Can severe depression and schizophrenia be diagnosed together?
Generally, the diagnosis of severe depression will not diagnose schizophrenia, let alone severe anxiety. Why? Psychiatric diagnosis has a long history, and it is still a monistic diagnostic principle, that is, only major diseases are diagnosed. Even if the monism principle is not followed, major depression and schizophrenia will not be diagnosed together, because they are two unrelated diseases, one is emotional disease and the other is mental disease.
Maybe some people who don't understand the diagnostic criteria of psychiatry will give the diagnosis of schizophrenia because of the obvious hallucinations and delusions of patients with depression. But in fact, depression can cause psychotic symptoms such as hallucinations and delusions. The current diagnostic criteria stipulate that hallucinations or delusions occur, and the severity of depression is severe depression, so it is definitely wrong to rely solely on hallucinations and delusions to diagnose schizophrenia. If you not only have hallucinations and delusions, but meet other diagnostic criteria of schizophrenia, then whether you meet the diagnostic criteria of depression or not, you should be diagnosed as schizophrenia, not depression. Because the diagnosis of schizophrenia is more serious, it will not diagnose depression, but diagnose schizophrenia.
The relationship between anxiety and depression
Many people talk about their own diagnosis of severe depression and anxiety, which can be regarded as a description of their symptoms, but it is not the correct diagnosis method, because of course, severe depression can be accompanied by severe anxiety, and there is no need to diagnose severe anxiety alone.
In fact, depression and anxiety are often close friends. Most patients with depression will be accompanied by anxiety symptoms, while patients with anxiety are in anxiety and fear for a long time, and it is easy to have depression or depressive symptoms.
This can be seen from the drugs for treating anxiety and depression. As we all know, the drugs for treating depression are antidepressants, such as ——SSRI, a selective serotonin reuptake inhibitor. SSRI is the most commonly used drug to treat anxiety disorder. In other words, antidepressants can treat both anxiety symptoms and depression symptoms. Although some patients with serious symptoms of anxiety and insomnia often use benzodiazepines, such as estazolam, in comparison, the use rate of antidepressants is definitely much higher.
Do you need to drop out of school?
Let's just say, no matter what your revised diagnosis is anxiety, depression or schizophrenia, there is a high probability that you need to drop out of school.
Severe depression is almost impossible to stick to the original study life. It is unrealistic and undesirable for him to insist on learning, which may make the patient's condition worse and worse.
Patients with severe anxiety disorder have no less painful experience than those with depression, especially for a patient with severe anxiety disorder. I wonder if he can sit on the stool.
Not to mention schizophrenia, as the most serious mental illness, the degree of damage to social function is obvious to all. A patient in the onset of schizophrenia is absolutely incapable of continuing his studies, and blindly continuing his studies will only bring greater influence to himself and the people around him.
So dropping out of school and going to systematic therapy is the most important thing to do! Moreover, the earlier systematic treatment is carried out, the better the future treatment effect and the degree of social function recovery will be. Don't wait and see, go to treatment.
You should have dropped out of school a long time ago. Using the brain at school has a great influence on the condition, because there is also pressure to go to school. Learning new knowledge, homework and exams will make you nervous, and when you are nervous, you will be anxious.
Depression and anxiety can affect your diet, cause insomnia and reduce your body's energy. My colleague, she is depressed, anxious, has no appetite, feels unspeakable discomfort, lies breathless, walks around, suffers from severe insomnia, only sleeps a little a month, then stays in bed, suddenly loses a lot of weight, and is anaemic. Later, she went to a mental hospital for treatment and came back a month later.
I think you should not only drop out of school, but also go to the hospital for treatment and recuperation. It is difficult for me to recover, and I can continue to go to school when I am well. I believe that doctors trust hospitals, drop out of school, take good care of their health, read things or words that can make them happy, read whatever books they like, do whatever they like, and lie down whenever they like. There is a saying: health is the capital of revolution.
I don't know how you developed so badly. Depression is directly related to your family. If you are warm and lifeless at home, you will seldom feel depressed and anxious. My colleague contributed to her husband's depression and anxiety because of his affair, and now he is basically better.
I wish you a speedy recovery, take a break from school for a while, and then go to school when you recover.
Uncle Zuo, the psychology teacher, is happy to answer your questions.
