What is Paranoid Schizophrenia?

Paranoid schizophrenia is the most common type of schizophrenia. The age of onset was later than other types. At the beginning of the disease, it is sensitive and suspicious, and gradually develops into delusion, and there is a tendency to generalize. The content of delusion is increasingly divorced from reality. May be accompanied by a combination of hallucinations and hallucinations. Emotions and behaviors are often dominated by hallucinations and delusions, showing suspiciousness, fear, and even self-harming and hurting behavior. The development of this type of disease is slower than other types, and the phenomenon of mental decline is less obvious. There are fewer spontaneous remissions, but the treatment is better.

Basic Information

English name

paranoid schizophrenia

Visiting department

Department of Psychology

Common causes

Etiology unknown

Common symptoms

Withdrawn behavior, withdrawn from reality, lazy and passive life, functional auditory hallucinations, reading heart disorder (exposed), critical auditory hallucinations, mandatory thinking, etc.

Clinical manifestations of paranoid schizophrenia

1. Withdrawn behavior, withdrawn from reality, life is lazy and passive.

2. Functional auditory hallucination

While hearing a real sound, functional auditory hallucinations occur.

3. Reading Disorder (Sense of Exposure)

What he thought, he heard a voice in his ear that was not what he thought.

4. Commentary auditory hallucinations

Phantom was commenting on his words and actions.

5. Mandatory thinking

This is a kind of thinking not dominated by one's own will. The patient feels strange and bored, and wants to get rid of it.

6. Interpretive delusions (symbolic thinking)

If you see the white pigeon flying, you think that his parents are in great trouble.

7. Thinking lost

It is thought that the dead "taken away" his thoughts.

8. Impact delusions (a sense of being controlled, a passive experience)

I believe that the dead control his brain, causing his brain to lose self-control and not to think about some issues autonomously; that his thoughts, actions, and facial expressions are imposed by external forces, controlled by external forces, and lose autonomy.

Paranoid Schizophrenia Treatment

Drug treatment

(1) Acute phase treatment is available with chlorpromazine, perphenazine, triflurazine, fluphenazine, haloperidol, clozapine, sulpiride, penfluridol and other drugs.

(2) chronic or long-term maintenance treatment.

(3) Shock treatment.

2. Psychotherapy and family mental health education

(1) Cognitive improvement method Because patients do not trust others, are sensitive and suspicious, they will not accept any kind advice. Therefore, they must first establish a trust relationship with them, exchange emotions on the basis of mutual trust, and introduce them to their own personality disorders The nature, characteristics, harmfulness, and corrective methods of the traits enable them to have a correct and objective understanding of themselves, and consciously and voluntarily produce the desire to change their personality defects. This is a prerequisite for further psychotherapy.

(2) The dating training method encourages them to actively engage in dating activities, learn to trust others in dating, and eliminate uneasiness. The principles and essentials of friendship training are: Meet sincerely and make sincerity. I must adopt a sincere and open-minded attitude to make positive friends. We must believe that most people are friendly, good, and trustworthy. There should be no prejudice or distrust towards friends, especially close friends. It must be clear that the purpose of making friends is to overcome paranoia, seek friendship and help, exchange thoughts and feelings, and eliminate psychological obstacles. As far as possible, give active friends as much help as possible. This helps to exchange heart for heart, gain trust from each other and strengthen friendship. Especially when others are in trouble, they should help each other and know the truth in times of trouble, so as to gain the trust of friends and enhance friendship. Pay attention to the principle of "psychological mutual friendliness" of making friends. The similarity and consistency of personality and temperament can help psychological compatibility and improve the relationship of friends. In addition, gender, age, occupation, cultural attainment, economic level, social status and hobbies, etc. There is also the problem of "psychological compatibility". However, the most basic condition for psychological compatibility is the similarity and consistency of the values of ideology and values of life, so-called "like-minded". This is the psychological basis for developing cooperation and consolidating friendship.

(3) Self-treatment People with paranoid personality like to go to extremes, which is related to their irrational ideas in their heads. Therefore, in order to change paranoid behavior, paranoid personality patients must first analyze their irrational ideas.

(4) Hostility correction training method Paranoid personality disorder patients are apt to be full of hostility and distrust towards others and the surrounding environment. The following training methods are adopted to help overcome hostility and confrontation. Always remind yourself not to be caught in the vortex of "hostility." Self-remind and warn in advance, and pay attention to correction when dealing with others, this will significantly reduce hostility and strong emotional reactions. Understand the basic principle of respect only if you respect others. Learn to say thank you to those who have helped you, rather than say "thank you" without any pain, let alone ignore it. Learn to smile at everyone you know. You may be unaccustomed at first and do it unnaturally, but you must do it and work hard to do it well. Learn to be patient and patient in life. Living in a complicated world, conflicts and frictions are inevitable. At this time, tolerance and restraint must be tolerated, and hostile anger cannot be burned and turned into anger and anger.

Paranoid Schizophrenia Prevention

1. Carry out genetic counseling. For patients with schizophrenia who are at the age of marriage and childbearing, it is recommended to avoid marriage and fertility before the symptoms have disappeared, especially when both sides have suffered from schizophrenia.

2. Carry out community mental health advocacy, early detection and early treatment. The occurrence and recurrence of schizophrenia are mostly related to the adverse mental stimulation in the surrounding environment. Therefore, it is very important to create a friendly humanistic environment. For those who have experienced mental symptoms, they should pay special attention to care and love, and avoid giving bad mental stimulation.