Disorganized schizophrenia, which is also known as hebephrenia, is actually a sub-category of schizophrenia, despite the fact that it is not identified in the most recent version of the Analytic and Statistical Manual related to Mental Disorders.
What is Disorganized Schizophrenia
Disorganized schizophrenia is considered as an serious expression of the disorganization syndrome which has been hypothesized to be one component of a three-factor type of symptoms in schizophrenia, the additional factors being reality distortion (including delusions and hallucinations) and psychomotor poverty (insufficient speech, lack of spontaneous movements and different issues with blunting of emotion).
“Disorganized schizophrenia is described as incoherent and irrational thoughts and behaviors, quite simply, disinherited, irritated, and purposeless behavior.”
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Symptoms of Disorganized Schizophrenia
The sufferer is not able to form defined or logical thoughts. This incapability affects speech – while in a conversation.
Blatantly Disorganized Behavior
These symptoms could possibly be so intense that the patient cannot perform normal daily activities, for example bathing, dressing up properly and preparing meals. In these symptoms of disorganized schizophrenia behavior is so unorganized that it greatly affects a individual’s daily life. Personal hygiene and personal care can be disturbed.
Improper or Lacking Emotional Expression
Flat affect, generally known as blunted affect – the sufferer may show the expressions of normal emotion, Nevertheless, the face seems blank, facial expressions are considerably diminished. The patient usually appears incredibly apathetic.
Apart from the above, which are examples of disorganized schizophrenia symptoms, the patients may also have the following signs and symptoms of schizophrenia.
The patient may has false beliefs or thoughts of persecution, shame of grandeur.
Listening to voices is far more common than viewing, feeling, tasting, or smelling factors which are not there, but appear to be very authentic to the patient.
When a sufferer with schizophrenia withdraws socially this happens often because he/she believes somebody is headed to harm them.
Unaware of Illness
Just like the hallucinations and delusions appear to be so real for the patients, most of them may not believe they are sick. They may deny taking medicines.
The ability of patient to concentrate, keep things in mind, plan ahead, and to prepare themselves are affected. Examples include things like grasping a chair, moving things, or listing notes with no reason.
This refers to a general lack of pleasure. No activity, hobby, object.
This describes a lack of motivation, so despite the fact that a person may want to finish a task they have no inspiration to actually get started.
Formal Thought Disorder (FTD)
This type of disorganized schizophrenia is characterized by extremely unorganized thoughts. Patients may go through poverty of speech, presentation and thought blocking.
Speech may not make any sense.
Some individuals may exhibit no emotion, or incorrect or inappropriate emotion. For instance, they may chuckle or smile at a funeral.
Inappropriate Facial Reactions
Likewise inappropriate emotion, inappropriate facial reactions deals with expressions that do not fit the environment.
In this type of inappropriate facial response, a patient may grimace at the sides of his mouth. This is a typical expression observed among the schizophrenic patients.
Patients suffering from disorganized schizophrenia symptoms are not normally able to seek medical help by themselves. When their symptoms show up to have gone away, it is easy for these people to believe they are okay and do not require treatment. Looking for medical help is usually started up by a family member or good friend.
Causes of Disorganized Schizophrenia
According to research there could be some kind of problem in brain functionality, which may be due to environmental triggers and genetic factors or combination of both.
Studies show that most likely an imbalance of a chemical dopamine, a neurotransmitter, is responsible cause of disorganized schizophrenia or schizophrenia. Doctors claimed that this imbalance is most likely caused by the genes making an individual vulnerable to the illness. While others say that the levels of other neurotransmitters, just like serotonin, may also be responsible.
Changes in key functions of brain, such as awareness, emotion and behavior tend experts to conclude that the brain is the actual biological site of schizophrenia.
Schizophrenia may be the result of faulty signaling in the brain, in accordance to research published in the journal “Molecular Psychiatry”.
Risk Factors For Disorganized Schizophrenia
- Viral infection – Unborn baby infectious baby womb could be reason for developing Disorganized schizophrenia
- Fetal Malnutrition
- Stress During Early Life
- Childhood Abuse or Trauma
- Age of parents when baby is born
Diagnosis of Disorganized Schizophrenia
In order to meet the diagnosis of disorganized schizophrenia, irrespective of the type, these other diagnostic criteria need to be met:
- A noticeable downfall in performing, right after the beginning of symptoms, in a minimum of one of the primary features of the person’s life (e.g., job, school, social relationships, self-care).
- Symptoms of disorganized schizophrenia may present continuously for a duration of at least 6 months. For a minimum of one month of that time period, the active-phase symptoms (e.g. delusions, hallucinations, highly disorganized behavior, etc.) should be present.
- Schizoaffective disorder (a problem similar to disorganized schizophrenia but with well known mood episodes) or other behavior disorder have been eliminated.
Treatments of Disorganized Schizophrenia
Disorganized schizophrenia is a problem that may lasts all over the life – it is a serious condition. Patients having disorganized schizophrenia require treatment on a long term basis; even though symptoms appear to have gone away. Disorganized schizophrenia treatment is simply the same as for all types of schizophrenia; variations are present depending on the seriousness and types of symptoms, physical and mental health of the patient, patient’s age, in addition to some other factors.
1: Atypical antipsychotics (or 2nd generation antipsychotics) – Several antipsychotic drugs employed for the treatment of psychiatric disorders.
Side effects may include:
- High Weight
- High cholesterol Level
2: Common antipsychotics (or 1st generation antipsychotics) – Despite the fact that these are as much efficient in treating the conditions treated by atypical antipsychotics.
3: Hospitalization – During illness when symptoms are serious the patient may require to be hospitalized.
Other Treatment Options
Psychotherapy – For patients facing disorganized schizophrenia, medications are the major factor of treatment; nevertheless, psychotherapy is also essential.
Social and professional skills coaching – This can help the patient live on their own.
Compliance (adherence) – compliance or adherence in medication means adopting the therapy program (the treatment plan).
ECT (electroconvulsive therapy) – In this process an electric current is directed through the brain to generate controlled seizures (convulsion)
Your psychiatrist suggest the best treatment option for you while treating disorganized schizophrenia depending upon severeness of symptoms, age, gender and other social environment factors. The treatment method may consist of combination of medicines of different types or combination of medicines with therapy etc.