I am a psychological counselor who is engaged in psychology and mental health services. I am a consultant on mental health education for college students. I have been diagnosed with major depression, major anxiety and schizophrenia. Do you need to drop out of school? Why? "I answer your question according to my own work experience, which is also a common situation when we do psychological counseling.
First of all, what you said is true. Three kinds of mental diseases are superimposed and need to be suspended from school for treatment. In terms of harmfulness, these three kinds of mental diseases, except severe anxiety, the other two are very serious severe mental diseases. For example, severe depression is harmful to patients themselves, patients will have suicidal thoughts and behaviors, schizophrenia will pose a potential threat to others, and patients will attack others during the onset, so they need to drop out of school.
Secondly, where did you make the diagnosis? There are severe depression, severe anxiety and schizophrenia, all of which are serious mental diseases. It will be more accurate if it is diagnosed in a professional psychiatric hospital or a psychiatric clinic in a general hospital; These three kinds of mental diseases, whether in accordance with the requirements of the mental health law promulgated by the state or in the clinical work of mental diseases, must receive drug treatment or hospitalization; Only in this way can we control the disease, relieve symptoms, improve the patient's condition and return to normal life. In addition, depression and schizophrenia can only be controlled by drug treatment without adverse consequences.
Third, since you are ill, you should go through the formalities of dropping out of school for one year according to the relevant requirements of hospitals and schools, and then be hospitalized to get better. Wait until the hospital thinks you can leave the hospital and go home to recuperate, then consider going back to school. You can ask your family to help you when you go through the formalities of suspension from school. No matter in middle school or university, there are relevant regulations for dealing with this situation, so don't worry. At present, the most important thing for you is treatment and medication, especially the improvement of your condition.
I hope my answer is helpful to you. If you have different opinions, please leave a message in the comments section, and we can continue our discussion and share our views.
Thanks again for the invitation!
According to my experience as a psychologist, I can tell you for sure that if you are diagnosed with severe depression, you must drop out of school!
Let's first look at the tragedy of depressed college students. On September 24th, the court pronounced a verdict on the case of "a freshman stabbing a drip driver to death because he was tired of the world", and sentenced the defendant Yang Baiqi to two years' probation for intentional homicide, with limited commutation. This penalty caused an uproar on the Internet and caused extensive discussion among netizens.
Here's the story. 2065438+March 2009, Chen Hong, the driver of Changde Didi, sent passenger Yang Baiqi to the vicinity of Changnan Bus Terminal. Yang Baiqi was unprepared and stabbed him with an online shopping dagger for more than 20 times, causing his death. Afterwards, it was found that the student suffered from depression after two psychiatric evaluations.
We can see that depression is a mental illness, which may do harm to ourselves and others. During the onset, it is very likely to cause harm to others. For example, postpartum depression in pregnant women may also cause harm to children.
During the period of depression, the patient may have hallucinations, even hallucinations and nonsense when someone hurts him, and the state of consciousness is unclear, and there may be cases such as swearing, beating and self-mutilation. People with depression have many unfounded ideas, can't think independently, and lose interest in anything, so it is possible to do anything.
For the health of myself and others, I strongly recommend that people with depression drop out of school. Of course, it is better to have social institutions involved in the rehabilitation of depression.
Please leave a message below for different opinions. Thank you!
My suggestion is to drop out of school. Depression, severe anxiety, schizophrenia, this is a serious mental illness. His mind and thinking have been seriously distorted. Need to go to medical units and psychological institutions for systematic treatment. Be sure not to delve into it yourself. It is one of the best and rare ways to go out to the society bravely. You should bravely come out and reach out and let your family and society seek help. Early treatment. Medication or psychotherapy. Need to transform. This is your most critical time, a painful process and a hurdle. You must stand up, go out and cross over.
This mainly depends on yourself, whether the illness you mentioned affects your life and study, and whether the other party interferes with other students when you have an attack.
But in terms of diagnosis, the severe depression, anxiety and schizophrenia you mentioned will not be diagnosed at the same time. If you have symptoms of schizophrenia, the most likely diagnosis is schizophrenia with depression and anxiety. Is that you have schizophrenia, but you have depression and anxiety at the same time.
If it is schizophrenia, it is best to receive medication during the attack, psychological counseling during the recovery period, and keep counseling for life, so as not to delay the next attack or even not. It seems that a girl in Germany was diagnosed with schizophrenia in high school, but she actively treated and maintained psychological counseling. Later, she was admitted to the doctor and became a scientist. Because of her studies, she has an attack once a year without consulting. Later, she continued to work locally. To this day, she is still an excellent scientist with her own husband and children. She must be in her fifties.
