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Schizophrenia Message Board

Schizophrenia Board Index

Re: Seeing things
Nov 14, 2005
Generally Bipolar involves grandiose hallucinations and delusions where as Schizophrenic hallucinations are generally auditory but can be any type and any combination of different types. Both illnesses can be marked by paranoia, anxiety and panic attacks caused by one's personal reactions to their own hallucinations and delusions.

There is no difference, it was what I tried to explain. You are worrying for nothing. It doesn't matter whether it is Bipolar, Schizioaffctive or Schizophrenia that you have. They are all treatable although Bipolar and Schizoaffective can sometimes require more than one type of medicine. If you adhere to the medicine you will be well and healthy.

Only one illness of the Schizophrenia spectrum involves mood and that is Schizoaffective Disorder. Hallucinations vary from person to person and aren't restricted by type to type. With Bipolar or Schizoaffective you can have various types of hallucinations identical to Schizophrenia. Bipolar and Schizoaffective are just a little harder to treat than Schizophrenia because of the mood disturbances.

The Schizophrenia Spectrum is broken down as follows, Schizotypical Personality Dosorder, Schizophreniform, Schizophrenia and Schizoaffective Disorder. Schizophrenia itself is broken down further into a few types, Paranoid (most common and easy to treat) Catatonic (easy to treat) Paraphrenia (older onset) Undifferientated, and Disorganized ( also called Hebephrenia, rare and hard to treat).

If you have mood problems, the psychosis will only appear if there is a mood disturbance if it is Bipolar or psychotic depression. Schizoaffective can have psychosis without mood disturbance and mood disturbance without psychosis and can follow any pattern of the two. Some doctors share the opinion that Schioaffective Disorder has less negative symptoms than a type of standard Schizophrenia.

You only need to worry about yourself if you have disorganized Schizophrenia as it is very hard to treat and generally calls for a medicine called Clozaril. It is an illness charactorized by inappropriate laughter and responses, moderate to severe negative symptoms and serious inability to process information. But it is very rare and something you clearly don't have so you don't need to worry about that.

With Bipolar the meds sometimes have to change to suit the different moods if the Bipolar is a bad case of it, but generally an antipsychotic will knock out most of the symptoms of Bipolar or Schizophrenia so there isn't much reason to worry about which it is. If you take an antipsychotic and still have trouble with mood you can add another medicine to take care of the mania or depression. The antipsychotics most prescribed for Bipolar and Schizoaffective are Zyprexa, Abilify, Geodon, Risperdal, Clozaril and Seroquel. Risperdal is the most prescribed antipsychotic in the United States. There is some new research that the newer meds which I have just listed ( known as Atypical Antipsychotics) are no more effective for Schizophrenia than the older meds and the Veterans Administration and the Medicaid program here in the USA have recently set a deadline to discontinue them and they are now considered medicines they will no longer pay for because they do not treat a person any more effectively than the older non-atypicals and carry a higher risk of death.

It sounds like you are of afraid of the Schizophrenia word. You shouldn't be because Schizophrenia is a highly treatable illness that has a good prognosis as long as a person takes their meds. And NOTHING stops it other than medicines known as Dopamine Agonists, AKA antipsychotics. Too many people go on a goose chase thinking they can alter their lifestyle and diet and fix it when it isn't fixable, it is only treatable and if a person takes their medicine regularly without taking too low or high a dose it isn't much different than treating highblood pressure. Untreated, Schizophrenia is a living H E L L.

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