Time：2023-03-26 01:29:44 source：psychiatricethics.com author：Mental disorder Read：917次

Man with schizophrenia admits to having persecutory delusions after surgery

Original article, 28-year-old Qin, who is engaged in clerical work, was diagnosed with schizophrenia 10 years ago. When he got sick, he would feel that someone was following and monitoring him and trying to harm him. If he speaks badly, he will also talk to the voices he hears, say things that others can't understand, have a cold attitude towards his family, lower interest in the people and things around him, and have nothing to do with it. At that time, he was hospitalized for 3 times and took antipsychotic drugs such as risperidone, aripiprazole, sulpiride, and sodium valproate for symptomatic treatment, but Qin's condition continued to recur and worsen. In the past two years, Qin's behavior has become more and more abnormal. He talks a lot, exaggerates and spends a lot, often talks and laughs to himself, has a short temper, is irritable, has violent behaviors against his family, and suspects that someone is at home. Installed cameras to monitor him, wanted to poison him, frequently called 110 and said some strange things, and Qin would beat and scold him if his family blocked him. The most prominent symptom of "delusion of persecution" in Qin's case is one of the most common symptoms of schizophrenia. It is clinically manifested as a wrong idea. Even if there is clear evidence to prove that his idea is wrong, the patient is still convinced. Like hallucinations, another common symptom, "delusions" can be extremely distressing, especially persecutory delusions, where the patient believes that someone is surreptitiously working against, stalking, or poisoning the patient, which can cause the patient to live with anxiety. In fear, even some impulsive behaviors that hurt themselves or those around them. Once a patient has similar symptoms, family members must be vigilant and take the patient for diagnosis and treatment as soon as possible. However, a patient like Qin who has repeated attacks after receiving regular treatment can also choose surgical treatment to eliminate abnormal mental symptoms. . In 2022, Qin's parents took Qin to our hospital for examination under the pretext of traveling to Shanghai. After evaluation, it was determined that Qin was "refractory schizophrenia". The results of various examinations met the surgical standards, and the operation was completed in early September. treat. After the operation, Qin's mood improved, his sleep quality improved, he no longer felt anxious, sensitive and suspicious, and his original symptoms such as auditory hallucinations, delusions of persecution, and self-talk were better controlled, and he was gentle and polite to his family and doctors. During the doctor's rounds, Qin admitted that he was ill and had auditory hallucinations and delusions of persecution. After the operation, he no longer had any thoughts of harming him, and he no longer had any exaggerated thoughts. After he was discharged from the hospital, he wanted to help his family down-to-earth. Live and reduce the burden on the family. The video is loading... Family members have always asked, what is the purpose and significance of surgery for schizophrenia? I believe that after reading the treatment process and results of the patient Qin, you can understand. On the one hand, surgery has eliminated or alleviated the difficulty of drugs It can eliminate the possibility of causing troubles and troubles in the family and society; at the same time, it can restore the patient's self-awareness, admit the disease, and accept further treatment voluntarily; it also improves the patient's medication compliance and drug sensitivity, reduces the On the other hand, the patient's cognitive function can be restored to normal, which can promote a better return to society, thereby reducing the burden on the family. It can be said that psychosurgery is the best treatment option for patients with schizophrenia who are refractory to drugs!

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Hi, my name is Dr. Wu Jingwen, and I would like to thank you all for reading my article. If you have a disease and consult me, you can contact me through the platform "private message". You can also leave a message under the article, and I will answer your questions as soon as possible.

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