If you are depressed and anxious and have the ability to live and learn, it is suggested to maintain social functions, which is good for your recovery!
I don't know if it is a state of severe depression or severe depression. This is different. As for whether to drop out of school, you can refer to the following points:
1. Do you think you are qualified for the learning task of the school? If you can't concentrate in class, or you can't finish your homework, and the pressure is too great, you can consider dropping out of school.
2. Do you have suicidal thoughts or behaviors? If so, and there are no close classmates or teachers around to take care of them, you can consider dropping out of school.
Schizophrenia shows that you are sometimes divorced from reality. Will this state cause harm to others or yourself? If so, consider dropping out of school.
4. What advice does the psychiatrist have? If he suggests suspension, please consider suspension.
5. Whether depression and anxiety are closely related to learning. If study is the inducement, you can consider dropping out of school.
If you don't have the above problems and feel that you can control yourself and take care of yourself, you can treat yourself well at school.
I was diagnosed with major depression, major anxiety and schizophrenia. Do you need to drop out of school? Why?
If you really meet the symptoms of psychiatric diagnostic criteria, such as depression, anxiety and schizophrenia, it is meaningless to stay in school, and it is still very painful every day if you can't learn. You don't have to drop out of school, you can ask for leave, the time is about 1 week for 3 weeks, or longer, and find a professional psychologist for counseling.
The suggestion is not to drop out of school, because you admit that you are seriously depressed, anxious and schizophrenic, which shows that you are sober-minded, then you are sober-minded: you can't get inner satisfaction, so you resent your incompetence and complain about your bad fate; It is unfair to complain that others don't support you and ignore you. Complain bitterly about others and yourself. This is your problem, and you know it very well. And you know that your heart is extremely selfish, and you know that you complain about others. These are the shortcomings of your own moral level and narrow ideology. However, you dare not face yourself, expose yourself, dissect yourself, or even have the courage to reflect on yourself. Extreme ambivalence, the mind that can't open the extreme concept of right and wrong, long-term self-repression and anxiety, the inner dilemma feeling, and then entangled in the heart by external things, the attention is forced to split into many parts, which part feels unable to let go, unable to let go, and becomes distracted, which violates multitasking. This is schizophrenia. This situation shows that you have a good root, strong enterprising spirit, strong sense of right and wrong, good and evil, not only a person who can be saved, but also a strong desire to get rid of diseases in your soul. It's just that you haven't found a good medicine for symptomatic treatment, and if you have the determination to get rid of this disease as soon as possible, there will be a ready-made good medicine for symptomatic treatment immediately. I only know that good medicine tastes bitter and is good for illness, but good advice is good for action. So I suggest you not drop out of school. Now I happen to meet a good doctor who can give you the right medicine. I dare say that as long as you have confidence, you can cure the disease immediately. The following immediately give syndrome differentiation:
Illness comes from the mouth, and illness comes from the heart. Your illness is caused by the heart, but you must treat it from the heart, treating both the symptoms and the root causes:
First, depression and anxiety are your symptoms.
Second, greed, hatred and selfishness are too heavy, and everything is always centered on me, centered on me and obedient to me; Although the concept of good and evil is strong, right and wrong are unknown; Hypocrisy, cowardice and inferiority are your crux.
Third, there is no correct belief and correct outlook on life, which leads to no wise outlook on life, no clear concept of right and wrong, good and evil, everything is confused, and there is no ability to control things, and everything outside leads by the nose. This is the root cause of your illness. You don't believe in cause and effect, and you don't have great wisdom in life, which is the total root of all your symptoms and pains. And remember, a good doctor is bitter, and good advice is ugly.
Fourth, suit the remedy to the case:
1, first of all, you should be confident. I was born to be useful. If God wants to give you a big job, he will test you with magic, temper your will and open your life consciousness and wisdom. Therefore, you must know yourself and understand that happiness and misfortune are linked, and both misfortune and happiness depend on this truth. As long as you grasp yourself now, you will get rid of illness and happiness, and there is no flaming mountain you can't cross. It is still necessary for Tang Priest to learn from the scriptures.
2. Opening the door of life wisdom and establishing firm and correct life values and world outlook are the essence of the right medicine. This disease is caused by the heart and needs to be cured.
