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schizophrenia

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    schizophrenia (OP)


    Aslaam alaykum, someone in my family is exhibiting symptoms of schizophrenia and it's so hard to deal with it. I was just wondering if anyone had any tips, it gets so frustrating trying to make them see sense and come back to reality.
    schizophrenia

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    Re: schizophrenia

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    I'm very sorry to hear what both of you are going through - it must be extremely difficult to cope with this. I hope that all will go well Insha'Allaah.

    squiggle - remember to make plenty of du'aa and never give up hope in Allaah (swt). May He (swt) grant your mother complete shifaa, Aameen.
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    Re: schizophrenia



    I am sorry, I have been away for this weekend and couldn't keep up with any posts...

    schizophrenia is a diagnosis made after at least 6 months of experiencing a certain set of symptoms.
    so 1- Trumble I don't believe that what your father has is frank schizophrenia rather an acute psychotic episode triggered by the passing of your mother (and I am sorry for your loss)
    2- There are a number of good meds that cover a variety of symptoms, hence a person who is agitated or briefly psychotic or in full fledged schizophrenia maybe treated with the same med.

    in order for a person to be treated for very specific symptoms (negative or positive) symptoms they really have to be properly diagnosed since the atypical anti-psychotics have seriously horrible side effects that range from aplastic anemia (with clozapine) to progressive pigmentation of areas of skin or conjunctiva and/or discoloration of the exposed sclera and cornea to extrapyramidal side affects.. so hopefully your sr. will recover soon insha'Allah on what she is prescribed and not have to go on this full term.

    can you give me a bit more history? if there were a trigger? how old she is? and how long she has been having these sx.?

    Jazaka Allah khyran

    Last edited by جوري; 01-24-2010 at 09:44 PM.
    schizophrenia

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    Re: schizophrenia

    hmm she's 39 the first episode took place in 2005, she went into a mental hospital for 3 weeks as she was very bad when the first episode occurred, she was jumping out of windows.

    then she became better for 4 years till July 2009, there was an incident that caused many of our relatives to gossip, when ever they would meet her they would ask her questions relating to the incident and if it was true then she became delusional and started thinking strangers in the street were asking her about it. For example a shop keeper who has no links or ties with the family. And she would think people were looking at her strangely and in a bad way cos they knew about the incident.

    from that 1 incident she went deeper and depper untill eventually she came out with ludacris far fetched ideas.

    This latest episode occurred 2 days after I was rude to her and she kept thinking I was going to leave her and from there she went deeper into other things like people are recording her and watching her.
    schizophrenia

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    Re: schizophrenia

    format_quote Originally Posted by squiggle View Post
    hmm she's 39 the first episode took place in 2005, she went into a mental hospital for 3 weeks as she was very bad when the first episode occurred, she was jumping out of windows.

    then she became better for 4 years till July 2009, there was an incident that caused many of our relatives to gossip, when ever they would meet her they would ask her questions relating to the incident and if it was true then she became delusional and started thinking strangers in the street were asking her about it. For example a shop keeper who has no links or ties with the family. And she would think people were looking at her strangely and in a bad way cos they knew about the incident.

    from that 1 incident she went deeper and depper untill eventually she came out with ludacris far fetched ideas.

    This latest episode occurred 2 days after I was rude to her and she kept thinking I was going to leave her and from there she went deeper into other things like people are recording her and watching her.



    so since 2005 she has been this way, or she had one episode and just now she relapsed?
    I have to advise that you keep her away from gossip, since any small trigger can really be very damaging for her, in fact people do so much better if they are in a supportive environment, rather than one that feeds into their suspicions. How is her social status? and is she currently seeing a psychiatrist. One can't make the diagnosis of schizophrenia until a person has been in this state for a continuous of six months.. that being said if she has been like this since 2005 then I do fear that she is indeed a schizophrenic. depending on which type you might expect either a worsening of symptoms or a possible improvement. and with that I need you to read this to shed light on difference and possibly treatment.




    with that said, I can't emphasize two things enough.
    1- keep her away from any triggers (especially gossipy people) and to such people, ask them to fear Allah swt since no one is immune from disease
    2- try to deal with her as normally as possible.
    3- if there is persistence then you need to discuss options of atypical anti-psychotics with her doc and see if something else might be more suitable for her

    and Allah swt knows best

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    Re: schizophrenia

    No ukhti she hasn't been this way since 2005, the first episode was in 2005 and she was well for 4 years till July 2009. And only last year she relapsed. She's under increasing pressure to get married as years pass and she gets older. I think that may have been a cause also cos every 1 she meets keeps asking her "how come your not married yet?" like there's somethign wrong with her for not being married. thank you for your advice.

