Depression vs. Negative Symptoms of Schizophrenia - How To Tell The Difference
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- เผยแพร่เมื่อ 21 ส.ค. 2024
- In this video, I go over the difference between the negative symptoms of schizophrenia and depression with psychosis. I also define negative vs. positive symptoms. Eugen Bleuler expanded our understanding of schizophrenia by introducing the 4 A’s: Alogia, Autism, Affective blunting and Ambivalence. These 4 A’s are now called negative symptoms of schizophrenia. Positive symptoms refer to delusions, hallucinations and disorganized thinking or behavior.
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References
Cerveri G, Gesi C, Mencacci C. Pharmacological treatment of negative symptoms in schizophrenia: update and proposal of a clinical algorithm. Neuropsychiatr Dis Treat. 2019;15:1525-1535
Krynicki, C. R., Upthegrove, R., Deakin, J., & Barnes, T. (2018). The relationship between negative symptoms and depression in schizophrenia: a systematic review. Acta psychiatrica Scandinavica, 137(5), 380-390.
Arantes-Gonçalves, F., Gama Marques, J., & Telles-Correia, D. (2018). Bleuler's Psychopathological Perspective on Schizophrenia Delusions: Towards New Tools in Psychotherapy Treatment. Frontiers in psychiatry, 9, 306.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
My mom was schizophrenic and I have frequent anxiety attacks about developing schizophrenia myself. I'm a female in my 20's and have major depression, C-PTSD and chronic neurological disorders so sometimes I worry that though I don't have any positive symptoms, I've been misdiagnosed, and I'm actually developing schizophrenia and presenting with negative symptoms. The examples in this video have helped calm me down and identify the differences between my depression and the negative schizophrenia symptoms. I'll come back to this during my next anxiety attack.
Sincerely, thank you.
Omg same here My dad had it and I watched as a lil girl how bad it got and I fear it so much that my anxiety feeds off my depression and cause me to think I am developing it
Yep. Periodically dropping in to ensure I’m not missing anything
I love these videos showing the differences between similar symptoms in different disorders! Can you do one on ADHD vs autism vs borderline? Mostly when it comes to emotional dysregulation and understanding, I find it very hard to understand the differences. I have been diagnosed with ADHD, but I find that a lot of my issues aren't covered by that diagnosis or are at least never treated. Especially when it comes to emotional permanence, recognizing emotions in myself and others, and regulating strong emotions.
Tha my would be interesting, seeing how I have all 3 😅
This would actually be really useful for me as well...
Thank you for all you do💞
I'd also like to hear more about this
I’d like to know abt this too ^^^
Hi Bettie. That’s a deep one but good one. I’ve saved your question let me see what I can come up with.
This doctor needs a radio show. Maybe the people need her to have a show. She has great information, easy to listen to and photogenic as all get out.
Tracey DOES need to do a radio show!; so many listeners would find help and relief
As a kid, I was super shy, but as I got into puberty and my hormones changed, I got more excited, especially since I was super excited about going into high school and making new friends. However, it was hard for me to express my emotions in general, and I eventually got diagnosed with both anxiety and depression in one psychiatry session when I was 16, and it was very intense and hard for me to understand what those diagnoses meant at the time. I was just trying to live a “normal” life, but with my recovery from my leg surgery, and getting diagnosed with anxiety depression, AND PTSD, it was very hard for me to express my emotions, since here was so much going on in my head. I hope this makes sense! ☺️
yesss!! when there is so much going on in our head which so much thinking and less being it is heard we to express!
harder to express*
Hey the girl upstairs told me she
@@SassyL62 exactly!! I just zone out from all the chaos in my head! 😆😂
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I always find myself watching your videos, regardless if I am or am not experiencing symptoms related to your topics of the videos. Being a healthcare worker myself (Registered Nurse) I love becoming more educated and informed on the body and mind. I enjoy your channel very much! Thanks for all the content, both past, and future posts.
Thanks so much Bobby for continuing to come back I really appreciate it. And thanks for all the important work you do as a nurse 👍🏽❤️
❤️
As a person with schizophrenia after a long adventure i can tell that you are spot on
My uncle's wife died from diabetes because she was schizophrenic and thought that everyone was trying to poison her by giving he insulin. She also kept throwing away cell phones because she didn't want government tracking her 🙏
That's sad to hear. Unfortunately not that uncommon.
