thinking, and impaired functioning. Understanding how schizophrenia affects mental health requires a comprehensive look at its symptoms and their implications for daily life.

One of the hallmark features of schizophrenia is the presence of psychotic symptoms, which can include hallucinations (seeing or hearing things that are not present) and delusions (strongly held false beliefs). These symptoms can profoundly affect an individual's perception of reality, leading to confusion and distress. For instance, as you mentioned, experiencing an "alien" sensation in your forehead or feeling that external stimuli are influencing your thoughts can be indicative of the cognitive distortions often associated with schizophrenia. These experiences can create a feedback loop where the individual's emotional state is influenced by their distorted perceptions, leading to increased anxiety, fear, or even depression.

The cognitive symptoms of schizophrenia can also play a significant role in how individuals manage their daily lives. Cognitive impairments may include difficulties with attention, memory, and executive functioning, which can hinder one's ability to process information and make decisions. This can lead to feelings of frustration and helplessness, further exacerbating emotional distress. For example, if you find that your thoughts are racing or that you are unable to concentrate, it may be challenging to engage in work or social activities, leading to isolation and a decline in overall mental health.

Moreover, the emotional symptoms of schizophrenia can manifest as a flat affect (reduced emotional expression), anhedonia (inability to experience pleasure), or emotional dysregulation, where emotions can swing from one extreme to another. This emotional instability can complicate relationships and social interactions, as others may struggle to understand the individual's emotional responses. It is essential to recognize that these emotional challenges are not merely a result of personal weakness but are deeply rooted in the neurobiological changes associated with schizophrenia.

In terms of treatment, it is crucial to work closely with a mental health professional, typically a psychiatrist, who specializes in schizophrenia and related disorders. Treatment often involves a combination of antipsychotic medications, which can help manage symptoms, and psychotherapy, which can provide support and coping strategies. Cognitive-behavioral therapy (CBT) has been shown to be particularly effective in helping individuals with schizophrenia address cognitive distortions and improve their emotional regulation.

Additionally, support from family, friends, and support groups can be invaluable. Engaging in community resources and educational programs can help individuals with schizophrenia feel less isolated and more empowered in managing their condition.

In conclusion, schizophrenia is a multifaceted disorder that significantly impacts mental health. The interplay between thoughts, emotions, and perceptions can create a challenging landscape for individuals living with the condition. However, with appropriate treatment and support, it is possible to manage symptoms effectively and lead a fulfilling life. If you are experiencing distressing symptoms, it is essential to seek help from a qualified mental health professional who can provide a comprehensive evaluation and tailored treatment plan.

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