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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by GIANA on April 7, 2004, at 17:00:50
I once asked my Therapist if it were possible for a person to have Negative Schizophrenia without ever having Positive Symptoms, he replied by saying usually there are some postive symptoms resent too. The reason I ask is because I have been diagnosed with depression, but have all the negative symptoms (except flat emotions) but never had any postive symptoms. Is it possible?
Posted by terrics on April 7, 2004, at 20:18:09
In reply to Can a person have Neg. Schizophr w/o Positive Sym?, posted by GIANA on April 7, 2004, at 17:00:50
Ask your pdoc again. I think it is possible, but Im not an expert, just a reader. terrics
Posted by mistermindmasta on April 7, 2004, at 22:16:55
In reply to Re: Can a person have Neg. Schizophr w/o Positive Sym?, posted by terrics on April 7, 2004, at 20:18:09
Yeah, I think this would just be "depression". The positive symptons are psychotic symptoms, but without positive symptoms, i dont think you're schizophrenic, just severely depressed or add. Lack of energy, motivation, concentration, memory, etc... I assume thats what you mean? Thats all symptoms of depression. Its the positive symptoms that make one manic or schizo.
Posted by PsychoSage on April 7, 2004, at 23:02:23
In reply to Re: Can a person have Neg. Schizophr w/o Positive Sym?, posted by mistermindmasta on April 7, 2004, at 22:16:55
> Yeah, I think this would just be "depression". The positive symptons are psychotic symptoms, but without positive symptoms, i dont think you're schizophrenic, just severely depressed or add. Lack of energy, motivation, concentration, memory, etc... I assume thats what you mean? Thats all symptoms of depression. Its the positive symptoms that make one manic or schizo.
I would have to say that the "negative symptoms" you have must be very pronounced and near chronic if you are worried about being schiz. There are personality disorders for people who have some schiz symptoms but are not full blown. Those are Axis 2 diagnoses, so they kind of come under your big time mood disorder diagnoses.You really need to be way out of touch when it comes to truly having negative symptoms. Negative symptoms don't have to accompany depressed mood. Think of a person who is just out in space or nonresponsive/has trouble interacting with people because he/she is so withdrawn.
Schizophrenia is a chronic condition for those who do not take meds. If you had bad negative symptoms you would be impaired and have thought disorder.
Do you know any schizophrenics??
Posted by rod on April 10, 2004, at 8:12:46
In reply to Can a person have Neg. Schizophr w/o Positive Sym?, posted by GIANA on April 7, 2004, at 17:00:50
> I once asked my Therapist if it were possible for a person to have Negative Schizophrenia without ever having Positive Symptoms, he replied by saying usually there are some postive symptoms resent too. The reason I ask is because I have been diagnosed with depression, but have all the negative symptoms (except flat emotions) but never had any postive symptoms. Is it possible?
As far as its known (and I know), one aspect of the neurochemistry of schizophrenia is that there is dopaminergic understimulation in some brain regions (responsible for negaive symptoms) and overstimulation in other brain areas (responsible for positive symptoms). If you experience many of the negative symptoms of schiz. you might be in a subclass of depression, which is resonsive to dopaminergic medication, in my opinion. The dilemmy is, that there are only few dopaminergic drugs other than the neuroleptics. But there are some neuroleptics which posses robust dopamine stimulation properties in the brain regions, which are understimulated in neg. schiz. like Sulpiride and Amisulpride. But also the newer atypical neuroleptics posses pro dopamine properties (via 5-HT2 blockade (correct me if I am wrong), which causes the release of catecholamines including dopamine, and also improve cognition in schiz. people). I also fullfill the criteria of "deficit syndrome" (exclusicely neg. symptoms), but I thing that just my dopamine system is out of whack.
Roland
This is the end of the thread.
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