@@DrTraceyMarks ❤
@@DrTraceyMarks it‘s really not. My mom‘s cancerous thyroid had to be taken out two years ago and she refused to take her medication because she thought she‘d be poisoned by it. She became super fat and died of adipositas hypoventilation syndrome last Easter.
Schizophrenia is a terrible illness.
@@jasminvomwalde7497 Yes indeed on a lot of levels.
@@jasminvomwalde7497 But my aunt became homeless by choice. She threw all her dishes and her wedding bands and became suspicious of my uncle. She heard voices and when my uncle would have her admitted for flipping into dangerous fits of rage she'd sign herself out after the 48 hr or 72 hour hold screaming that everyone was trying to kill her. She was a sweet church-going teacher and published poet. At the end she'd constantly curse even at people/monsters who were not there. She was definitely schizophrenic. 3 of her siblings are also diagnosed schizophrenics but to varying degrees.
I definitely have that flat effect thing, the way you described it matches me 100%. It's one of my biggest hurdles in life actually. People judge me as being this serious or angry/crazy person before can even open my mouth. I also can hold alot of tension and anxiety in my face. It's super frustrating and makes me not even wanna try to interact with people. I'm glad you did this video, this is something I need to know more about.
It’s a symptom of autism also and some people are simply just less expressive than others
I'm struggling with this one. this makes me won't talk to people. or I'm faking all the time like laugh or smile but it just made me tired at the end and feeling sleepy all the time 😭
You are amazing Dr. Tracey Marks! Thank you for your service to humanity. I have known and cared deeply for someone over the past 3 years and it's been so hard to comprehend their behavior and this video is a God send. It's like I described details to you and you provided this explanation. I now feel at peace with them. They were not being deliberately calculated and manipulative or ambivalent and avoidant, they were literally being true to who they are and saying so all the time, but I had no insight regarding these conditions. Love truly must be patient.
Oh i’m so glad this helped you understand! Maybe now you can extend your patience even further. All the best to you! ❤️😊
@@DrTraceyMarks Well u said that blunting effect is from schizophrenia but my depression started with emotional blunting ... So i think there is people who had emotional blunting and only depression...
I wish I had this video when i got married so i could have understood better my husband. He's just recently diagnosed schezoaffective bipolar. He thinks reality isn't real and I'm not real and we're just a fluid and random state of energy he calls cosmic milk 🥺🙏 he can't express emotions, have the disorganized thinking and is in psychosis at the moment. I'm trying to educate myself in this as much as i can..thank you for this channel 💕
I am sorry 😞
Me too I was married a schizophrenic without knowing, then I’ve got a child with him after two years I divorced. Now the child becomes adult and I am suffering again because he is schizophrenic.
So please think twice before deciding to have children
Oh good question and one I needed to hear. Thanks Dr.Marks! Have a good day😊
I’m glad this popped up then. 😃 you have a great day too
It's always a pleasure to sit down and watch one of your videos, I feel as though I am learning more about the people around me and myself, not saying that everyone is crazy, just that these symptoms are extremes of everyone's personalities and everyone is a gradient of dysfunction, IMO. We live with the human condition we don't necessarily overcome it.
Thank you Dr Marks for being so generous with your knowledge. You have helped me so much ❤
I’m so glad Gale! Stick around and keep learning 😊
Thank you Dr. Marks for explaining depression with psychotic symptoms. I've been suffered this one, MDD with psychosis and unstable mood. My psychosis is auditory hallucinations that asked me to order myself by doing harm myself and commit suicide. Somehow, I can relate these symptoms you told in video. Thank you, Dr. Marks!
Having psychosis is quite nightmare to me. I always feel different among people around. I don't know why. I even disorganized thoughts because I lost my own thoughts. It's quite miserable.
Oh I’m so sorry to hear this. I hope you’re getting medical help. I can see how the combination of the hallucinations and disorganized thoughts would be very distressing
Watching your videos is so entertaining, calming and relaxing. You explain things really well and your delivery is extremely easy on the senses and doesn't need much deciphering through unnecessarily complex verbiage. ❤️
Dr. Marks SHOULD HAVE BEEN my "Social Psychology: Understanding Human Behavior" professor in college!!! I would have enjoyed and LEARNED SO MUCH MORE from her in class 😁😁😁 My instructor was way less interesting to listen to, haha. Maybe I would have even become a psychiatrist myself. Such an interesting field and career. Thank you for sharing all of this clinical wisdom and insight with us 🌟🌟🌟
Facts!🗣
I think the same. Wish I could take back money spent on boring basic college classes and give it to her since I have learned so much more from her free videos.