    I know when her mum died in 2003 things went down hill from there, she just lost her motivation in life her "get up and go" it was 2 years after her mum died the first episode happened. I know she was depressed for those 2 years prior to the first episode cos of the death of her mother.

    It sounds like she has Paranoid schizophrenia, as she keeps thinking things that aren't true.
    Last edited by Salahudeen; 01-23-2010 at 06:36 PM.
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    Re: schizophrenia

    format_quote Originally Posted by squiggle View Post
    No ukhti she hasn't been this way since 2005, the first episode was in 2005 and she was well for 4 years till July 2009. And only last year she relapsed. She's under increasing pressure to get married as years pass and she gets older. I think that may have been a cause also cos every 1 she meets keeps asking her "how come your not married yet?" like there's somethign wrong with her for not being married. thank you for your advice.

    I know when her mum died in 2003 things went down hill from there, she just lost her motivation in life her "get up and go" it was 2 years after her mum died the first episode happened. I know she was depressed for those 2 years prior to the first episode cos of the death of her mother.

    It sounds like she has Paranoid schizophrenia, as she keeps thinking things that aren't true.


    akhi,
    like I said the diagnosis of schizophrenia can't be made unless she has had the sx for 6 months straight. having one brief psychotic episode can very well be an isolated incident. but the secret really is to how she comes out of this relapse.

    I really think that whomever is her wali, should keep her away from ignorant people. Folks get married at all kinds of ages, divorcees get married, young old, there is no 'time limit' one of my aunts got married in her forties. I realize there is alot of stigma but it is because people are plain ignorant and they never give others a break, as if they have guaranteed that life won't come and bite them in the ass. Perhaps the secret is that if/when she gets married, she can marry from a different culture, perhaps a divorcee or a widower (though certainly not a criteria) but just as an example of the many people looking for a partner. my uncle was widowed last year and he has three kids his wife was in her forties when she passed away-- I know he is in no mood for a marriage now, but I know my aunts are looking for a wife for him to help him with the kids and whatnot since he holds two jobs and can't be a full time parent or even a part time.. the youngest of his kids is 10 or 11. so what can I tell you, there are tons of people out there with many problems that I am surprised at all when I hear of people passing judgment on others and perhaps actively sending them into a state of depression or psychosis. People like that should fear Allah and I know there is no shortage of them. I hope that no one immediately around her is adding stress to her or making her feel like there is something wrong with her, she needs to get back to normalcy without added stressors please...


    may Allah swt grant her shifa

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    Re: schizophrenia

    format_quote Originally Posted by Gossamer skye View Post

    akhi,
    like I said the diagnosis of schizophrenia can't be made unless she has had the sx for 6 months straight. having one brief psychotic episode can very well be an isolated incident. but the secret really is to how she comes out of this relapse.

    I really think that whomever is her wali, should keep her away from ignorant people. Folks get married at all kinds of ages, divorcees get married, young old, there is no 'time limit' one of my aunts got married in her forties. I realize there is alot of stigma but it is because people are plain ignorant and they never give others a break, as if they have guaranteed that life won't come and bite them in the ass. Perhaps the secret is that if/when she gets married, she can marry from a different culture, perhaps a divorcee or a widower (though certainly not a criteria) but just as an example of the many people looking for a partner. my uncle was widowed last year and he has three kids his wife was in her forties when she passed away-- I know he is in no mood for a marriage now, but I know my aunts are looking for a wife for him to help him with the kids and whatnot since he holds two jobs and can't be a full time parent or even a part time.. the youngest of his kids is 10 or 11. so what can I tell you, there are tons of people out there with many problems that I am surprised at all when I hear of people passing judgment on others and perhaps actively sending them into a state of depression or psychosis. People like that should fear Allah and I know there is no shortage of them. I hope that no one immediately around her is adding stress to her or making her feel like there is something wrong with her, she needs to get back to normalcy without added stressors please...


    may Allah swt grant her shifa

    I agree with your suggestions and those seem to be the best course. But, reading back through the posts I have a feeling there is either a misdiagnosis or at the moment the diagnosis is a tentative one only for the purpose of a starting point for treatment.

    In my opinion this is starting to look more like slow cycle, Type 2 Bi-polar. I think it would be advisable for somebody to discuss with the doctor any behavior changes or mood swings noticed. Fortunately, the initial medications for either condition are beneficial for either and can be changed after a more defined diagnosis is made.
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    Re: schizophrenia

    hmm so you guys think she is bi polar?? because she is a very depressed person and feels unhappy with her life, lacks motivation also. and it's been like that since her mum died.

