What Is Disorganized Schizophrenia
For better diagnosis and improving the quality of care in schizophrenia, a basic degree of categorization is used to differentiate patients. Though most types of schizophrenia are quite similar, presenting symptoms that include a highly incoherent state of mind and uncoordinated body movements, some are marked by typical symptoms. For instance, Disorganized Schizophrenia surfaces with an unusual symptom where the patient presents a highly complex level of psychosis, alienating himself from reality. This is a chronic form of schizophrenia and is very hard to treat with regular schizophrenia medications and care-management systems.
It should be noted that some degree of hallucinations and delusions are associated among schizophrenics but Disorganized Schizophrenia represents an extreme form of delusionary behavior. Here, the patient seems to have established a false perception about his own existence and what surrounds him, behaving in a manner that defies any logic. Such patients cannot be let on their own since they pose a significant degree of risk to their own safety and to those surrounding them.
Such patients are unable to carry-on with their jobs or family lives, as they need constant care and are distanced from reality. Home care of such patients can be very demanding as it is often impossible to understand what such patients are saying and their behavior is irrational. Disorganized Schizophrenia is also referred to as Hebephrenic Schizophrenia.
The most recognizable trait of Disorganized Schizophrenia is illogical or bizarre thoughts. This might include thoughts of unreasonable grandeur. The alienation from reality is clearly visible when such a patient talks or tries to explain. They lack the ability to converse in a normal manner, often jumping from one topic to another, often talking about things that aren’t even related. Their written and oral communication is very confusing, providing little clue about their thought process.
Patients suffering from Disorganized Schizophrenia need constant supervision. They cannot undertake basic activities like bathing or preparing a meal. They have a tendency to lash out their caregivers as they cannot explain their thoughts and the frustration can turn violent. Extremely disturbed behavior associated with Disorganized Schizophrenia includes public exhibition of sexual activities.
Patients of Disorganized Schizophrenia might show some deficit symptoms. This refers to negative symptoms of schizophrenia that include lack of facial expressions. The patient might have a flat or blank face even when faced with a stimulating situation. The lack of emotions is usually accompanied by lack of any effort or indication in the body language. Overall, the range of motions is highly limited and they are prone to behaving very inappropriately, which might often be the exact opposite of the expected reaction. For instance, in a mournful gathering, the patient might start shouting abuses or laughing at a high pitch.
Disorganized Schizophrenic patients tend to have alternate phases of grimacing, odd posturing, hyperactive and numb behavior along with talking to themselves, indicating delusions. They are quite vulnerable to reacting acutely to hallucinations, particularly auditory type. Suicidal thoughts are a common occurrence among such patients.