@@donnathedead7554 Exactly, I feel the same way!
Thank you all! I love having an interested audience! 😃 I could do this all day…😃
I think I have a form of Alogia. Many times people ask me questions, or for my opinions. It makes my sibling so frustrated. I was given a car, and I am still grateful. My sibling was like "what makes you excited, or happy?" I told them I was happy, but i understood what I vibe I was showing
This was super informative. I was paranoid that I might be schizophrenic 😂 I think my mental health team is right that it's depression with psychotic symptoms. It is just like how you described it.
Why the laughter emoji dummy?
You think that’s funny?
This woman should not be a doctor she is insensitive & focuses mostly on dehumanizing people with Schizophrenia
Loved the conversation examples. Excellent as always:) take care!
Thanks so much Panos! 😊❤️
I really appreciate all your videos and how you present each topic! You are amazing ❤️
Thank you so much!
This is why we love Dr. Tracey.
I was just researching this and although I certainly felt more educated on the differences, in NO WAY was I confident that I understood the differences.
Guess that's what happens when you visit the channel of an absolute expert in her field.
INCREDIBLE! I have your videos on my playlist because I want your expertise to be available to anyone who may visit my channel.
Thank you 😊
I’m so glad I found you. I do mental health assessments and after doing so many it can be so routine. I’ve been wanting to refresh my mind with Dx differences as clients don’t understand DSM terminology, and your videos have helped expand common language examples. Your clients are blessed to have a dr that is passionate about psychoeducation and the field of mental health ❤️
Thank you, love these videos! Please post more about schizophrenia and schizotypal PD too!
Thank you M. Here's my video on schizotypal pd th-cam.com/video/haGt42_ZUcw/w-d-xo.html
Love these videos! Would love to know how exercise affects mental health…especially anxiety
Sometimes it is even better than medications (for both anxiety and hallucinations). And it is completely free of adverse reactions, mind you !
Great question. I’ve saved it an added the topic to my list 👍🏽
Exercise of any kind, walking, dancing, yoga, weightlifting, just stretching any type of extra movement helps calm nervous system and racing thoughts, takes you out of your mind and moves the emotions=in-motion out or through the body. So in short, it helps. Hard to get motivated and push to do it, at least for myself. Also writing in a journal. Write anything that comes up even if only one word, just keep writing to help connect to self and get those thoughts OUT. Also validate your emotions/feelings. If you feel frustrated tell yourself IT'S OKAY to feel frustrated! 💛
Sending all of my love to those who are struggling. thank you for this video
Thank you dr Marks. Thanks to your videos I am more calm. My mother suffer for schizophrenia for about 35 years and your videos makes me sure that I suffer only for depression only, not for schizophrenia as I Though
Thanks dr. Marks, your videos are so informative and easily understandable. I have many illnesses that you cover on your channel and I'm also going to med school and it helps me really understand the illnesses. ❤️
this video is a life sentence to me. I never thought in a million years i would be schizophrenic. I dont know what to do anymore.
Hi Dr Marks, I got so much valuable info out of this video! For a long time I was not that interested in my condition as I thought I was doing okay, but your channel has changed that, and from now on I will be more empowered in my treatment as I believe I have been misdiagnosed for 22 years.
Thankyou
Do a video on trauma caused by emotional abuse and how it affects you in adult hood
Hi, I would be really interested if you made a video on the difference between adhd and depression, particularly atypical depression or dysthymia :)
It was so weird back then in the clinic. Just because my brother has shizophrenia they immediately concluded i would have the same and they kept treating me like that, ignoring all the side effects and ineffectiveness of the medications and they kept giving me more and more medications. At the end i had like 5 different pills and felt worse than before.. but my complains were ignored.
They said i was still showing flat affects whereby i was just feeling uncomfortable around such accusations and clearly showed how i'm not interested in opening up to them. That's my default against anyone i don't like. Meanwhile I often changed to be excited or happy or sad about relatively small things and i felt child-like sometimes.. feelings tend to come and go and although i was present in the moment, i wasnt really aware of my surroundings and recent memories.. i was still the same old me, but stressed out with a lot of mood changes, a certain lack in memory and perception and i couldnt differentiate my status quo from all the different medication effects. How should a professional get that right by looking at me if not even i can tell it from the inside??
