What is schizophrenia

Schizophrenia typically refers to dissociative identity disorder, characterized by the presence of two or more distinct personality states and symptoms such as memory loss. Dissociative identity disorder may be related to childhood trauma, psychological defense mechanisms, brain dysfunction, genetic factors, long-term stress, and other factors. It usually manifests as symptoms such as memory loss, identity transition, loss of sense of reality, emotional fluctuations, and self-awareness confusion. It is recommended to seek medical attention promptly and receive systematic treatment under the guidance of a psychologist.

1. Childhood trauma

Severe traumatic events such as physical abuse, emotional neglect, or sexual assault during childhood may lead to personality disorder. This type of trauma can prompt individuals to escape pain through separation mechanisms, forming different identities to cope with different situations. Patients may experience selective forgetting of traumatic experiences or suddenly exhibit behavior patterns that differ from their daily personality. Trauma focused therapy is often used in psychotherapy, and medication such as paroxetine hydrochloride tablets, olanzapine tablets, lorazepam tablets, etc. can be used according to medical advice to alleviate accompanying anxiety or depression symptoms.

2. Psychological defense mechanism

Overuse of dissociation as a psychological defense mechanism is a core feature of personality disorder. When an individual cannot withstand the pressure of reality, the subconscious may share the pain by creating a new identity. In this state, patients often experience distorted time perception, such as complete loss of activity memory for several hours, or discovering possession of items that do not belong to them. Treatment requires long-term psychological therapy to rebuild healthy coping strategies, and if necessary, medication such as quetiapine tablets, alprazolam tablets, and sertraline capsules can be used to stabilize emotions.

3. Brain functional abnormalities

Neuroimaging studies have shown that some patients with schizophrenia have functional connectivity abnormalities in brain regions such as the hippocampus and prefrontal cortex, which are closely related to memory integration and self-awareness. Patients may experience transient limb numbness, visual distortion, and other sensory abnormalities under stress, during which different personalities may alternate in controlling the body. Clinical treatment will be combined with brain function assessment, and drugs such as risperidone oral solution, fluoxetine capsules, and clonazepam tablets may be used to regulate neurotransmitter balance.

4. Genetic factors

Individuals with a history of mental disorders in the SEP family may have an increased risk of developing schizophrenia, and specific genetic variations may affect the brain's ability to cope with stress. These patients may present with frequent nightmares or hallucinations in the early stages, and obvious signs of identity switching begin to appear in adolescence. Treatment should be combined with family medical history analysis, and drug selection may involve sodium valproate sustained-release tablets, olanzapine tablets, estazolam tablets, etc. At the same time, the full participation and support of family members are required.

5. Persistent extreme stress environments such as war, imprisonment, or domestic violence may trigger personality disorder. To adapt to the pain that cannot be escaped, patients will develop personality clones that undertake different functions, such as one identity enduring pain and the other maintaining daily social interactions. Treatment requires ensuring environmental safety first, followed by intervention methods such as eye movement desensitization therapy. Medications can be used as adjunctive therapy, such as venlafaxine sustained-release tablets, quetiapine fumarate tablets, and diazepam tablets. Patients with schizophrenia should maintain a regular daily routine and avoid consuming substances such as alcohol that may affect the nervous system. Family members should learn disease-related knowledge to avoid showing surprise or rejection towards patients with different personality states. Suggest establishing a stable daily life framework and using methods such as writing diaries to help maintain information coherence between different individuals. Regular relaxation exercises such as deep breathing and mindfulness meditation can help alleviate stress reactions. If new symptoms appear or existing symptoms worsen, the attending physician should be contacted promptly to adjust the treatment plan.