Mental Health Relapses: A Case of Depression or Schizophrenia?

Q: Mental Health Relapses: A Case of Depression or Schizophrenia?

Hello： It is evident that you are a dutiful child who is very concerned about your mother's condition. <br>I cannot ascertain the exact nature of your mother's illness, so it is best to consult the physician who has previously treated her. <br>Your father is a significant source

Hello! My mother was hospitalized for mental illness 25 years ago. However, she has not had any relapses during those 25 years. Recently, she has experienced a relapse. The doctor has diagnosed her with depression, but..?

Hello! My mother was hospitalized for mental illness 25 years ago, but she has not had a relapse during that time.
However, she recently experienced a relapse.
The doctor mentioned depression, but they are still investigating.
Could it be a relapse of schizophrenia? For the past 25 years, my father has often insulted my mother, calling her crazy, and he believes she is a burden that has hindered his achievements.
I actually think that my father's mistreatment of her, including daily insults and occasional physical abuse, has contributed to her condition.
A few years ago, he divorced my mother and married a woman from mainland China, but he told my mother it was a fake divorce, so she still lives at home.
My father continues to treat her the same way, verbally abusing and hitting her, while my mother manages all the household responsibilities.
I do not live at home, so I am not there often, but I know my father's temper has worsened over the past couple of years, and he frequently praises another woman in front of us while berating my mother (and also insults me, my brother, and my younger brother).
My mother eventually realized that my father was deceiving her, but she still does not dare to tell my grandfather or aunts.
She pretends to be happy in front of them, but I know she is actually very sad because she sometimes talks to me about it.
However, she still loves my father and has not left him, holding onto a glimmer of hope.
Could her relapse be due to stress and emotional triggers, or is it simply depression? She says she cannot think for herself and is constantly preoccupied with what others think.
She wants to go to the hospital because she feels like she might be going crazy, but she is not sure.
I think if she could be discharged, I would like to take her to live with me or my brother, as I do not want her to return to my father.
Do you think that is a good idea, or should I ask her what she wants before making a decision? Thank you! I hope to hear from you soon!

LILI, 30~39 year old female. Ask Date: 2004/03/11

Dr. Lin Yanhong reply Psychiatry

Hello: It is evident that you are a dutiful child who is very concerned about your mother's condition.
I cannot ascertain the exact nature of your mother's illness, so it is best to consult the physician who has previously treated her.
Your father is a significant source of stress for your mother.
If you, as her child, are unable to change your father's behavior and if your financial situation allows, it may be better for you to live together outside of that environment.
However, your mother's wishes must also be respected.
If she insists on staying with your father, it can only be said that your father has accumulated good karma in his past life.
Nonetheless, it is crucial to continue treating your mother's mental health issues, and she must keep attending her appointments.
Dr.
Lin

Reply Date: 2004/03/11

More Info

It sounds like your mother is going through a very challenging time, and it's commendable that you are seeking to understand her situation better. Based on the information you've provided, it seems that your mother has a history of mental health issues, specifically depression, and has recently experienced a relapse. This could be influenced by various factors, including her current living situation and the stressors she faces, particularly from your father.

Understanding the Situation
1. Mental Health History: Your mother's previous hospitalization for mental health issues indicates that she has faced significant challenges in the past. The fact that she has not had a relapse for 25 years suggests that she may have been managing her condition well until recently. However, the return of depressive symptoms could indicate that underlying issues have resurfaced.

2. Current Stressors: The environment in which your mother is living appears to be quite toxic. Your father's behavior—verbally and physically abusive—can significantly impact her mental health. Constant criticism and emotional abuse can lead to feelings of worthlessness, anxiety, and depression. It's not uncommon for individuals in such situations to feel trapped, leading to a deterioration in their mental health.

3. Symptoms of Depression vs. Schizophrenia: While your mother has been diagnosed with depression, the symptoms you describe—such as feeling unable to think for herself and being overly concerned with what others think—are often associated with depression. Schizophrenia typically involves more severe symptoms, such as hallucinations or delusions, which you haven't mentioned. However, it’s essential for a qualified mental health professional to assess her thoroughly to rule out any other conditions.

Potential Triggers for Relapse
- Environmental Stress: The ongoing stress from your father's behavior could be a significant trigger for her recent relapse. Stressful life events, such as relationship issues, can exacerbate existing mental health conditions.

- Isolation: If your mother feels isolated or unsupported, this can worsen her mental health. It’s crucial for her to have a support system, which may include family members like you and your siblings.

Recommendations
1. Encourage Professional Help: It’s great that your mother recognizes she needs help and is willing to go to the hospital. Professional treatment is vital, especially if she is experiencing severe symptoms. Encourage her to be open with her healthcare providers about her feelings and experiences.

2. Consider Living Arrangements: If your mother is open to it, discussing the possibility of living with you or your siblings could provide her with a more supportive environment. However, it’s essential to approach this topic delicately. She may feel conflicted about leaving your father, especially if she still has feelings for him. It’s crucial to respect her autonomy and involve her in the decision-making process.

3. Support System: Ensure that your mother has a robust support system. This can include family, friends, or support groups for individuals dealing with depression. Sometimes, just knowing that someone is there to listen can make a significant difference.

4. Educate Yourself: Understanding more about depression and mental health can help you support your mother better. There are many resources available, including books, websites, and support groups for families of individuals with mental health issues.

5. Monitor Her Well-being: Keep an eye on her symptoms and overall well-being. If her condition worsens or if she expresses thoughts of self-harm or suicide, it’s crucial to seek immediate help from professionals.

Conclusion
Your concern for your mother is evident, and it’s essential to approach this situation with compassion and understanding. Mental health issues can be complex, and recovery often requires time, support, and professional intervention. Encourage her to seek help, and be there for her as she navigates this challenging period. Ultimately, her well-being should be the priority, and any decisions regarding her living situation should involve her input and consent.

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