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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Lamdage22 on October 24, 2014, at 12:02:27
Paranoid Schizophrenia
Differntial diagnosis: Schizo-Affective type depressiveWhat does that say about me?
That i have one of both or that i am somewhere in between?
Posted by rjlockhart37 on October 24, 2014, at 13:11:50
In reply to So my diagnosis, supposedly is:, posted by Lamdage22 on October 24, 2014, at 12:02:27
im not too knowedgable with paranoid schizo, but basically you think plots, or people, or anything is after you or plotting something against you....paranoia is heightened awareness extreme, when someone is talking about you, and you realize it thats natural paranoia, but extreme form of it, and you think it's going on all around you
http://www.nlm.nih.gov/medlineplus/ency/article/000936.htm
http://en.wikipedia.org/wiki/Paranoid_schizophreniatons of info because it has been recoreded since it was written in the DSM
r
Posted by Christ_empowered on October 24, 2014, at 13:56:33
In reply to So my diagnosis, supposedly is:, posted by Lamdage22 on October 24, 2014, at 12:02:27
Hmmmm.......I think (I'm no expert, so keep that in mind) that it just means you could get intense depression. Either you have an intense depressive disorder mixed with a psychotic disorder, or they think its primarily a psychotic disorder plus depression.Severe depression is common in schizophrenia. Here in the US, it seems that they've taken the concepts of "schizophrenic depression" and "post-psychotic depression" and lumped them into either some form of schizoaffective OR "negative symptoms." Not surprisingly, there's now research on atypical APs effects on mood and negative symptoms, as well as research on newer ADs for "negative symptoms."
I don't know about things where you live, but here, historically, schizoaffective was sometimes seen as "good outcome schizophrenia." Schizoaffective patients tend to have better long term prognoses. Of course, the poor outcomes tend to be re-diagnosed with "schizophrenia," so...
...yeah. The DSM people periodically revise the criteria for schizoaffective and/or talk about removing it completely...
I dunno. I like how the orthomolecular docs approached schizophrenia. They talked of the "schizophrenias," instead of the various types of Schizophrenia, then the schizoaffective disorders. Say what you will about the mega-vitamin cocktails....their conceptualization of schizophrenia was a lot more nuanced.
Anyway, I suspect you have a good prognosis psychotic disorder with some kind of mood features.
Even in plain ole schizophrenia, mood drugs are commonly prescribed. So...I don't think diagnosis is going to have all that great an effect on the drug part of your treatment.
Posted by Zyprexa on October 24, 2014, at 23:41:31
In reply to Re: So my diagnosis, supposedly is:, posted by rjlockhart37 on October 24, 2014, at 13:11:50
Imagine what we would be like without our meds?
Posted by Lamdage22 on October 25, 2014, at 8:26:52
In reply to Re: So my diagnosis, supposedly is: » rjlockhart37, posted by Zyprexa on October 24, 2014, at 23:41:31
Zyprexa,
i suppose i would be sitting in a corner feeling threatened by everyone and everything and would sh*t my pants.
Posted by Lamdage22 on October 25, 2014, at 8:36:40
In reply to Re: So my diagnosis, supposedly is:, posted by Lamdage22 on October 25, 2014, at 8:26:52
They did make some good progress but i think it is time for the next step(s).
We are a bit more than a year from nmda and/or neurogenesis type antidepressant drugs and x years from anandamide based antipsychotics. Both classes might have some off label effectiveness. The ADs might help psychosis some and anandamide might help depression some. Note that this is new. Common ADs can cause psychosis and common APs depression!
Research with cannabidiol (an anandamide enhancing cannabinoid) looks promising. Anandamide seems to be natures answer to psychosis, research suggests!
Posted by phidippus on November 3, 2014, at 21:25:15
In reply to So my diagnosis, supposedly is:, posted by Lamdage22 on October 24, 2014, at 12:02:27
That you're more likely to be diagnosed as schiso affective depressive befoore anything else.
Eric
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