The thing is, i picked out certain individuals to have open conversations about me and my life and sudden dreams and stuff. And that really felt good, which often led to further mood changes, but i dont get it, how they still persisted to call it shizophrenia...
Yeah and the psychiatrist was asking the same questions over and over again.. so it became a monolog.. no i dont hear voices or see things that werent there neither did i ever in the past.. my psychosis was sudden, short and rather mild to what i've seen and probably self-induced because i skipped my adhd medications, but it was already 1 month between the psychosis and my choice, so i'm not sure. In my psychosis i was confused, i projected a lot of things from the world onto myself and concluded that i was god, controlling everything but unconciously and that my life wasnt real but an aftermath calculation of how i died. So i was preparing thoughts to end my life to save my creation and humanity but i was also in intense fear of death and the most distirbing thing was that my heartbeat became very irregular draining my energy even further. All that could also came from the fact, that i was 99% in my bed and blocked out the sun entirely..
It was clearly a psychosis and i told a friend, that i have one. At some point i wanted a proof if i'm god and said to myself i wanna change the gender of that friend. The funny thing was that he told me 5min after my thoughts that he wanna be called Jana from now on... I was so in fear at that point.. because i also wanted my grandma dying instead of me and that my brother should develop shizophrenia instead of me. All these things already happened and i felt like able to change my past like a god once again.
Also months before i got the psychosis i lost my appetite partly due to the adhd medications partly due to the heavy corona restrictions.. and i skewed up my diet so hard, that i had problems to go up stairs despite my normal statue and young age.. i couldnt eat more than 1500 kcal a day, even if i foced me to do so. Most of the time i was lying in my bed and went buying stuff from the grocery store only late at night.
And i know, that intense hunger and lack of certain nutritions can cause psychosis.
My guess is that it resolved around a major bipolar depression with mixed maniac stuff at the end followed by a brief psychotic episode due to a potassium deficency due to a lack of vitamin d due to intense and long-lasting hunger from where the heart problems and psychological fear of death could have come from, and the hyperreflection and the stronger than usual adhd symptoms and mood changes.
But every psychiatrist told me another story about what was wrong with me and the last one disliked me so much, that i left her. Her diagnosis was just about personality disorders, and that was kinda irrelevant for my status quo after the clinic since my problem didnt came from social problems, because i already knew that most these personality things were comming from emotional abuse, being neglected or stuff.. and that would also lead to socializing problems in general. And i don't have that anymore.
Are "thought blocking" (schperrung) and "thought insertion/uncontrollable stream of thoughts" (mentism) considered as a "hallmark" symptoms of schizophrenia ?
Pretty much yes. Thought insertion is what has been termed a schneiderian first rank symptom meaning it’s mostly seen in schizophrenia. There may be some people who have thought blocking such that it is not exclusive to schizophrenia. But it is a considered a psychotic symptom
You have changed my life in the last few days of discovering your channel. I have a doctor whos great aswell and I think your a blessing and doing a great job. I have alot things going on within adhd, bipolor,depression ptsd ,dyslexia, in a lil schizophrenia aswell. Ive dealt with them my whole along with other battles in been taking the time to learn. I appreciate very much 🙏🙌💯
I've always copied others around me to make friends (personality/humor wise) now I'm always alone and have no one around long enough to copy
My cousin died recently and my brothers getting married soon, but i couldn't cry for her or smile for him but despite all that I feel pretty ok. I had depression PTSD and bipolar2 but my PTSD is completely gone i have no anxiety.
This video was very informative and i will bring this up with my doctors
Thank you
The best psychiatrist on TH-cam; always so informative
No idea why I’m here but grateful to have you because this is truly interesting!
Psicolybin helps in depression, got mine from a online store
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Trip_mycologist
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B R I L L I A N T video, Dr. Marks! The demos REALLY paint the picture; that there are variations of them is obvious, to me. So much of the time, mental health discourse is so verbose that it achieves more muddiness in understanding than clarity. But, as the adage goes, "a PICTURE is worth..." Thank you!
Very detailed and informative video. Wishing you well my friend.
