Hypochondriasis (HYPO), an obsessive-compulsive spectrum disorder, is frequent in patients with schizophrenia (SCH) (20%), especially among those treated with clozapine (36.7%).
Schizophrenic patients show higher comorbidity rate of obsessive-compulsive disorder and hypochondriasis than the general population. These comorbidities seem to be more frequent in schizophrenic patients treated with clozapine versus patients treated with other atypical antipsychotics.
Hypochondria is itself a form of mild psychosis. The hypochondriac has a deep and ungrounded worry about having or developing a serious mental illness. Paranoia and suspiciousness are classical traits of psychosis but they can be subtle.
Hallucinations. These usually involve seeing or hearing things that don't exist. Yet for the person with schizophrenia, they have the full force and impact of a normal experience. Hallucinations can be in any of the senses, but hearing voices is the most common hallucination.
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.
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
Common early signs of schizophrenia vary by age group and include: Young children: Delayed development. Older kids and teens: Depression, isolation, behavioral problems (e.g., stealing) or changes (e.g., bizarre or unusual thoughts or actions), and trouble focusing.
Of the different types of schizophrenia, residual schizophrenia is the mildest, characterized by specific residual schizophrenia symptoms.
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.
Hypochondria is a type of anxiety disorder. It is also known as health anxiety, or illness anxiety disorder, or hypochondriasis. It is normal for people to worry about their health now and again. But people who experience hypochondria get very worried that they are seriously ill, or are about to become seriously ill.
Hypochondriac comes ultimately from the Greek word hypokhondria, which literally means “under the cartilage (of the breastbone).” In the late 16th century, when hypochondriac first entered the English language, it referred to the upper abdomen.
People with illness anxiety disorder -- also called hypochondria or hypochondriasis -- have an unrealistic fear that they have a serious medical condition or fear that they're at high risk of becoming ill. They may misinterpret typical body functions as signs of illness.
Although some people with schizophrenia suffer anxiety, it is impossible for people with anxiety disorders to develop schizophrenia as a result of their anxiety disorder. Anxiety sufferers should be reassured that they cannot develop schizophrenia as part of their anxiety state, no matter how bad the anxiety becomes.
Monosymptomatic hypochondriacal psychosis is a term that was commonly used to indicate concerns about delusional parasitosis, or the delusions of infestation by parasitic organisms. Now these patients are generally thought to have delusions (ie, diagnosed formally as DSM-5 delusional disorder, somatic type).
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.
At least one of the symptoms must be delusions, hallucinations, or disorganized speech. In determining a diagnosis, the doctor may order additional tests, including an MRI scan or blood test.
People with schizophrenia suffer a wide range of social cognitive deficits, including abnormalities in eye gaze perception. For instance, patients have shown an increased bias to misjudge averted gaze as being directed toward them.
People with the condition usually aren't aware that they have it until a doctor or counselor tells them. They won't even realize that something is seriously wrong. If they do happen to notice symptoms, like not being able to think straight, they might chalk it up to things like stress or being tired.
Personality disorders such as antisocial, borderline, histrionic, narcissistic, avoidant, dependent and obsessive-compulsive types have been detected in one third to one half of schizophrenia patients (Nielsen, Hewitt & Habke, 1997; Solano & Chavez, 2000).
Pseudoneurotic schizophrenia was the term coined by Hoch and Polatin in the 1940s to describe patients who presented with “neurotic” facade, which concealed thought, emotional and behavioral impairment of regulation, integration, and stemmed from “psychotic” process [1].
The schizotypal personality is characterized by social anxiety, magical thinking, unusual perceptual experiences, eccentric behavior, a lack of close friends, atypical speech patterns, and suspicions bordering on paranoia.