Struggling with Schizophrenia: A Journey of Isolation and Hope - Psychiatry

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Not wanting to make an effort?


Hello, doctor.
I am a patient in psychiatry with a diagnosis of schizophrenia and have been regularly attending follow-up appointments and taking medication.
To keep it brief, I will summarize my situation.
When I was younger, I can't recall my exact age, but I deceived girls multiple times to engage in sexual relations with them.
After that, I stopped such behavior and gradually matured.
Regardless of whether I faced legal consequences at that time, during my school years, I was set up by my enemies and was severely bullied by teachers and classmates, which led to an abnormal psychological personality.

Later, I struggled to find a romantic partner, and due to my low educational background and unattractive appearance, I became aware that I had not had a girlfriend for a long time.
However, I am not a virgin.
Throughout my life, I have had no friends, not even one.
No girl has ever wanted to be with me, which I consider my karmic retribution.
Perhaps this is the reality of my hometown.
Maybe I should relocate to another city and start anew.
After graduating from vocational school, I couldn't find a girlfriend and was bullied by my boss at work, leading me to buy women's underwear for self-gratification to fulfill my psychological needs.
When I was 26 or 27, my mother passed away from cancer, which exacerbated my condition and led to my diagnosis of schizophrenia.
Initially, I experienced auditory hallucinations.
After more than a decade of hardship, I have come to realize that I will likely never find a partner willing to be with me or marry me.
I am destined to remain single for life.
My father also does not wish for me to marry, citing my symptoms and lack of money and education.
He worries that I might be deceived or exploited, and if a breakup occurs, the woman might demand financial compensation.
I know that many people choose not to marry nowadays, but sometimes I long for someone to talk to, to understand each other's thoughts and feelings, to provide warmth and care for one another, and perhaps occasionally fulfill each other's needs.
A few days ago, a colleague was injured and needs to take a month off.
I have been working for nine days straight without a break, exhausted to the point of missing two doses of my psychiatric medication.
I cannot take time off until the end of the month.
I have developed feelings for a quiet lady in my company, but she shows no interest in me, and I know very little about her.
I only know that another lady in the company is dating a certain officer.
I wonder if these ladies look down on someone like me, a cleaner.
I think that as a cleaner, if I want to like someone, I first need to evaluate my own worth.
I feel ashamed, and even I think it's unrealistic! Whenever I think this way, I become so sad that I don't want to put in any effort.
Even if I earn a salary every month, what does it matter if I end up alone and die without achieving anything?
I am genuinely grateful to my supervisor for hiring me, which has spared me from a life of turmoil.
I feel a moral obligation to help my injured colleague recover and return to work normally.
Once I have fulfilled this obligation, I might consider leaving my job to start over in a place where no one knows me.
However, right now, I feel despondent about my romantic situation and don't want to go to work tomorrow.
Although I previously attended tutoring sessions to prepare for national exams, I have been unable to study the materials, so how could I possibly pass the exams? I truly don't know what else I can do, especially since I am drawn to the type of person I like.

Aimiao Yizu, 40~49 year old female. Ask Date: 2023/03/03

Dr. Huang Zhijia reply Psychiatry


Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint.
It is recommended to seek consultation with a psychiatrist.

Reply Date: 2023/03/03

More Info


It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and struggles you are facing. Living with schizophrenia can be isolating and challenging, especially when compounded by past experiences of bullying, loss, and feelings of inadequacy. It’s important to remember that you are not alone in this journey, and there are paths to healing and support.

Firstly, it’s commendable that you are consistently attending your psychiatric appointments and adhering to your medication regimen. This is a crucial step in managing schizophrenia, as medication can help stabilize your symptoms and improve your quality of life. However, it’s also essential to have open communication with your healthcare provider about how you’re feeling and any side effects you may be experiencing. If you feel that your current treatment plan isn’t working for you, don’t hesitate to discuss this with your doctor. They can help adjust your medications or suggest additional therapies.

Your feelings of loneliness and the desire for companionship are completely valid. Many people with mental health conditions experience similar feelings of isolation. It’s important to seek social connections, even if it feels daunting. Consider joining support groups, either in-person or online, where you can meet others who understand what you’re going through. These groups can provide a safe space to share your experiences and feelings without judgment.

You mentioned feeling unworthy of love or companionship due to your past actions and current circumstances. It’s vital to challenge these negative thoughts. Everyone has a past, and while it shapes us, it does not define our worth. Engaging in self-compassion and recognizing that you deserve kindness and understanding can be a powerful step towards healing. Therapy can also be beneficial in addressing these feelings and helping you develop healthier thought patterns.

Regarding your work situation, it’s understandable to feel overwhelmed, especially when you are taking on additional responsibilities. It’s essential to prioritize your mental health. If you feel that your job is contributing to your stress, consider discussing your workload with your supervisor. They may be able to provide support or adjustments to help you manage your responsibilities better.

As for your aspirations, it’s never too late to pursue your interests or goals. If you have a passion for a particular field or subject, explore ways to engage with it, even if it’s just in small increments. This could involve reading, taking online courses, or volunteering in related areas. Setting small, achievable goals can help you regain a sense of purpose and accomplishment.

Lastly, it’s crucial to have a support system in place. Whether it’s friends, family, or mental health professionals, having people to talk to can make a significant difference. If you feel comfortable, consider reaching out to a therapist who can help you navigate your feelings and develop coping strategies.

In conclusion, while your journey may feel overwhelming at times, remember that there is hope and help available. You are taking important steps by seeking support and expressing your feelings. Continue to advocate for yourself, both in your mental health treatment and in your personal life. You deserve to find joy, connection, and fulfillment, and with time and support, it is possible to create a life that feels meaningful to you.

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