Depression and Schizophrenia: A Personal Struggle

Q: Depression and Schizophrenia: A Personal Struggle

Hello Yuxiang： It seems that you have sought medical attention and are taking medication, and that your family took you to see a doctor. <br>This at least indicates that your family does not oppose you seeing a psychiatrist, which is a positive sign. <br>If you feel that your con

Depression, Schizophrenia

Three years ago, I started working in a factory with rotating shifts, and I was constantly criticized at work.
I did this for almost two years, and during my time off, I was alone at home without socializing and not getting along well with my family.
Later, when the girl I had a crush on for three years announced her marriage, I felt devastated and cried continuously.
My thoughts and behaviors became strange, and I had suicidal and violent thoughts.
I began to visit temples, seek talismans, and consult fortune tellers.
Although my family took me to see a psychiatrist who prescribed medication for depression and schizophrenia, I only felt better for a few days.
My family still wanted me to continue working, but I couldn't take my medication on time due to my work schedule.
I mentioned wanting to resign or to have my bank card held by my mother, but there were always communication issues.
I couldn't find happiness and felt increasingly anxious.
Eventually, I lost over 200,000 TWD due to scams, and I don't understand why this happened.
Can schizophrenia lead to impulsive spending? This situation has been weighing heavily on my mind.

Yu Xiang, 20~29 year old female. Ask Date: 2022/05/31

Dr. Lin Mianzhang reply Psychiatry

Hello Yuxiang: It seems that you have sought medical attention and are taking medication, and that your family took you to see a doctor.
This at least indicates that your family does not oppose you seeing a psychiatrist, which is a positive sign.
If you feel that your condition is still not stable after taking medication and you prefer not to work for the time being, I suggest that you ask your family to accompany you to your follow-up appointment.
You, your family, and the physician can discuss whether you should continue working.
If necessary, the physician can also refer you to a social worker to discuss your situation together.
Some patients with schizophrenia (now referred to as schizoaffective disorder) may exhibit symptoms similar to bipolar disorder, and excessive spending is one of the symptoms of mania.
However, not all excessive spending indicates mania; this needs to be communicated to your physician for an accurate assessment of your condition.
Wishing you a speedy recovery.

Reply Date: 2022/05/31

More Info

It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and confusion you are experiencing. Your feelings of sadness, hopelessness, and even thoughts of self-harm or harming others are serious and deserve attention. It’s important to understand that you are not alone in this struggle, and there are ways to find help and support.

From what you've described, it seems that you may be dealing with symptoms of depression, and possibly elements of anxiety or even psychosis, given your mention of feeling like your thoughts and behaviors are "strange." Depression can manifest in various ways, including persistent sadness, loss of interest in activities, changes in sleep and appetite, and feelings of worthlessness or guilt. It can also lead to thoughts of self-harm or suicide, which are critical signs that you need immediate support.

Schizophrenia, on the other hand, is a more complex mental health condition that typically involves symptoms such as hallucinations, delusions, disorganized thinking, and impaired functioning. While you mentioned being prescribed medication for schizophrenia, it’s essential to clarify with your healthcare provider whether your symptoms align more closely with depression, schizophrenia, or another mental health condition. Misdiagnosis can happen, especially if symptoms overlap.

Your experience of feeling isolated, especially after working in a demanding job and dealing with personal loss, can exacerbate feelings of depression. Social isolation is a significant risk factor for worsening mental health. It’s crucial to find ways to connect with others, whether through friends, family, or support groups. Even if it feels challenging, reaching out to someone you trust can be a vital step toward healing.

Regarding your medication, it’s essential to take it as prescribed, even if your work schedule makes it difficult. Consistency in taking medication can significantly affect its effectiveness. If you’re struggling with this, consider discussing it with your doctor to find a solution that works for your lifestyle. They may be able to adjust your treatment plan or suggest alternative options that fit better with your daily routine.

You mentioned engaging in spiritual practices like praying and seeking guidance through rituals. While these can provide comfort, they should not replace professional mental health treatment. It’s essential to have a balanced approach that includes therapy and possibly medication, as these are proven methods for managing depression and other mental health conditions.

If you are feeling overwhelmed by thoughts of self-harm or harming others, it’s crucial to seek immediate help. Contact a mental health professional, call a crisis hotline, or go to the nearest emergency room. Your safety and well-being are the top priority.

In summary, you are facing a complex situation that involves emotional pain and possibly a mental health disorder. It’s vital to seek professional help, communicate openly with your healthcare providers about your symptoms and concerns, and explore support systems that can help you navigate this challenging time. Recovery is possible, and with the right support, you can find a path toward healing and a more fulfilling life.

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