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I am so so so sick of people thinking that DID is schizophrenia... sick of explaining to people over and over that they are NOT the same and that one DOES NOT develop into the other.

So, I would like to compare the two disorders, Schizophrenia and Dissociative Identity Disorder. To shed light and more understanding about these two mental disorders.


SCHIZOPHRENIA

Schizophrenia is probably one of the most stigmatized mental disorders. It seems that in so many cases, dealing with this disorder is just too much for some family members and the person suffering from the disorder loses family support and any help that they could provide. People suffering from this disorder tend not to stay in treatment and tend not to take the medications that have been prescribed for them. This can definitely cause a lot of upheaval within the family. Schizophrenics sometimes hear voices that seem to come from outside themselves. Not all schizophrenics hear these voices, but many do. If medication is administered on a regular basis, the schizophrenic can function normally within society; it is when they fail to maintain a regular schedule of medicating that problems arise. There are several types of schizophrenia as well, such as paranoid schizophrenia and schizoaffective disorder.


Symptoms of Schizophrenia:

I. Positive (or psychotic) symptoms, according to DSM-IV, "reflect an excess or distortion of normal functions" and include: delusions, hallucinations, disorganized speech, and disorganized or catatonic behaviour. These symptoms can be effectively treated with antipsychotic medication.

1. Delusions are defined as "erroneous beliefs that usually involve a misinterpretation of perceptions or experience" and cannot be accounted for by the persons cultural or religious background or level of intelligence. A person experiencing delusions strongly believe in their beliefs and will hold firmly to them regardless of the logical arguments and evidence presented. According to the delusion's content theme, schizophrenics can experience several different types of delusions, such as:
• Persecutory delusions. They are the most common form of delusions experienced in schizophrenia, and their content revolves around the theme of being spied on, followed, ridiculed, tricked, cheated, conspired against, etc. These persecutory delusions usually involve bizarre ideas and plots.
• Referential delusions. According to these delusions certain events, objects, remarks, gestures, comments, passages from a book, newspapers, song's lyrics, news, or environmental clues have a personal meaning or are directed to the individual.
• Somatic delusions. These delusions focus on the diseased, changed, or abnormal characteristic of a bodily functioning, bodily sensation, or physical appearance. For example, the patient can believe that their body is infested by parasites or that their organs were removed and replaced with someone else's organs by a stranger that left no wounds or scars.
• Religious delusions. This type includes any delusion with a religious or spiritual content. Some of these delusions can have grandiose characteristics such as the belief that the person was chosen by God. However, religious delusions vary across cultures and in some cases, can lead to violent behaviours.
• Grandiose delusions. They express the individual's beliefs that they posses special powers, talents, abilities, are famous people, or have accomplished great achievements for which they never received sufficient recognition.


2. Hallucinations are false or distorted sensory experiences generated by the mind and not by external stimuli which appear to the person as real perceptions. The most common hallucinations experienced by individual with schizophrenia are:
• Auditory hallucinations. This type is by far the most common hallucination described by schizophrenics. They are mostly experienced as familiar or unfamiliar voices or sounds. A typical auditory hallucination in schizophrenia is one where there is, "two or more voices conversing with one another or voices maintaining a running commentary on the person's thoughts or behaviour." In many cases, these voices are critical, vulgar, or abusive. Auditory hallucinations tend to get worse when the person is alone. When severe, these hallucinations intrude into the person's life and activities, and the patient can even respond to them as if in conversation.
• Visual hallucinations. This type of hallucinations are also divided in simple (elementary or non-formed) hallucinations such as dots, colours, flashing light, or geometric patterns, and complex (formed) hallucinations such as objects, animals, or people.
• Olfactory hallucinations (smell).
• Tactile hallucinations (touch).


3. Disorganized speech. One of the characteristic features of schizophrenia is fragmented thinking. Fragmented thinking can be observed in the way the person talks (disorganized speech). This disorganization can vary in patients with schizophrenia. Some individuals can "slip out of track" from one subject to another, speak incoherently, or express illogical thinking. When answering questions, schizophrenics can "be obliquely related or completely unrelated."
Some of the most common signs of disorganized speech include:
• Loose associations - The person rapidly shifts the conversation subject from one topic to another without connecting them.
• Neologisms - Neologisms, in schizophrenia, refer to those made-up words or phrases that make sense only for the patient.
• Perseveration - The patients repeats the same words or statements over and over.
• Clang -The patient uses different rhyming words in an order that doesn't make sense.


