If you're experiencing unwanted thoughts about losing your mind, becoming psychotic, or developing schizophrenia, it may be a sign of schizophrenia OCD. You might find yourself constantly questioning the state of your mind, which can cause you to be overly focused on feeling different than usual.
Individuals may have overwhelming intrusive thoughts related to psychosis, hallucinations, or acting outside of their control. These intrusive and unwanted thoughts are called “obsessions.” They can involve intrusive thoughts, images, or urges, and can be extremely unpleasant, provoking anxiety or other distress.
Obsessive-compulsive disorder (OCD) is characterized by repetitive, unwanted, intrusive thoughts (obsessions) and irrational, excessive urges to do certain actions (compulsions).
Symptoms may include: Delusions. These are false beliefs that are not based in reality. For example, you think that you're being harmed or harassed; certain gestures or comments are directed at you; you have exceptional ability or fame; another person is in love with you; or a major catastrophe is about to occur.
OCS/OCD can manifest in those at ultra-high risk for psychosis, during prodromal psychotic state, in the first episode of schizophrenia, during the course of chronic schizophrenia and after treatment with atypical antipsychotics. [2] The occurrence of OCS can range anywhere between 5% and 30%.
In some cases, OCD is even mistaken for schizophrenia. This confusion can lead to all sorts of problems for people struggling with different conditions, from misdiagnoses to unwarranted fears that they have schizophrenia.
Some researchers believe that anxiety may contribute to the development of schizophrenia, but it is not necessarily a direct cause. It is important to remember that schizophrenia is a complex illness with many risk factors and causes, and anxiety may be one aspect of it.
The most prominent thought content disorder seen in schizophrenia is delusions. There are overvalued thoughts at some point between normal thinking and delusion.
Intrusive thoughts are often triggered by stress or anxiety. They may also be a short-term problem brought on by biological factors, such as hormone shifts. For example, a woman might experience an uptick in intrusive thoughts after the birth of a child.
Everyone experiences intrusive thoughts from time to time. But they can cause a lot of distress, especially when they're negative. Allowing intrusive thoughts to pass by without giving them much attention can be helpful. You can label them as “just thoughts” and remember your brain has thousands of thoughts each day.
Intrusive thoughts are not unique to people who are struggling with a mental health concern(s). They are also experienced by individuals who do not routinely struggle with anxiety. In fact, research has found that over 90% of the population experiences intrusive thoughts (Abramowitz, Deacon, & Whiteside, 2011).
Someone who's considered to have OCD with poor or absent insight might not readily acknowledge their thoughts and behaviors as problematic or unreasonable. This can be considered psychosis. OCD with poor or absent insight is when symptoms of psychosis might appear.
People who have psychotic episodes are often totally unaware their behaviour is in any way strange or that their delusions or hallucinations are not real. They may recognise delusional or bizarre behaviour in others, but lack the self-awareness to recognise it in themselves.
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
Symptoms of Borderline Schizophrenia
Level of functioning in work, interpersonal connection, or self-care is impaired by the symptoms for a significant portion of time. Change in functioning is significant compared to previous level of functioning. Continuous signs of the disturbance for a six-month period.
A family history of psychiatric conditions is considered to be the strongest risk factor for schizophrenia among first-degree relatives (8).
Unfortunately, most people with schizophrenia are unaware that their symptoms are warning signs of a mental disorder. Their lives may be unraveling, yet they may believe that their experiences are normal. Or they may feel that they're blessed or cursed with special insights that others can't see.
In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s. Schizophrenia is considered early onset when it starts before the age of 18. Onset of schizophrenia in children younger than age 13 is extremely rare.
With symptoms like auditory hallucinations (hearing things that aren't there), derealization (feeling like you've lost touch with reality), and depersonalization (feeling as though you're on the outside, watching yourself), it's no wonder that so many people with severe anxiety begin to fear they have schizophrenia.
If you're concerned you may be developing symptoms of schizophrenia, see a GP as soon as possible. The earlier schizophrenia is treated, the better. The GP will ask about your symptoms and check they're not the result of other causes, such as recreational drug use.