    And the med risperidal does seem to bring her back down to Earth eventually, I need to talk with her doctor he and ask him what is his official diagnosis. She could well be bi polar. Because she comes out of these episodes and goes without medication for months but falls into an episode at some point.
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    Re: schizophrenia

    Br. woodrow has a doctorate in psychology, I don't, I can tell you however that schizophrenia is a diagnosis made based on an amount of time.. it could be any number of things including Schizophreniform disorder .. and you can read about it here:
    http://en.wikipedia.org/wiki/Schizophreniform_disorder

    but I think you need to have a word with her diagnosing physician and see in which way she can be helped out of this. I can tell you for a fact that the environment she finds herself in could very well be a contributing factor to her psychosis..


    and Allah swt knows best

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    Re: schizophrenia

    well from reading what your mum is going through i believe she has a mixture of everything because when my brother had depression he was also thinking people were trying to attack him and stupid things like this, people whom he didn't even know. well i over all agree with uncle woodrow and aunty skye especially about keeping her away from ignorant people like that can trigger it off
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    Re: schizophrenia

    format_quote Originally Posted by Gossamer skye View Post
    so 1- Trumble I don't believe that what your father has is frank schizophrenia rather an acute psychotic episode triggered by the passing of your mother (and I am sorry for your loss)
    Absolutely; I wasn't referring to the title thread, although I'm sure you'll understand why I wanted to contribute.

    Many thanks to both you and Woodrow for your comments, you guys are the best. You do try and talk to the local GPs, and ultimately you have to go along with their opinion 'on the spot', but they never really seem to have enough time either to talk or to observe the patient (as I and squiggle have done with our respective relatives). Seeing the views of other, unconnected, professionals is most helpful.

    Something else I will say to squiggle, make sure you are getting the medical attention and care YOU need. Don't just try to carry on regardless out of a sense of duty if you feel you cannot cope. I overlooked that completely until my fiance pointed out my own behaviour was becoming increasingly irrational and manic on occasion, and it was only then I sought help on my own behalf, and obtained an appropriate prescription.

    Take care.
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    Re: schizophrenia

    I feel like I can't cope often but don't know what to do, I can't have her put in a mental home, the home vists from the team at the hospital are helpfull I guess but feeling like it's a full time job and constantly worried when I'm at uni about what she's getting upto.

    I've lost control of myself on few occasions and lashed out due to frustration my bedroom door has 2 dents in it now then come the tears
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    Re: schizophrenia

    format_quote Originally Posted by Trumble View Post
    Absolutely; I wasn't referring to the title thread, although I'm sure you'll understand why I wanted to contribute.

    Many thanks to both you and Woodrow for your comments, you guys are the best. You do try and talk to the local GPs, and ultimately you have to go along with their opinion 'on the spot', but they never really seem to have enough time either to talk or to observe the patient (as I and squiggle have done with our respective relatives). Seeing the views of other, unconnected, professionals is most helpful.

    Something else I will say to squiggle, make sure you are getting the medical attention and care YOU need. Don't just try to carry on regardless out of a sense of duty if you feel you cannot cope. I overlooked that completely until my fiance pointed out my own behaviour was becoming increasingly irrational and manic on occasion, and it was only then I sought help on my own behalf, and obtained an appropriate prescription.

    Take care.
    Yes of course, GP's are what we call 'gate keepers' in medicine, they know about everything but don't specialize in anything to their knowledge is basic, they see someone behaving oddly and instead of looking for a host of triggers some which can be simple street drugs they pass on such a serious diagnosis. In fact this is exactly the time when they should offer a referral.
    certainly there are reasons why folks specialize in this particular field of medicine, and I really think that people with psychiatric conditions need alot more than the fifteen minute consult.
    intense grief.. there is such a thing as Grief reactive psychosis (longer than a day but less than a month) sometimes elderly patients taking certain meds can display psychotic episodes, like 'anti-histamines' just those regular over the counter allergy pills. Sometimes even hypothyroidism causes abnormal behavior and in fact I urge you if your father is over 50 that you ask his GP to do a TSH test because you need to rule out a medical cause before a psychiatric one!

    so I hope you keep us updated on his condition and just know that going in with basic knowledge of his condition or triggers will demand better care from your GP, in other words ask questions, ask, could this be hypothyroidism? could this be a normal grief reaction? could this be some medication? That way you'll force him to be on top of things or at least refer you to someone who is on top of things.
    format_quote Originally Posted by squiggle View Post
    I feel like I can't cope often but don't know what to do, I can't have her put in a mental home, the home vists from the team at the hospital are helpfull I guess but feeling like it's a full time job and constantly worried when I'm at uni about what she's getting upto.