Thanks a lot Lewis ❤️😊
I love your videos because they give me actual words to explain my psychotic symptoms and other mental illness experiences
I usually have a really hard time hard time talking about how I feel or what I did like you showed in the video. I can still talk about other topics. I also do notice the mismatch between my emotions and expressions. I guess this explains why people sometimes ask too many questions. I also end up having a lot of trouble giving details when I'm having those moments.
A flattened aspect can also be caused by head trauma and traumatic brain injury
Dr. Tracey, I love your videos. I have learned so much and I have attempted to binge watch ALL of your videos. I am making the comment on this video as it is your most recent and I am hoping that you will read it. The problem that I am having is that your older videos have music in the background which makes it very difficult for me to focus on what you are saying. If there is anyway possible that you could republish your videos from 3 years ago w/o music, that would be most helpful. I know it is alot to ask of you and I understand if it is not possible but with all of that being said, I am glad that your most recent videos are without music. The quality is EXCELLENT and again, I appreciate you.
You’re amazing! Your PMDD video brought me to you’re videos. Very informative, always looking to learn
This video is REALLY REALLY fascinating *on edge of seat*
This is the best video of yours I’ve seen. Thank you
not sure what wrong me now at the age of 50 :( scared even if my nose gets stuffy, can't sleep and need to have my vapor rub next to me. When i eat i get scared i forget how to swallow my food. and spit it out. I get depressed and feel like i dont want to live like this. want to quit my job and go live with my parents . All i want is them around me. and am balling now and am at work. Also i don't want to take meds be cause that as well gives me anxiety. :(
Thank you Dr. Marks! I had a question: how is someone treated with medication if they have both depression and schizophrenia? Since most antidepressants increase serotonin and/or dopamine, and most antipsychotics do the opposite. I know that mental illnesses are caused by more than the balance of neurotransmitters, but curious as to how this relates to medication. Is this why people end up taking 6+ medications?
Hi your question is great. I got the same question. Just wonder whether Dr replied you or not… can you share? Thanks!
Same here… and how atypical work on d2 and 5HT2A receptors
In what way does it manage when your symptoms are positive or negative???
This video is verry helpfull you can't imagine how much hope you gave me in my life
Oh that’s awesome I’m so glad to hear that 👍🏽😊
A super informative and helpful video, thank you! Much appreciated!
You’re welcome 😊
Thank you,. That was very informative. Are schizophrenia and depression differentiated or on the same spectrum? Apparently, a person can have aspects of both conditions at the same time? Also, is cognitive decline associated with both conditions and is cognitive decline avoidable?
It seems that both labels are superimposed on a complex of underlying conditions and symptoms; that these complexes can be further broken down into independent, or sometimes co-morbid, sub-conditions and symptoms; that the labels cannot adequately represent individual cases; and that these terms are too broad for effective individual treatment, aside from obvious overriding and problematic symptoms? How prevalent, for example, is the paradigm case of either condition?
Also, there is a great deal of misinformation and bias associated with both labels, perhaps it is time to treat and label the underlying conditions with a finer stroke than to use the broad brush of characterization?
I hope this makes sense.
The difference between negative symptoms and depression so subtle that it looks like completely impossible to distinguish between them.
they can ... its more tricky for psychiatrist than psychologist but still .. treatment is quite similar+ its not uncommon to be depressed and schizophrenic at same time. ... so being misdiagnosed is not really that big issue
@@alanea5860 the problem is that sometimes schizophrenics react very badly to antidepressants. I developed psychosis and severe akathisias each time I started to take an AD of any kind. Schizophrenics must take atypical antipsychotics in their negative phases, but not ADs.
After 20 years of treatment for Bipolar I never have extreme ecstatic highs and only occasional lows. One persistent experience is a lack of emotional dynamic. I am stll intellectually curious but I cannot anticipate pleasure nor do I much enjoy positive things. Although I am amused by certain things I never laugh whereas I used to a lot. Even when people who were close to me died - my grandmother, father, cousin and nephew - it did not affect me. I guess I am well.
Aliciac dialogue sounds a lot like the teenage years I went through with my boys. Neither boy is Schizophrenic. 😉
😃 speak!
Thank you Dr. Marks your role plays are very instructive.
Thank you 🙏🏽
I'm wondering if it isn't easy to conflate simple schizophrenia with persistent depressive disorder as well?
