One of the various mentally distressing symptoms endured by schizophrenic patients is hallucinations. The most common type of hallucination is auditory hallucinations. It is usually experienced by voices that are perceived as distinct from the person’s thoughts. A case was studied in which a fifty-year-old male diagnosed with multimodal hallucinations, in which hallucinations can occur in single modality or more than one.
The patient used to hear voices of various unknown people coming from a distance, and while listening to those sounds, he was also able to visualize those people in an external space in the background. These images were seen as distinctly as an object and he could experience them every day in clear consciousness. He could also experience the smell and taste of a specific food and was able to describe it. For treatment, he was getting clozapine, which is more active in treatment resistance, and the dose increased 300 mg/day gradually over four weeks, which reduced his hallucinatory behavior from thirty-seven to nine in nine months.Disorganized speech and behavior, where a person may shift from one point to another that has no evident combination with the previous issue, is a very significant symptom of schizophrenia.
Sometimes, speech may include meaningless words being put together that nobody can understand. Most people also suffer from behavior difficulty, this can include resistance to instructions, behaving in inappropriate ways, a lack of response and engaging in strange constant motion, called catatonic behavior. Kahlbaum first described the concept of catatonia in 1874. He described it as a state “in which the patient remains completely mute and immobile, with staring expression, gaze fixed into space, with an apparent complete loss of will, no reaction to sensory stimuli, sometimes with the symptom of waxy flexibility completely developed, as in catalepsy, sometimes of a mild degree, but recognizable.” A schizophrenic is at risk to be a harm to himself, as well as a harm to those around him. This has been less common in the past few years, due to advanced treatment.Over the years, the causes of schizophrenia have been uncertain. However, now that it has been studied carefully for more than a hundred decades, we understand some factors that may cause schizophrenia, although some still remain unknown.
. The current research shows us that schizophrenia is based on two causes. The first being, an underlying factor originated from birth known as a predisposing factor, which makes a person more susceptible to the condition.
It has been observed ever since schizophrenia was discovered, that it tends to run in families. A higher risk of developing this disease, is for a person with a family history of schizophrenia. It increases the risk to 10 percent. However, twin studies have shown that if one child has schizophrenia the chance of another child having it as well, is 50 percent.
A case of single or multiple gene presences in the body automatically confer a particular risk for developing schizophrenia. The Second is a precipitating factor, which occurs commonly in late teens or early twenties. The stress caused by a bereavement or prolonged period caused by overwork.