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Xuzhou Psychology: How to correctly distinguish between depression and schizophrenia?

Time:2022-11-27 16:18:14 source:psychiatricethics.com author:Anxiety disorder Read:586次
Xuzhou Psychology: How to correctly distinguish between depression and schizophrenia?

Xuzhou Mental Health Service Station: Depression and schizophrenia are two different diseases, but they are often confused. How to correctly distinguish between depression and schizophrenia is very important. According to clinical practice, the following four points should be paid attention to: First, the way of medical treatment: active or passive - almost all patients with depression seek medical treatment actively because of self-knowledge. However, the way that patients with depression take the initiative to see a doctor is different from that of patients with other physical diseases. Some of them are unaware that they have a mental illness, while others deliberately want to avoid mental problems. So they often go to internal medicine or traditional Chinese medicine first, and then transfer from internal medicine or traditional Chinese medicine to neurology. Of course, most patients still come directly to the neurology department. Schizophrenics are passive doctors because they lack self-awareness. Because they do not admit that they are sick, most of them are sent to the hospital by relatives and friends. 2. Emotional Expression: Pain or Apathy - Depression and schizophrenia have different emotional expressions. When a depressed patient sees a doctor, the first impression is that they are very painful, sad, depressed, and worried. Many patients were in tears before opening their mouths. Patients with schizophrenia often appear confused, indifferent, and startled when seeing a doctor because of their severe emotional disorders. No matter how doctors lead them to ask questions, patients either don't answer or ask questions that go unanswered. Some patients also show elevated or wrong emotions, but patients with schizophrenia generally do not have emotional manifestations of anxiety and illness. 3. Content of thinking: thinking or delusion - There is an important difference between depression and schizophrenia in the content of thinking, which is also the most confusing focus in clinical practice. The main clinical manifestations of depression are negative and pessimistic thoughts, such as fear of difficulties, setbacks, failures, self-blame, self-blame and other bad thoughts. These thoughts can reach delusional levels in critically ill patients, but are distinct from the delusional symptoms of schizophrenia. There are two main differences: First, the thoughts of depressed patients are not generated out of thin air, but are related to the environment and events they are in, such as the learning pressure, communication barriers, sexual confusion of young people, etc.; middle-aged family and career problems; Sickness, loneliness, etc. in old age. Second, people with depression are self-aware and admit that these thoughts are subjective, untrue, inaccurate, and undesirable, but they just come into life and can’t get rid of them. People with schizophrenia have a variety of delusional symptoms, some close to reality, some absurd, but their common feature is that they are baseless and far from the education level of the patient. Patients can describe their delusions vividly and firmly that others cannot convince. Fourth, antidepressant treatment: effective or ineffective. - Antidepressants and antipsychotics are two different types of psychoactive drugs. When giving patients antidepressants, we can also observe and reflect on whether the diagnosis is wrong from the perspective of efficacy. The effect of antidepressants on depression is obvious. Schizophrenia must be treated with antipsychotic drugs to be effective. Antipsychotics are ineffective in treating depression, and family members report this after treatment.

(责任编辑:Prevent anxiety)

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