4. Grossly disorganized or catatonic behaviour. Disorganized behaviour can manifest in various ways such as: childlike silliness, unpredictable agitation (shouting or swearing, muttering aloud in public), difficulties in performing activities of daily living (preparing meals or maintaining a proper hygiene), dressing in a bizarre manner (such as wearing multiples scarfs, multiple coats, or unsuitable cloth for the outside weather - gloves on a hot day), or display inappropriate sexual behaviours (masturbating in public). On the other hand, individuals suffering from schizophrenia also display what is called a catatonic behaviour. This behaviour is characterized by muscular tightness (rigidity) and lack of response to the environment. In severe cases, the catatonic behaviour can reach an extreme degree of complete unawareness (condition known in medical terms as catatonic stupor) when the body maintains a rigid posture and resists the efforts to be moved.


II. Negative symptoms are those symptoms that reflect the loss of normal functioning, and include: flat affection, avolition (withdrawal, loss of motivation, and ambivalence), anhedonia (loss of feeling or inability to express pleasure), and alogia (poverty of speech). Approximately 25 percent of the patients with schizophrenia display what is called the deficit syndrome "defined by severe and persistent negative symptoms". Unfortunately, negative symptoms are the main reason why individuals with schizophrenia cannot live an independent life, hold jobs, and establish personal relationships.

1. Affective flattening is a common symptom in schizophrenia, and is characterized by unchanging facial expressions where the face appears immobile and unresponsive, poor or no eye contact, reduced body language, and decreased spontaneous movements. A person with affective flattening "may stare vacantly into the space and speak in a flat, toneless voice." In certain occasions, an individual with affective flattening can smile or warm up, however their range of emotional expressiveness is diminished most of the time.

2. Avolition is a symptom characterized by the absence of initiative or motivation to begin or maintain a goal-directed activity. This symptom involves a lack of energy, increased apathy, and/or lack of interest in daily activities. A person with avolition may sit for hours doing nothing and show little interest in engaging in social or work activities. They can lack the desire to maintain proper personal hygiene or to groom, and have difficulties taking decisions. When these symptoms occur in the clinical picture, it significantly interferes with the individual's ability to function normally in the work, social, or household settings.

3. Anhedonia represents the inability to feel joy. This symptom manifests when the individual lacks the interest in social or recreational activities and fails in developing close relationships.

4. Alogia or "poverty of speech" is characterized by "brief, laconic, empty replies." Individuals with alogia appear "to have a diminution of thoughts that is reflected in decreased fluency and productivity of speech"; they tend to be vague and repetitious. However, this symptom should not be confused with the lack of desire to speak.



III. Cognitive symptoms (or impairments) also called cognitive dysfunctions or disorganized symptoms are often present in people with schizophrenia. However, this type of symptom is subtle and is usually detected when the patient undergoes neuropsychological tests. Some of the common cognitive impairments associated with schizophrenia are:
• Difficulties prioritizing tasks and organizing their thoughts.
• Trouble with logical thinking.
• Confused and disordered speech.
• Inability to sustain attention.
• Difficulties making decisions.
• Problems with memory.
• Lack of insight into their condition.




Treating Schizophrenia is also time consuming. Various medications are given and what works well for one person may not work well for another. Once an effective medication has been applied, most schizophrenics are able to live a normal life and function well in society. Medical Science is currently developing new medications for this disorder and soon there will be more and better treatment options.




DISSOCIATIVE IDENTITY DISORDER

Just as schizophrenics hear voices that seem to come from outside themselves, most people with Dissociative Identity Disorder hear voices that seem to come from inside themselves. People with DID also do not suffer from hallucinations, delusions, or have problems with speech and understanding. The problems arise when there is a switch from one alternate personality to another, which could cause someone to think the person has a very poor memory, when in fact, they do not; they just were not fully "present" for a short time
Dissociative Identity Disorder results, for the most part, from situations where the person is unable to tolerate a situation, so they "flee" by fragmenting the mind, or splitting off. One alternate personality will remain to endure the event and store that information away from the conscious mind. Memories of these events become compartmentalized. Memories that are similar are often telescoped together and not always stored as separate incidents, but rather, as similar incidents in the same compartment of the mind. The more intense, repetitive and lengthy the situation, the more fragmented the personality becomes.


