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What is the psychological approach to psychosis?


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I saw a psychologist for anxiety but now I am seeing a psychiatrist for psychosis and I am not seeing a psychologist at the moment, the psychosis I hope is not permanent. By the way he was talking it seems he is suspecting I have schizophrenia but I have not been diagnosed with it, although I have had negative symptoms for quiet a while.

 

I am wondering what type of CBT is beneficial, has anyone heard of how n-back training effects schizophrenia or mindfulness meditation?

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I think psychological therapy would be useful for negative symptoms. However, I have not personally found therapy or mindfulness useful for psychosis. The only way in which therapy was helpful was by helping me reality-check my delusional thoughts, keeping me safe and by helping me process what happened after the episode. 

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Parapluie,

 

You are able to do reality testing DURING psychosis? that is pretty cool. Sometimes I wonder if the paranoia or delusions are real when I am in an episode but usually decide they are real.

 

My tdoc wants me to come see him the next time I have an episode, but there is no way I am leaving the house when I am that way now that I am not working.I always wondered why he wanted me to come then.

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Parapluie,

 

You are able to do reality testing DURING psychosis? that is pretty cool. Sometimes I wonder if the paranoia or delusions are real when I am in an episode but usually decide they are real.

 

My tdoc wants me to come see him the next time I have an episode, but there is no way I am leaving the house when I am that way now that I am not working.I always wondered why he wanted me to come then.

 

Sometimes I am able to reality check during psychosis, but my tdoc had to reality check for me a lot. I tend to maintain insight when I'm psychotic. I get caught in the horrible place where I doubt reality and I doubt what the psychosis is telling me, and I'm just terrified. Usually, I "know" I'm psychotic. Not always though. 

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I embraced the altered reality I even told my nurses and other patients I was crazy but I didnt know what my delusions were.

 

One night when the seroquel was wearing off this psychiatrist in the ward was crying because one of her patients had heart problems from the meds and they must of thought she was going to die. I remember staring at her trying not to laugh I must of looked so crazy and she saw me too. I told my dr next time I saw him I had inappropriate affect and called myself deranged.

 

I think I need to see a psychologist who specialises in schizophrenic patients cause my plan now is to try get undelusional but then confront my 2 suspects and sus them out, my dr thinks that anything they do will fuel my delusions but this was not the case when I confronted one friend. This time I will do it slyly as to not give myself away as being crazy.

 

Oh yea when I was going delusional I felt I was being spiritually enlightened by karma.

Edited by ScrambleHead
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I tend to reality-check myself often. Though usually I find that it's pretty obvious when I'm psychotic. Just too many things happen at once for me to miss it. My problem is believing that the paranoia is not real; I know I'm being paranoid but I am behooved to believe that it is real. Hard to explain, but it's like I think I'm being delusional if I believe it's not real ('they' want me to believe that I'm delusional so I don't suspect anything.) So whether I can tell I'm being delusional or not, I am stuck believing in it.

Lately, I've been coping by burying my face into my bed and telling myself that the 'coincidences' and 'conspiracy' are not real and just shutting myself off from everything for an hour or so.

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I have my husband reality check for me...the one thing that really helps me with my visual hallucinations is that the bugs I "see" are all the same kind. Have been for years. It just took me many years to realize that. Hubby is pretty quick to help me. The stuff I don't share though...that's harder.

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i've never been in what you'd properly call therapy when psychotic...i'm assuming you mean when in the hospital? i've not done CBT at all...but when i'm psychotic...i'd say there's not a lot ...it would be, quite frankly, most liekly a big waste of a therapist's time. depending upon what happening at the time...*best-case scenario*: i'd get keen on having ...or seeming to have a conversation and it'd occupy me for awhile...worst case scenario...i could be abjectly opposed to being "investigated" or ...and if the person just struck me wrong...boom...i accuse people of shit and i'm tough to shut up...i can be really disruptive...and if it escalated...i'd just end up in restraints for the afternoon...so...i suspect  since the best scenario is that i'm occupied...but taht's not exactly "therapy"...the right film can equally occupy me and doens't require someone on the clock, you know? and given the worst case is...decided UNtherapeutic in results...

 

until i'm more stabiliized...at least not florid...i can't see the point.

Edited by mellifluous
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