behandlungsfeld schizophrenie 1

Schizophrenia

Schi­zo­phre­nia (schi­zo­phre­nic dis­or­ders) as well as delu­si­ons, hal­lu­ci­n­a­ti­ons and other per­cep­tu­al dis­or­ders belong to the group of psy­cho­tic dis­or­ders. Schi­zo­phre­nic dis­or­ders are cha­rac­te­ri­zed by dis­tur­ban­ces in thin­king and per­cep­ti­on as well as ina­de­qua­te or flat­ten­ed emo­ti­ons. As a rule, cla­ri­ty of con­scious­ness and intellec­tu­al abili­ties are not impai­red, alt­hough dis­or­ders of thin­king, atten­ti­on and con­cen­tra­ti­on can deve­lop over time as a result of con­stant stress during the cour­se of the ill­ness.

The most important psy­cho­pa­tho­lo­gi­cal sym­ptoms and com­plaints are

  • Beco­ming thoughtful
  • Inspi­ra­ti­on of thought or with­dra­wal of thought
  • Spre­a­ding thoughts
  • Thought star­ters
  • Delu­sio­nal per­cep­ti­on
  • Delu­si­ons of con­trol and influence
  • Voices that com­ment on or talk about the pati­ent in the third per­son, i.e. acou­stic hal­lu­ci­n­a­ti­ons
  • Per­sis­tent bizar­re delu­si­ons, hal­lu­ci­n­a­ti­ons
  • Ina­de­qua­te affects — mood and emo­tio­nal beha­vi­or
  • Thin­king dis­or­ders and nega­ti­ve sym­ptoms such as redu­ced dri­ve, with­dra­wal beha­vi­or and other abnor­ma­li­ties.

Dis­or­ders simi­lar to schi­zo­phre­nia can also occur in epi­le­psy, other brain dise­a­ses or due to the effects of drugs (psy­cho­tro­pic sub­s­tances) or medi­ca­ti­on, which must be cla­ri­fied in detail as part of the dia­gno­sis.

Taking a medi­cal histo­ry is an important com­po­nent in the dia­gno­sis of schi­zo­phre­nia. You should also ans­wer the fol­lo­wing ques­ti­ons:

  • Are the­re fre­quent men­tal dis­or­ders in your fami­ly?
  • Do you suf­fer from noi­sy thoughts?
  • Do you recei­ve thoughts from out­side?
  • Do you hear voices? Do the­se voices com­ment on your actions?
  • Do you see things that other peo­p­le can’t see?
  • Do you have any pre-exis­ting con­di­ti­ons (men­tal dis­or­ders)?
  • What ope­ra­ti­ons have you under­go­ne so far?
  • Do you have any all­er­gies?
  • What medi­ca­ti­on are you taking?

A neu­ro­lo­gi­cal exami­na­ti­on, inclu­ding exami­na­ti­on of the refle­xes and cra­ni­al ner­ves, as well as com­pre­hen­si­ve medi­cal dia­gno­stics form the basis for suc­cessful schi­zo­phre­nia the­ra­py in our “Neu­ro­psych­ia­try Psy­cho­the­ra­py Cen­ter” in Hano­ver.