Can schizophrenic patients remember their sick days

Psychiatry, Psychosomatics & Psychotherapy

In order to get an overall picture of the course, it makes sense to divide it into episodes or relapses, although such a course does not show up in every patient. The beginning and course are just as infinitely diverse as the clinical picture. The initial symptoms can break out acutely or develop slowly, over a longer period of time and hardly noticeable for the person concerned.

In this Preliminary phase (prodromal phase) In many cases there is initially a particular emotional sensitivity, tension and loss of interest. The progressive misjudgment of reality (delusions, experiences of alienation) leads to a certain insecurity and social withdrawal in everyday life and the disease breaks out.

During the next phase, the symptoms spread rapidly and the typical symptoms (often delusional and paranoid, hearing voices) appear. It comes to acute episode, in which delusions and hallucinations, restlessness and excitement combined with often nonsensical behaviors that are not understandable for the environment are in the foreground. After an acute attack, the symptoms usually subside and relaxation occurs. In some of those affected, the symptoms only weaken and residual symptoms remain. If the full picture of schizophrenia persists, one will develop Chronification, In the further course of the disease, the so-called negative symptoms such as lack of drive, lack of initiative and lack of emotion usually occur, albeit individually differently. In the acute phase or in the presence of residual symptoms, severe crises with suicidal intentions can occur.

The various phases are usually of different intensity and duration, although it is entirely possible to remain in one phase. More than half of all schizophrenias have a favorable course, so that there are few or no problems with social integration. A stable partnership, a good social network, female gender, an acute onset of illness and consistent drug therapy promote the chances of recovery. Without treatment with antipsychotic drugs, about 85% of schizophrenia patients suffer a relapse, compared with only 15%.