Post
Ne
Nervous dawg
1y ago

Psych said it may be schizophrenia after just one episode. Opinions?

Please I need your opinion. Never thought I would find myself in this situation. It started with my obsessive-compulsive disorder, constant intrusive thoughts and the need for control and order. But right before the new year, after a regular night of smoking weed with some friends, everything spiraled out of hand. I had a psychotic break, and now I'm being told that I might be developing schizophrenia.

The diagnosis terrifies me. I've always been aware of my OCD, but the idea of losing touch with reality is a whole other level of fear. I don't trust this new diagnosis, but the thought of it lingers in the back of my mind. I was prescribed two antipsychotics, not taking them for now...

A short description of how it felt, because I still think this could be drug induced. During my psychotic break, I was trapped in an altered reality that I didn't even realize was happening. Was like living in a distorted dream, where nothing made sense and everything felt threatening. I remember feeling like the world was closing in on me, and I couldn't escape. I became convinced that people outside on the street were watching me, plotting against me and my friends. The walls seemed to whisper secrets, and I couldn't shake the feeling that going outside was a threat to my life. Time lost all meaning, and I felt like I was stuck in an endless loop of running from the people outside. The lines between where I were and where those people were sort of blurred together, leaving me disoriented. I later found myself on the street with my hand bleeding, I’d broken my friend’s window throwing an empty bottle right through it. I’m lucky that no passersby or cars were harmed at such a late hour… We have cameras everywhere, I’d be in trouble. The worst part was that I didn't even realize how far gone I was. In my altered reality, everything seemed perfectly logical and connected. It wasn't until I came back to myself that I realized how distorted my thoughts had been. Doesn’t the fact that I realized it afterwards and didn’t deny anything prove that my mind came back to normal?

All people smoking weed sometimes have these visions and hear voices, right? I got stoned many times before, and it was usually like some funny mental puzzle, but never so vivid and distorted.

Now, faced with the possibility of developing schizophrenia (which I still don’t want to believe!), I can't help but wonder if that altered reality is waiting for me again. The fear of losing myself to a world of delusions and hallucinations drives me nuts. I cling to the hope that it was just a one-time episode.

Fuck, I wish I could go back to the days when my biggest struggle was managing my OCD. Now, this schizo specter hangs over me, and it’s just too much!

Specialist answer
Veena Choudhary
1y
Specialist

In rare cases people with OCD may also experience psychosis which involves hallucination and delusion and might look like schizophrenia. Symptoms of OCD and schizophrenia can ocassionally overlap. Thoughts or beliefs that are disconnected from reality can happen in both so the first step towards sorting out symptoms might involve chatting with psychiatrist who would use screenings and indepth assessments to help you figure out.


Despite their superficial similarities there are ways to assess if you are suffering from ocd or Scizophrenia or both:


  • In OCD you engage in compulsion bit in Schizophrenia you don't.


  • In OCD you know your thoughts and actions are irrational like you have an insight about it. In schizophrenia people fully believe their irrational thoughts and beliefs. like in your case in your distorted dream did not make sense. you knew its irrational. So your psychiatrist will try questioning you on this dream to understand your symptoms better.


  • people with ocd experience intrusive thoughts as unwanted, unpleasant or negative but that is not the case with schizophrenia.


Your psychiatrist will also also do do some physical exam and test. toxicology screen can help your doctor see if any substance in your body could have led to your psychotic symtpoms. these symptoms can happen when you are intoxicated or abruptly stopped your medication.

Ke
Kelpie58
1y

Okay, don’t lose heart. A majority of psychotic episodes happens due to mood disorders, not schizophrenia. I’m not questioning your psych’s diagnosis, only want you to know that your doubts are valid. Also, schizophrenia can be treated. With medication it can be stabilized, no further episodes. I’ve recently seen some report from Norway or other Scandinavian country claiming that more than half of young people recover from schizophrenia. Again, I’m not saying this to back up your psych’s diagnosis, only to change your perspective a bit. It’s not black and white. I suggest you visit another psychiatrist for a second opinion.

Ra
RadicalTruthAD
1y

It’s true that using substances may worsen certain conditions. Taking into account that you already had OCD, I would not exclude misdiagnosing this episode.

Did your doctor ever mention schizophrenia before during your sessions?

dr
dr gerrwig
1y

Well, smoking weed MAY increase the dopamine in the brain, and people with schizophrenia have higher dopamine levels. Antipsychotics are prescribed to lower / stabilize those levels. My only advice is, stop smoking. Should be evident by now. I’m not against smoking on principle, I just know that all drugs have a negative effect on mental well-being, and I can’t think of a good enough reason why anyone would want to exacerbate their mental health issues for getting some short-lived pleasure.

Ja
Jacobine
1y

I would at least ask your psychiatrist to explain why he prescribed you two antipsychotics at once. Usually it’s only one at a time. These meds are prescribed for different mental conditions, it’s not dangerous, but I wouldn’t risk taking both at the same time…

Ne
Nervous dawg
1y
Author

@RadicalTruthAD Actually, it’s the first time I saw this psych. I previously went to another one, and no he never mentioned anything but OCD. He did once ask if I was hearing voices or seeing anything, but I suppose those were typical questions to make the correct diagnoses. I was prescribed an antidepressant for my OCD which I took for five months, I stopped taking it right before the new year.

Ra
RadicalTruthAD
1y

@Nervous dawg In that case, I would opt for a consultation with another specialist. To my knowledge, schizophrenia should be tested before settling for a certain diagnosis, it’s not diagnosed in 15 minutes like OCD or anxiety disorders.

re
reboot
1y

You probably already know the answer. Weed can intensify your psychosis. Honestly is it worth it? I’m sure you can think of other ways to have fun and relax.

de
dexter bright
1y

@Nervous dawg I’d like to point out that your decision to stop taking antidepressants wasn’t a wise one, especially if you did it without consulting the psychiatrist who made the prescription. Quitting abruptly may cause withdrawal symptoms and have other long-term side effects. You need to lower the dosage gradually before giving up on taking them. Also, seriously, give up weed. I’m pretty sure you’ll notice improvements to your mental health once you stop damaging it with unreasonable actions.

Na
Nancy
1y

My opinion: don’t panic and go see another doctor. Smoking and taking drugs absolutely can temporarily cause paranoia and hallucinations, you’re right about that.

It’s not my business, but I hope that your situation will cause you to stop drinking and smoking, especially on a regular basis.

si
silentwhisper
1y

In order to receive an official diagnosis of schizophrenia, the symptoms need to persist for at least a month. So it may very well not be that, I’d get a second opinion if you can. And, even if it’s not schizophrenia, it’s worth considering that this episode might be an indication that you have a certain predisposition that could be triggered by substances like weed.

More on this topic