Symptoms of DID:

1. Amnesia. A very common manifestation of the disorder is amnesia or loss of time usually observed by those around the person. Patients with DID experience frequent memory gaps in personal history (as extreme as an overall loss of biographical memory for extended periods of time during childhood, adolescence, or adulthood years), past events (they can forget what had happened during a certain period of time such as 3 years in a row) or recent events (they find items in their house that they do not remember purchasing, written notes with a different handwriting than their own, or evidence of activities they don't remember engaging in). Some expert's hypothesis that amnesia might be possible due to the fact that passive identities tend to have more constricted memories, while the more hostile, controlling, or protective identities have more complete memories.

2. Depersonalization is a dissociation symptom characterized by an alteration in the perception or experience of self, in which the patient either feels that their body is unreal, changing or dissolving, or detached from it, similar with an outside observer of their own mental processes or body while having no control over the situation.

3. Derealisation is also a dissociation symptom in which the external world is perceive as strange or unreal.

4. Identity disturbances are one of the most distinct symptoms of dissociative identity disorder. Individuals with DID usually have a main personality and several alters that take charge in different situations. The alternate identities "are intrapsychic entities that have a sense of self, have an emotional repertoire, and can process information". Some of the alters handle and act out emotions the patient cannot deal with such as rage or terror, others (called internal self helpers) watch what is going on and give advice, or act as friends. Some alters can know, observe, and interact with one another in an extremely elaborated inner world, while others may not be aware of the existence of some alters. When they interact with one another, the patient can report hearing inner conversations which are usually diagnosed as auditory hallucinations. However, DID auditory hallucinations differ from schizophrenia auditory hallucinations due to their distinct qualities. In DID, the voices are perceived to be heard internally in the brain, while in schizophrenia the voices are perceived to come from outside the brain.
We have DID. Everytime anyone is told of this the argument follows;
"that's schizophrenia isn't it?"
"No... it's dissociative identity disorder"
"but... you have multiple personalities, and that's schizophrenia"
"no it isn't"


etc...


It gets a little frustrating lol. And we're sure that people with schizophrenia get frustrated by people thinking that they are a multiple too.

So hopfully this will help
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:iconluucalio:
luucalio Featured By Owner 16 hours ago  Hobbyist Traditional Artist
< 3 
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:iconjohnnyandme:
JohnnyandMe Featured By Owner Jan 20, 2017  Hobbyist
I was diagnosed with schizophrenia at one time but now I'm diagnosed with psychotic disorder nos and d.i.d and borderline personality disorder. So you can be psychotic and also have split personalities. I do. It's rare but it can happen. I have delusions and hear voices but I also change voices and the way I walk and talk. I change ages. I don't notice but my family and therapist and psychiatrist does.
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:iconhipstervi:
Hipstervi Featured By Owner Oct 22, 2016  Hobbyist General Artist
As a newly medically dignosed Schizophrenic I can verify this as true
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:iconfullcolour-canvas:
fullcolour-canvas Featured By Owner Sep 1, 2016  Hobbyist Digital Artist
This article is so on point.
Regardless of the article,i really admire how carefully placed the sentences are and how there is this sequence.i couldn't ever keep my mind in flow.
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:iconalter-frost-storm:
Alter-Frost-Storm Featured By Owner Jun 17, 2016
I love the way you put Dissociative Identity Disorder!! Oh my god your explanation is so much more simpler than the textbooks and what not of the internet!!! Oh my god I'm gonna be referencing to this material a lot thank you!!
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:iconsoulandmakalove:
soulandmakalove Featured By Owner Apr 17, 2015
FINALLY! someone finally said it!
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:iconrachelrainbow123:
RachelRainbow123 Featured By Owner Jan 3, 2014  Hobbyist General Artist
OMG!! //WE// had DID, but //I// have a "mild case of schizophrenia"!!
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:iconchester-steiner:
Chester-Steiner Featured By Owner Dec 31, 2013  Hobbyist General Artist
Mental disorders have always been something that interests me. Thank you for this thorough explanation of both illnesses, I hope that it is alright if I reference to them at some point in the future to help with school work or research :)
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:iconhedonism47:
hedonism47 Featured By Owner Jul 30, 2013
what a crock of shit.  You need an excuse for why you spread your ass for strangers?
do you think anybody gives a flying fuck whether you are DID or schizophrenic? Just a whore to me
Reply
:iconniellerose:
niellerose Featured By Owner Jun 4, 2013
yah i have DID .... im nielles other personality right now <3 -H
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:iconmeowinginsanely:
MeowingInsanely Featured By Owner May 16, 2013  Student General Artist
I think i have both... I have a question!: I'm think I have split personalities cuz when I speak to myself an answer slips from my mouth unknowingly (is it involuntary?) & then I Have Hallucinations 9 at least
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:iconanimangapyogirl:
animangapyogirl Featured By Owner Apr 15, 2013  Hobbyist Traditional Artist
I have DID. one of my personalities actually is the one who writes the poems I have on my profile. :/ would u by any chance know if it is possible for someone to have both schizophrenia AND DID? my boyfriend apparently has them both.
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:icondarazan:
darazan Featured By Owner Jan 12, 2013  Hobbyist Traditional Artist
Thank you. This is a very well put together post. I don't have schizophrenia or DID, but having people misunderstand what my illness is can be very frustrating and disheartening.

