How to interact to someone with catatonic schizophrenia

By | November 3, 2021

How to communicate to someone with catatonic schizophrenia

A split in the patient’s psyche and a fight between two personalities attempting to impose one on the other are not the only indications of catatonic schizophrenia. Rather, catatonic schizophrenia can be defined as a flaw in thinking and behavior caused by the patient’s disruption of reality, with atypical or logical psychological and behavioral symptoms that must be detected in the early stages of treatment and dealt with using specific approaches to assist the patient-

Symptoms of catatonic schizophrenia

Catatonic schizophrenia symptoms in women and children are less than those in men and adults, but people with schizophrenia usually do not realize they have it until a doctor tells them; no one will even notice that something is wrong and dangerous, and with some mild schizophrenia symptoms like not being able to think properly, they will think nothing of it-

  1. Hallucinations:

Schizophrenia patients hear, see, smell, or feel things that no one else can. The following are examples of hallucinations that can occur as a result of schizophrenia symptoms called auditory hallucinations.

In their heads, the person frequently hears voices. Anger, the urgency to accomplish something, hallucinations, and a request may be heard by the person, and it may sound like one or many voices and it is called visual hallucinations.

Lights, objects, or people may be visible. It’s frequently what individuals see when they see loved ones or friends, especially those who are no longer alive. They also have difficulty with depth perception and distance perception and it is known as Hallucinations of smell and taste.

This can include both pleasant and unpleasant odors and aromas, and some people may fear being poisoned and refuse to eat. Sensory hallucinations are caused by the person’s hallucinations of objects moving on the kidnappers’ or insects’ bodies.

2. Delusions:

Delusions are beliefs that most people find unusual and are easy to disprove. The affected person may believe that someone is attempting to manipulate his brain through televisions, or that public security or intelligence agencies are attempting to gain it because they suspect him and others, or that they possess magical abilities. There are various sorts of delusions, and a person may commonly experience one or more of them. The types include the following:

Obsessive delusions:
When a person believes that a famous or influential person, such as an actor or politician, is in love with him, stalking behavior is common.

Grandiose fantasies Without any tangible evidence, greatness refers to an excessive perception of one’s power, talent, expertise, pastime, or importance, which encourages one to regard those of “lower status” with contempt or contempt.

Persecutory delusions:
In which a person believes he is being pursued, spied on, drugged, slandered, or otherwise mistreated by others despite the lack of evidence to support this harm and perceived harm, including the belief that he is being pursued, spied on, drugged, slandered, or otherwise mistreated, despite the lack of evidence to support this harm and perceived harm.

Body delusions:
When a person with schizophrenia symptoms has physical delusions regarding functions or bodily sensations that he experiences and there is no evidence to support his beliefs, such as his assumption that he has cancer or that he is about to die from the severity of the sickness,

symbolic delusion:
The individual who is affected has beliefs that certain gestures, comments, or other signals have a special, self-directed meaning. The delusions here can range from the bizarre to the mundane, such as the conviction that his organs have been stolen in a space theft, or from the bizarre to the mundane, such as the belief that the police, intelligence, and Interpol are following him.

3. Disorganized thinking:
Disorganized thinking can be extremely aggravating, making it nearly impossible for persons with catatonic schizophrenia to keep their thoughts straight or articulate what they’re thinking. This positive symptom generates a jumbled upstream of thoughts, making it difficult to follow or comprehend what someone is trying to say. The process of blocking thoughts occurs when the structure of language is entirely lost, and the mental process comes to a complete standstill. There are numerous sorts of disordered thinking.

That is, without a reasonable reason, swap topics in the middle of a sentence before finishing the main argument.

Vertigo thinking:
It indicates that the speaker is speaking in a circle, providing needless information and failing to get to the heart of the topic.

Consistent thinking:
It suggests the person’s views are unrelated to your questions, and his comments have no bearing on the subject you asked him about.

Incoherent thinking:
It means the absence of a logical chain connection between the sentences and the words, so the words come out first, not clear, and secondly, not related to each other.

4. Disorganized behavior:
Disorganized, aberrant, or incoherent motor actions, stiff conduct, and superficial expression with little engagement with the environment are all good signs of schizophrenia.

5. Lack of enjoyment:
Even if something is enjoyable, a person may not appear to enjoy it. Anhedonia is the medical term for this type of schizophrenia.

6. Speech problems:
The patient with schizophrenia rarely speaks, even if he stutters and mumbles incomprehensible words, and his feelings are unresponsive to external stimuli. Furthermore, when speaking, the person with schizophrenia appears to be in a dreadful condition of idiocy, and their voice lacks vocal expression as if they had no sensations, and they do not grin naturally. Alternatively, they express their normal facial expressions in response to conversations or events in their environment. Emotional flatness is what this doctor refers to.

7. Social Withdrawal:
Isolation, complete retreat from social activities, not sharing life with friends, or being a hermit are all examples of this.

8. Combat in the basics of life:
This is one of the most common symptoms of schizophrenia in the elderly, as well as signs in youngsters with schizophrenia. In general, a person with schizophrenia does not practice self-care and has difficulty performing fundamental tasks. Here is where the job of care becomes critical, as the patient may cease showering or caring for himself, and as the patient becomes older and the children grow apart, losing one’s ability to care for oneself becomes tough.

9. Discontinuity:
Schizophrenia patients have trouble sticking to a schedule or finishing what they’ve started, and they may be unable to begin at all.

10. Cognitive symptoms and thinking problems:

The symptoms of schizophrenia are a reflection of how well a person’s brain learns, interacts with, stores, and uses data. A person with catatonic schizophrenia may have trouble with working memory, which means they may be unable to keep track of multiple types of numbers at once, such as a phone number and instructions. They find it challenging to organize their thoughts and make judgments when they are seriously ill.

How to deal with a person who has symptoms of catatonic schizophrenia?

When dealing with a person who has schizophrenia, you must focus your efforts and stay in contact with a specialist therapist at all times, and the following are the most important guidelines from the doctors:

catatonic schizophrenia

  • Ask him for urgent help:

The first step in treating schizophrenia is to seek immediate medical attention and begin a pharmaceutical and psychological treatment program to eliminate the disease and its symptoms.

  • Building a network of support:

The patient has to be surrounded by supportive social networks that offer him confidence, affection, and complete faith in his ability to heal, and they also play a key part in easing the disease’s burden and providing psychological support.

  • Commit to giving him the medicine on time:

He must be completely devoted to giving him the medicine on the prescribed dates, as prescribed by the doctor, and do not stop it without medical guidance, even if the patient improves.

  • Monitor the effects and efficacy of the drug:

The patient’s side effects and the drug’s impact on his health, as well as the extent of the drug’s effectiveness on the symptoms he is experiencing and whether or not they are improving, should all be considered.

  • Understand the feelings of the patient:

Despite the difficulties of living with a patient with catatonic schizophrenia, he must let go of feelings of anger and blame, understand his feelings and what he is going through, and speak in his language, not yours, even if his words are illogical. To communicate with him, you must put yourself in his shoes and think like him.

Content Reference:


Oladunni B. Adeyiga, MD, PhD

Infectious Diseases Specialist 

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