Not really. Some people with persistent depressive disorder have a mild form of depression. It used to be called dysthymia. It doesn’t look like schizophrenia at all The people are low but not so low that they look flat.
@@DrTraceyMarks I see. Thank you for the response.
Could you do one on learning disorders?
Also, you should have a podcast or something. Your voice is so soothing.
Can you do a video on spectrum disorders and neurotypes? Everybody accepts that autism is a spectrum/neurotype and schizophrenia is on a spectrum starting with schizoid/schizotypal, but some people think they are two different spectrums and others think they are on the same spectrum. What do you think? Also some people consider psychopathic to be a spectrum disorder or neurotype and I would love to hear you weigh in on this. Not everybody accepts psychopathic and schizophrenic related disorders as neurotype, but do you think maybe that would be a more helpful construct that the current one of personality disorders? I know people with autism who think they are psychopathic and vice versa and the prison system is full of people that exhibit both, as well as aspects of schizophrenia. Are you seeing this in the prison systems where you have worked? If autism and schizophrenia are not on the same spectrum, why can't a person be diagnosed as autistic and schizoid at the same time? Could schizoid and schizotypal be a sort of induced autism, the way so many doctors erroneously though all autism was in the 1950s and before when mothers were assumed to be responsible for a child's developmental delays? Some children did develop this way as a result of neglect and abuse. These children or more likely to grow up to have personality disorders, but as children may not be distinguishable from children born autistic and well cared for (and also perhaps autistic children that are neglected and abused). Autistic people don't usually have delusions, but they are very suggestable, similar to schizotypal. Could that be what predisposes a person to delusions and eventually hallucinations?
Thank you so much if you actually read my long question and I will be super grateful if you ever answer it. Thanks also for your videos and your work. You are helping people understand each other and themselves that's a great thing to do.
i keep hearing people say that autism and schizoid personality disorder/etc cant be (officially) diagnosed at the same time, but i am confused as to exactly which phrase in the dsm would explicitly point to that, bc as of what i know the dsm just says schizoid pd symptoms cannot occur EXCLUSIVELY during the course of autism. the way i interpret that, doesnt that just mean the szpd symptoms cannot be wholly attributable to autism criteria??? not that both cannot be diagnosed at the same time??
@@agkdjsdjkd I first heard this in intro to psych class in college and have heard other lecturers on youtube say this as well, all stating it comes from the DSM, so this must be how its meant to be interpreted. I think the wording could be better but, I still don't see any other way you can interpret this based on the fact that 1) people are born autistic and 2) they are never not autistic. So how could any other disorder not occur exclusively during the course of autism if you are autistic?
Wow, this was a fascinating read! I would absolutely love to have a video on this!
Really interesting thoughts! I would say the reason some disorders are not diagnosed together isn’t because they are the same thing, but more due to wanting to reduce redundancy. Someone who has both autism and schizophrenia can easily hit the criteria for schizotypal, but that would be pointless for that person to have all 3 diagnoses.
Peace Dr. Tracy! Just seeing how you are doing? Interesting insight.
Thanks for checking in 👋🏽
Great detailed information without all the extra. Unsure which catergory I fall under.
DR. MARKS I LOVE YOUR VIDEOS ABOUT MENTAL ILLNESS AND DIFFRENT EMOTIONS DUE TO OUR UPBRINGING AND EXPERIENCES. DR. MARKS YOU ARE A BUEATIFUL WOMAN SO GLAD FOR YOUR SUCCESS. FROM BRIAN AKA SHAKA ZULU.
Dr Marks. Why is it we/ me can develop bad habits so easily and so difficult to develop good habits. Thankyou for helping us all.
That’s a great question. Why do we skew to the negative? Maybe it so happens that the bad stuff is the path of least resistance. But why does it have to be that way? You’ve got me thinking…😊
@@DrTraceyMarks Thankyou Dr. Tracey.
I hate how depression medicines make me feel. I hate feeling medicated, flat. Not there, but there. But I push on through.
Today, the mushroom compound is being used in clinical trials for end-of-life anxiety, treatment-resistant depression, addiction, eating disorders and other conditions with unprecedented success, and psilocybin-assisted therapy has been given FDA “breakthrough therapy” status as a treatment for depression.