I even have family who believe that depression is just laziness, anxiety is just something you should deal with "like an adult," mania just means you're getting better or you're a little quirky... :facepalm:

Everything else they can't find the adjective for is just labeled as crazy (or even selfish for some reason).
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:iconarachnid95:
Arachnid95 Featured By Owner Dec 24, 2012  Student General Artist
Very informative! I love it! Just out of curiosity, though, what are some possible causes of schizophrenia?
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:icondarazan:
darazan Featured By Owner Jan 12, 2013  Hobbyist Traditional Artist
[link]

NIMH has a good article on this. The general thinking though is that it can be caused by a number of different factors including genetic predisposition for the illness and brain chemistry. Environment can also be a factor, as with many mental illnesses, but it tends to exacerbate an already existing problem or predisposition more than it does cause the problem by itself. Mental illness can happen whether or not you grew up in a great environment.
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:iconarachnid95:
Arachnid95 Featured By Owner Jan 12, 2013  Student General Artist
Thanks! Really helpful! :D
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:icondarazan:
darazan Featured By Owner Jan 12, 2013  Hobbyist Traditional Artist
You're welcome!
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:iconagentdusk13:
AgentDusk13 Featured By Owner Nov 13, 2012  Student Writer
It's so nice to hear from someone who knows the difference. I can't even tell you how many times I've had this conversation with people. Your article was very well laid out and organized, and easy to read for those who have to get it through their skulls. Hopefully, people will read this and learn something.
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:iconheathen-god:
Heathen-God Featured By Owner Nov 11, 2012  Hobbyist Writer
Thank you for uploading this and - forgive my ignorance- people are often diagnosed with both DID and Schizophrenia, correct?
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:iconartisticsystem:
artisticsystem Featured By Owner Apr 28, 2013  Student General Artist
This is a common experience with people that suffer from DID.. they are misdiagnosed as schizophrenic or some other disorder, but over time and through therapy they get a proper diagnosis.. I had that experience getting my diagnosis of DID.
sorry I commented like a year later.. but I thought I should tell you ^^ .
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:iconheathen-god:
Heathen-God Featured By Owner May 2, 2013  Hobbyist Writer
oh no thanks this is really helpful :)
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:iconartisticsystem:
artisticsystem Featured By Owner May 2, 2013  Student General Artist
welcome ^^
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:iconavengingcoconut:
AvengingCoconut Featured By Owner Aug 25, 2012  Student General Artist
I'm so glad someone made this >.<

There's only one thing that I find strange. You describe that people with Schizophrenia hear external voices and people with D.I.D hear internal voices. I hear both internal and external voices, internal more often, and I am Schizophrenic. My cousin who is Schizophrenic only hears internal. From what I've gathered when talking to other Schizophrenics in the Psych ward, it seems like hearing internal voices are the most common.