Because as far as your self-reported illness is concerned, it can be said that it is not too light or heavy. The source of the disease has gone deep into your soul. It is best to expel your disease from your heart one step at a time, so as to ensure that you will not be attacked by all kinds of demons in your life, not only get rid of the disease immediately, but also realize a more enlightened life in the United States. In the future, you will be more self-interested, more altruistic to society and realize your more valuable life.
Therefore, if the average person reaches the point of schizophrenia, he will often feel hopeless, and ghosts and gods will visit him for treatment. Because he has a heart disease, he can't completely deny this kind of medical treatment, and sometimes it will have a certain effect. However, this disease is not only difficult to cure, but sometimes it will bring lifelong sequelae. The most rational and wise way to seek medical treatment, you know, heart disease is not an invasion by foreign enemies, but your foolish and clever mind, which leads to your pain, that is, greed, ignorance, doubt and five poisons under extreme selfishness, which leads to eight basic pains that everyone can't get rid of at birth: ① health, ② old age, ③ illness, ④ death, ⑤ nothing to ask for, ⑤ love to leave, and ⑤ resentment. It can be said that everyone regards getting rid of these painful diseases as the pursuit of better and happier happiness. Abstaining from greed, ignorance and doubt under extreme selfishness is the most fundamental medicine to realize this beautiful wish.
However, how to get rid of greed, ignorance and suspicion? Can be divided into secular law and secular law:
Now it is time to send you a lyric and a great man's poem. As long as you have a deep understanding and experience, you will certainly understand something:
As long as everyone gives a little love, the world will become a beautiful world;
If the sky is sentimental, it will grow old, and the right way in the world is vicissitudes.
Why should I send you these two sentences?
I dare to tell you that if you can deeply understand the profound truth in these two lyrics, you will naturally consciously remove your inner doubts about the five poisons, such as ignorance, greed, stupidity and slowness, which will not only cure the pain of the current disease, but also stay away from all diseases in the future. It is really a panacea for the all-round development of morality, intelligence, physique and beauty, and it is also the second medicine for treating heart disease;
Today, with the extreme expansion of human material desires, your schizophrenia has become a very common phenomenon, and mental pollution should be completely eradicated. To a great extent, people have to face the fierce competition in society, but they must find the correct direction and concept of life in the dazzling dispute reality. That is, everyone's wrong and complicated ideas should be thoroughly rooted. Therefore, using the above two lyrics and two poems of the great man Mao Zedong reminds you of Chairman Mao's call to serve the people wholeheartedly and realize the ideal of capitalism. The western paradise in Buddhism is the guidance and instruction of saints. As long as we can understand the reality of life, Buddhism and Mao Zedong Thought's theory, and formulate the outlook on life in the universe with great wisdom, so as to arm ourselves, we can become a noble life with all-round development in morality, intelligence and physique, consciousness and conscious responsibility, which belongs to you.
Remember a word, as long as the belief is right and firm, my life depends on cause and effect, good and evil when I am away, as long as my belief and behavior are consistent. Selfishness is the root of all diseases, and fraternity contributes to health. Beware of greed, ignorance and doubt, and a happy life is a happy one. The ancient sages should respect the effect, but today's great men should learn, realize the true meaning of human beings and understand the private interests. I was born to be useful. When I am in trouble, I will be a lover to ensure my peace of mind. Oil poems contain magic medicine, and wisdom is convinced that they will have effect. Life is short and precious, and family happiness depends on you. Relax, the sky is the future. Zhong Nanshan, an anti-epidemic hero, braved hardships and dangers in Li Lanjuan. As a good example, it is difficult to find health again. There are good and bad grades in school, and Ma Yun's deeds reappear. Care about national affairs, family affairs, world affairs, and sense of responsibility. The rise and fall of the country has its own responsibilities, actively participate in selflessness, and everyone gives a little love. The future world will be better. People who love you so much are schizophrenic and self-healing. Again, as long as the doctrine is sound and firm, my life depends on my absence.
I wish you and the people in the same boat good physical and mental health, attach importance to students, attach importance to the happiness of your family, attach importance to the future flowers of your motherland, find the spiritual destination of correct beliefs, and go forward bravely!
First of all, where was this diagnosed?
Psychiatric diagnosis needs professionals, but you can go to the provincial mental health center for consultation.
Schizophrenia is not a terminal disease. You can work, study and live as usual in recovery and stability.
As for dropping out of school, perhaps we should consider better, more systematic and hospitalization treatment.