    I've lost control of myself on few occasions and lashed out due to frustration my bedroom door has 2 dents in it now then come the tears
    Can you get someone else to help your sister while you are at uni? someone understanding? the worst thing you can do for her really is lash out or dump her in some joint that isn't familiar to her and hope that they take care of her.. try to put a temporary ad for a nurse sitter for a couple of weeks or so. I don't know how such things work in England, but you can get a home visiting nurse for the hours you are away.. and at the same time have a good talk with her doctor to see what can be done to help her along insha'Allah..


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    Re: schizophrenia

    ^it's my mum sis skye who's ill not my sister, and I'm her only child, she's had a very lonely life just been the two of us. Really wish I had a brother or sister that could watch her also and share the stress with me.

    I'm going to speak with the hospital if they can send a nurse to watch her while I'm at uni however they may say it's not neccessary as she isn't a danger to herself or anyone else.

    you're right a 15 minute consult isn't enough
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    Re: schizophrenia

    they cant say that bro. they have to give her care while your away if they told you that, you can take them to court for neglect! its schizphrenia. its a very serious disease not like other mental illnesses you get..its totally different. the person is a danger to themselves and others. you know a woman who lived near my family.. she was a single mother with two kids she was suffering from depression from a long time she went to the hospital to seek help and the nurse told her there is nobody on duty now and we believe your problem is not serious the next morning she rang a taxi and took her two kids to a beach.

    she tied both her children to herself and drowned both herself and her kids. there bodies were found the next day. i know its a very depressing story and you probably don't want to hear it but my point is they can not neglect you its as simple as that. laws are being strictly changed now
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    Re: schizophrenia

    ^ that's so sad does anyone know how long the anti psychotic drugs usually take to have an impact upon the person and relieve their symptoms?
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    Re: schizophrenia

    format_quote Originally Posted by squiggle View Post
    ^it's my mum sis skye who's ill not my sister, and I'm her only child, she's had a very lonely life just been the two of us. Really wish I had a brother or sister that could watch her also and share the stress with me.

    I'm going to speak with the hospital if they can send a nurse to watch her while I'm at uni however they may say it's not neccessary as she isn't a danger to herself or anyone else.

    you're right a 15 minute consult isn't enough
    Salams...

    You should ask someone who can baby sit her for awhile... get a friend that will help you InshaAllah.

    If not just ask around the neighbourhood...InshaAllah there will be one or two good neighbours that you can rely on
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    Re: schizophrenia


    format_quote Originally Posted by squiggle View Post
    ^it's my mum sis skye who's ill not my sister, and I'm her only child, she's had a very lonely life just been the two of us. Really wish I had a brother or sister that could watch her also and share the stress with me.

    I'm going to speak with the hospital if they can send a nurse to watch her while I'm at uni however they may say it's not neccessary as she isn't a danger to herself or anyone else.

    you're right a 15 minute consult isn't enough
    i haven't read all this thread, so forgive me if i repeat anything. don't you have a relative or neighbor that can look after her when you are unable to. are you able to do your degree by correspondence...if not, why don't you consider taking uni part time...tackle only a few courses/units at a time so that you have more time on your hands.

    make dua for both you and your mum as well as getting professional help for her. please don't frustrated and lash out at her she doesn't realise what she is doing

    EDIT: i dont know much about schiz, but judging by your posts akhee squiggle that it seems that certain people seem to "aggravate" it...check with the doc, and if this is the case, i think its best you get her away from these insensitive weirdos and/or get them away.
    Last edited by Ummu Sufyaan; 01-26-2010 at 05:08 AM.
    schizophrenia

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    Re: schizophrenia

    One of the biggest helps in all mental edisorders is an opportunity to do something constructive. Many places have sheltered workshops. They not only provide a safe understanding environment. they also give a chance to earn an income. Sometime it becomes a stepping stone to higher paid employment.

    But, it does a person a lot of good to earn some income that they have something to donate to a favorite charity. If either of you can get your loved one into a sheltered workshop, encourage them to donate a small portion to a charity. Be certain it is a small portion, as too much will defeat the purpose of them having the needed responsibility to pay as much of their own living expenses as possible. Up to 75% of their earnings should go to supporting their need and at least 20% for self wants the remaining 5% divided between charity and savings.
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    Re: schizophrenia

    ^^^ salams... US is so lucky.... the welfare department is well structured compared to Malaysia
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