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Has the best record of good strains n they will teach you all you need to know before dispensing...you gon be grateful
As a therapist, this was so helpful! Your explanation gave me a much better grasp of what the client is experiencing as they interact with others. I could imagine it would worsen any existing paranoia to feel like you're being grilled by everyone you talk to and not understanding why.
Great video, very informative as always!
It ‘s very instructive Dr. Marks. Thanks so much!
Same goes for alogia. Honestly, I am having a hard time differentiating the negative symptoms of schizophrenia with depression because a it seems reasonable for a depressed person to show all of the negative symptoms without being schizophrenic.
Will you please do a video about rejection sensitivity and rejection sensitive dysphoria? I’m struggling.
Please talk about the symptoms of a person who is being emotionally and or physically abused and is "shut down".
You giving an example of a person with schizophrenia having a conversation reminds me of me trying to have a conversation 😅
thank you so much for this explanation. it was much needed.
Very clear and informative video- thank you!
Psychedelics or stimulants can help with negative symptoms?
Wow, excellent information, thanks!
Hi Dr Marks! Firstly, thank you for the great video as always, would you at all be able to cover psychiatric medications and prolactin? There are different types that can cause an elevation but antipsychotics such as risperidone are notorious. I’ve also heard that the addition of adjunctive aripiprazole can in some cases help lower levels but this doesn’t seem to be widely accepted. I’d love to hear your take as this can be a big problem with antipsychotics!
It is. I have to say I’ve only seen it with risperidone though. But thanks for the question I’ve saved it and added it to my list. I’ll have to look into what other medication commonly caused this. They’re not all psychiatric meds as you probably know
I need a video about overthinking,,, and low self-esteem,, please Dr
Don't know why u randomly popped up on my home page at 3am but I'm so glad you did. I wonder if u have one on bpd vs did
When i was 26 I was violetly and sexually assaulted on my way to school. I told my friends the facts of what happened in detail and they laughed at me. I told my mother and she told me it didn't happen. No one believed me. I understand now, my retelling with blunted affect seemed incongruous with having just been assaulted. I received a formal diagnosis of ASD a few years ago.
Thank you for that clear and concise explanation. :)
Thank you for this video so much, it helped me as I had the exact same question.
Thank you so much Dr Marks for sharing all that information, it's so helpful. I would like to ask if it is harmful in anyway to take antidepressants for many years.
8:25
Neuralink has been FDA approved.
I love you with all my heart am crying atm thank you for this video
I always thought that depression was absent in schizophrenia. Interesting
People with schizophrenia are at a higher risk of developing major depressive disorder, although it is harder to diagnose due to the overlap in negative symptoms of both diagnoses.
Probably is something else for me but I relate a lot to the emotional blunting. I dont know how to get excited for things anymore, like it just doesnt happen. I dont feel depressed, I just feel blank a lot of the time. Ive had depression so I know what thats like, and its not that. It's not occasional either, its been building year over year for the last 10 or so
Hi Dr. Marks, Can you make a video on this new term I'm seeing called "Fawning Response" and maybe a spin-off on how to deal with it? It looks very similar to trauma responses from people pleasing, self-worth, etc.
Can you please explain the difference between autism in schizophrenia as you mentioned vs autism spectrum disorder type autism?
I haven't watch the video yet but as someone with both disorders (although I don't really have normal schizophrenia, I just have negative symptoms, but I don't know exactly why), it works like this:
Both are the same in that you are unable to experience things you were able to experience and it feels terrible.
But both are very different:
- With depression, you are totally aware those things that you are missing, they are almost at reach but you simply cannot get there. And that causes insane mental pain and stress
- With negative symptoms, those things are missing disappear completely, you no longer really hurt that you are missing them but you have an inner feeling of confusion and remember the things used to be there. It is not such immediate pain as depression but it is worse long term because there are fewer things to catch on with your life.
Both are terrible but the good news is that both are somewhat manageable. I thought I would die 10 years ago and eventually I somehow put myself together and got a job and a familly
Ok, I watched the video and it is very accurate, thanks!
THANK YOU SO MUCH, this video helped me put a name to my Alogia & Negative symptoms (which has been ruining my life) which lead me to a medicine that could help with it.
THANK YOU SO MUCH DR. TRACEY
What med is that? Any luck so far
Thanks Dr Marks. Can you talk about why a person can't cry or stops crying.?