Also, Schizoaffective disorder isn't a type of Schizophrenia, it's an illness in itself. You can't be diagnosed Schizophrenic if you have a mood disorder. If you have a mood disorder with Schizophrenic symptoms, you get diagnosed with Schizoaffective disorder.
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:iconcasperisntfriendly:
casperisntfriendly Featured By Owner Jul 14, 2012  Professional Traditional Artist
I think most people who aren't suffering with a mental illness think it's all the same shit...a bag of mixed nuts you could say...
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:iconfullcolour-canvas:
fullcolour-canvas Featured By Owner Sep 1, 2016  Hobbyist Digital Artist
Though it's soooo different and sooo difficult for us to cope!:iconfrageplz: though we struggle why do some people rush to the easy expression "ok you are making up stuff/you kid with me bye" and so.
Hope i didnt sound like i attacked you,i just related to your comment.have a nice time.
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:iconestrellas-de-plata:
estrellas-de-plata Featured By Owner May 11, 2012  Hobbyist Traditional Artist
It irritates me too. My English teacher was talking about a poem and said if you cant remember how to spell it just write D.I.D and they'll understand. Yeah. No.
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:iconkawaii-angel97:
kawaii-angel97 Featured By Owner Apr 20, 2012  Student Traditional Artist
It horrifies me to see that I have a lot of these symptomns.
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:iconsarusaru-san:
Sarusaru-san Featured By Owner Jan 22, 2012
i hate noticing the long list of disturbing symptoms in my own behaviour =3= pathetically from both dissorders. i find the people who don't know what's right and wrong rather ignorant, seeming as if they really believe it's what they think, shouldn't they look it up to be sure?
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:iconbane1235:
Bane1235 Featured By Owner Dec 21, 2011
THANK YOU I HAVE TO DEAL WITH THE SAME THING!
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:iconannikath:
annikath Featured By Owner May 4, 2011  Hobbyist General Artist
Well.... nearly every single syntoms of schizophrenia you wrote about is what I have... but none in my family knows... ^^ lol!
Well, I hate it... at night when I'm almost asleep my whole body moves suddely. I twitch then... out of my sleep I suddely stand up or just twitch... It's kind of disgutsting to me... -.-
That's the most disturbing thing beside my hallucinations, because both things prevent me from sleeping.... and the things I see aren't really beautifull....
Well and the voices... I can live with them... sometimes the leading one calls me one of them too. But I controll the most of the time. Especially when I'm talking to people... So whoever might be the 'original me'... We are together anyway.
And I can live without anyone knowing about it ^^

And I didn't even know what DID was before I read this... so well.... thank you for writing about it! You made a good job at keeping it easy to understand! :D
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:iconannikath:
annikath Featured By Owner May 22, 2011  Hobbyist General Artist
Okay... now that time has passed, I'm not sure anymore, could might be that I have did, could might be that I'm schizophrenic. I don't know anymore... I'll soon get to a doctor who'll hopefully send me to a psychiatrist, who'll say what it is.... I don't know anything anymore.
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:iconbonerreneral:
BonerReneral Featured By Owner Mar 5, 2011
sorry miss im schiezo im proud
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:iconsaneme:
SaneMe Featured By Owner Aug 30, 2012  Hobbyist Traditional Artist
since you have schizophrenia would you like to join my group called :iconschizosupport:
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:iconbonerreneral:
BonerReneral Featured By Owner Mar 5, 2011
i have im soo proud
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:iconkesesese:
kesesese Featured By Owner Jan 11, 2011  Hobbyist General Artist
Wu-uh... That remeber me about when my alter asks to a psychiatrist about DID and he answer "DID doesn't exist, it is a kind of schizophrenia" I don't know why he ask that or what happen next -.- I just know it was during the time we were in a mental clinic; he's always cause problems tch... Well, I mean, also psychiatrists must learn about DID too, many of then don't believe in.

