What's the difference between paranoia in schizophrenia and social anxiety?
Posted 26 October 2012 - 02:55 PM
What's the difference?
Diagnosis: Schizophrenia, GAD, Social Phobia
Current Medications: Wellbutrin XL 150mg/ day, Haldol 10mg/ day, Luvox 200mg/ day, Haldol 2mg PRN, Xanax 0.25mg PRN.
Medications i've tried: Prozac, Celexa, Lunesta, Ambien, Saphris, Risperdal, Trileptal, Tegretol, Seroquel XR, Seroquel, Trazodone, Fanapt, Remeron, Lithium, Klonopin, Ativan, Invega, Latuda, Lamictal, Thorazine, Zyprexa
"All the world will be your enemy, Prince of a Thousand enemies. And when they catch you, they will kill you. But first they must catch you; digger, listener, runner, Prince with the swift warning. Be cunning, and full of tricks, and your people will never be destroyed. " ~ Frith, Watership Down
Posted 26 October 2012 - 05:18 PM
*Cue all the CBs members with social phobia who have the exact same symptoms as you do*
So take what I say with a grain of salt.
Dx: Bipolar 1; GAD; Migraine w/ Aura; Migraine w/o Aura; Status Migrainosus
Rx: Alprazolam; Dihydroergotomine via IV Infusion; Flexeril; Lamotrigine; Latuda; Lithium; Metoclopramide; Midrin; Potassium Citrate; Prilosec; Promethazine; Riboflavin; Tizanidine; Verapamil; Vitamin D3; Zofran
Currently Shelved: Abilify; Amerge; Anaprox; Atenolol; BotoxBuproprion; Buspar; Cafergot; Cymbalta; Depakote; Di-Hydro-ergotamine, injected; Gabapentin; Geodon; Imitrex Tablets; Klonopin; Maxalt; Migranal; Namenda; Nortriptyline; Norvasc; Propranolol; Prozac; Risperidone; Relpax; Sansert; Sumatriptan injectables; Tegretol; Trazadone; Zoloft; Zolpidem; Zomig; Zonegran
GLENDOWER. I can call spirits from the vasty deep. HOTSPUR. Why, so can I, or so can any man; But will they come when you do call for them? -Shakespeare
I moderate Bipolar, Anxiety, Dissociative Disorders, Migraine, Chronic Pain, Seizures, NOS, Mood Stabilizers, Side Effects, Family Feud, Relationships, and I Still Have Issues
Posted 26 October 2012 - 05:45 PM
I can't comment on the schizo question. But your description sounds like my experience with social phobia.
Posted 26 October 2012 - 05:57 PM
Current Psychiatric Dxs ... Schizoaffective, Schizophrenia-type; Anxiety disorder, PTSD, agoraphobia
Also recovered Anorexic/Bulimic finally after 20 years.
Current meds: Provigil, Klonopin, Xanax, Naltrexone, Wellbutrin, Abilify, Lamictal, Prozac, Lansoprazole, Linzess, QVAR inhaler, Xopenex inhaler, Flonase, Flexeril, Zofran.
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Posted 26 October 2012 - 06:44 PM
In schizophreniform (how's that for a fancy word!) disorders, the paranoia is not necessarily limited in this way. That is to say, the paranoia can be more broadly focused and include delusions of persecution as well as other foci.
Think of social anxiety akin to a simple phobia, but instead of being afraid of spiders or snakes, you're afraid of interactions with others.
In schizophrenia, there isn't this same kind of fear necessarily. The paranoia has a different quality or flavor and is usually based on a delusion.
Edited by Wooster, 26 October 2012 - 06:47 PM.
Boards I mod on: self harm, panic/anxiety, ptsd, ocd, dissociative, sleep, not otherwise specified, benzos, lifestyle alternatives, therapy, health care system
Current medicaments: 60# golden retriever service dog, swellbutrin & sertraline, mega vitamin D, klonipin for sleep
*disclaimer--Nothing I write should be construed as professional advice or creating a therapeutic relationship.*
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Posted 15 November 2012 - 03:55 PM
More recently, with the psychosis managed by medication and lessened over time - I still have social phobia and the same fear of going outside around people. But the experience is much more related to my own thoughts about myself/self talk. In public those thoughts are are mean, judgemental and self-loathing thus perpetuating the social phobia.
Like Wooster said - one was based on the delusion that I could hear people's thoughts and the other is based in a neurosis of my own negative thoughts directed at myself.
My Medness: (Psych) Vybriid, Lexapro, Abilify, Seroquel, Propanolol, Klonopin
(Phys) MsContin, Norco for pain
(In the past) Thorazine, Stelazine, Haldol, Trilifon, Remeron, Moban, Dilantin, Zanax, Ativan, Valium, Pamelor, Wellbutrin, Artane, Neurontin, ECT
There is no coming to consciousness without pain. -Carl Jung