Dr Tracy. Would You Do Age Regression Schizophrenia. I’m sure my son had it and I’ve only heard it spoken about once after he passed on Oprah. The Older He Got The Younger He Acted. He did pass Away in 1994 Same year she had This on Her Show. Though it was not his Clinical diagnosis it is what my daughter and I noticed over the years with his behavior. Ever sweet loving young man deeply missed. Thank you for having these videos. I watch all the time. Mental illness runs on my mothers side of the family.
I have been diagnosed with bipolar disorder with a seasonal pattern and psychotic features. My psychosis happens while I'm depressed, usually. It's happened when I smoked weed, too. But that's a bit different.
Anyway, I've had postpartum depression twice and postpartum psychosis once. Can you, please, do video on how common/uncommon postpartum disorders are if you already have preexisting mental health disorders? I'm curious as to how common it is to develop postpartum disorders if you have other disorders already. It may help me understand why I've suffered from PPD and PPP. Thank you!
Thank you forthis video! I ❤ your blouse!
Brief psychotic episode a thing? Because I went a little bonkers. I had full on schizophrenia symptoms and I was admitted to the ER and was put on all resperidone and all symptoms went away in a few months this was in 2017
Is it possible to experience “Alogia” during a severe major depressive disorder? Thank you so much for answering ❤️
Hi Dr Tracey!! Before I ask a few questions I’d like to comment on how insightful everything you talk about is and how I really appreciate it!! This is a world of knowledge that you’re explaining to us and I think it’s so cool that you tell it to us in simple terms we can understand.
Alright, please excuse me for the long list, I have quite a few questions.
I noticed that while talking about psychotic symptoms you don’t mention or bring up trauma, PTSD, or CPTSD as a possibility and I was wondering why (even though trauma by itself doesn’t induce those symptoms)? I am in no way a professional, just someone highly interested in disorders of the mind but while looking into a possible reason for hallucinations (along with psychotic symptoms) I noticed other things were mentioned way before PTSD was. As for the symptoms for PTSD and the like, are they too general and cover too much (as in symptom wise, because from what I’ve seen those dealing with PTSD and it’s relatives mess with every aspect in someone’s life, from sleeping to eating to focusing and so forth) when discussing them to try and cram it all into one video?
Do you plan on going more in depth on trauma, PTSD, and CPTSD?
Another thing I’m curious about is as they are named psychotic symptoms, would that indicate a possible episode no matter the disorder it’s branching from? How would you tell it’s getting to that point of an episode? I remember you mentioning that they might be subtle, or I could be remembering wrong. What if they only have psychotic depression; are they still at risk for an episode?
What would a person who dissociates often and has psychotic depression look like compared to a schizophrenic?
Are there any possible ways to ground yourself when you start dissociating or do you have to let it happen? What’s the best way to process the event that caused you to dissociate? How do you tell it’s legitimately dissociation or if it’s just spacing out?
Can you possibly treat any of this without medication? Would having a routine, working out or staying active regularly, a balanced diet, a healthy sleep schedule, healthy coping mechanisms and therapy work in place of medication?
As for neurotic, borderline, and psychotic being used for psychoanalytic circles, what would PTSD fall into? I can see how it could go in both ways.
For someone who is considered neurotic, does that stem from another disorder or could someone have it without one? What different disorders are considered neurotic? And what different disorders would be considered borderline and psychotic? That’s probably a bit too broad of a question but I thought it couldn’t hurt to ask.
For someone who is neurotic, are there specific ways to become less absorbent? I saw there was a video mentioned about coping mechanisms (which I will be checking out) but specifically are there ways to take on less on the world? For someone who could say they are an “empath” would that probably indicate they’re neurotic?
As for neurodivergency, specifically for what most people know is neurodivergent (autism, ADHD, OCD, dyslexia, etc.) when, technically neurodivergent counts as any disorder because it’s defined as “differing in mental or neurological function for what is considered typical or normal,” will you be able to go more in depth in it? Specifically autism and OCD?
Thank you for patiently going through all of that! I know it’s a lot. Again I really enjoy your content. Also I absolutely understand if I don’t get a response! Once again, there’s a lot and you have a life and your own schedule.
Have a good day!
Anti psycotics can make you feel less happy and motivated. So in others words they can make you slightly depressed. This drugs induces new problems on top of a a disease.
I love this video which made clarifications most
great content as always
This is a tough one