We met a person with real schizophrenia and I can tell it IS DIFFERENT from DID....
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:iconshadowlight-oak:
shadowlight-oak Featured By Owner Jan 12, 2011  Hobbyist Photographer
ye, I've had psychs tell me that "DID isn't real" too... in fact the second people see it on my file they seem to refer me lol. Then again some of those who told me that DID isn't real also told me that the abuse was my own fault, so I guess they weren't worth listening too
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:icondarazan:
darazan Featured By Owner Jan 12, 2013  Hobbyist Traditional Artist
I think that's the point in time when you ask to start seeing someone different. If they not only don't think that your illness is real, but then tell you that the abuse was your own fault, they really shouldn't be treating you.
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:icongodzgirl316:
godzgirl316 Featured By Owner Nov 26, 2010  Student Traditional Artist
wow. that is so easy to understand. I hate reading it though because I think i have some of the schizophrenic things...
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:iconshadowbrokenmirrors:
ShadowBrokenMirrors Featured By Owner Jan 2, 2011
...I know how you feel.
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:icongodzgirl316:
godzgirl316 Featured By Owner Jan 2, 2011  Student Traditional Artist
Since then I've researched it a ton. And compared PTSD to schizophrania and I think I may have post traumatic stress disorder. Still researching.
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:iconeearthe-mayge:
Eearthe-Mayge Featured By Owner Mar 4, 2011  Hobbyist Photographer
I know how you feel as well
It doesn't help that I've been dating a schizophrenic.
And that schizophrenia is in my family, so I'm around schizophrenia (specifically schizoaffective). I know that some of the symptoms can be parts of other disorders, and I firmly believe that everyone has some quirk...so I don't think that having one or two of the symptoms makes you schizophrenic.
Although, I'm no professional, let me know if you find anything interesting, yes?
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:iconsaneme:
SaneMe Featured By Owner Aug 30, 2012  Hobbyist Traditional Artist
since you have schizophrenia would you like to join my group called :iconschizosupport:
Reply
:icongodzgirl316:
godzgirl316 Featured By Owner Mar 4, 2011  Student Traditional Artist
Thank you. Yeah... I don't know right now. I have no idea. I have schizophrenia in my family too
Reply
:iconsaneme:
SaneMe Featured By Owner Aug 30, 2012  Hobbyist Traditional Artist
since you have schizophrenia would you like to join my group called :iconschizosupport:
Reply
:icongodzgirl316:
godzgirl316 Featured By Owner Aug 31, 2012  Student Traditional Artist
I don't have schizophrena, but thanks anyway
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:iconsaneme:
SaneMe Featured By Owner Sep 1, 2012  Hobbyist Traditional Artist
oh ok
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(1 Reply)
:iconeearthe-mayge:
Eearthe-Mayge Featured By Owner Mar 4, 2011  Hobbyist Photographer
I meet with a therapist twice a week, and she doesn't seem to think I'm odd at all (mild, circumstantial depression and anxiety disorder...which seems to be pretty normal in this world...), but when I would talk to my boyfriend about it, and what his symptoms were, and what I should be keeping an eye out for if he was having an episode, and he'd be describing them, and I'd be like....wait...I do that....
So yah, I'm tracking how often I do what, and if it's when I'm tired vs. when I've slept enough or if I'm stressed or unstressed. Cuz I really don't know. But I don't want to ask about it until I've spent time tracking each symptom and whether or not it happens consistently.
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:icongodzgirl316:
godzgirl316 Featured By Owner Mar 4, 2011  Student Traditional Artist
That is true. Well.. i don't know much about it either. like enough to help. I don't see a therapist or anything. all I know is from what I read online. or from the health textbook. haha
Good luck though, I hope everything works out in the long run
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:iconeearthe-mayge:
Eearthe-Mayge Featured By Owner Mar 4, 2011  Hobbyist Photographer
Thanks, you too. :)
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(1 Reply)
:iconxiaolin-kirby-fan:
xiaolin-kirby-fan Featured By Owner Nov 24, 2010  Student General Artist
When I looked yesterday at your DID awareness stamp I just found myself thinking 'Whats D.I.D?'. I had a look online for the definition. As soon as it mentioned that multiple-personality disorder was one of its alternate names I was happy enough with that. I never really had the thought 'Isn't that schizophrenia?', why do people always associate the two.
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