What is the relationship between schizophrenia and sleep?

In schizophrenia, some patients will have hyperactivity and increased alertness due to dopamine hyperactivity during the attack.

Talk about dopamine: it is a neurotransmitter, a chemical that helps cells transmit pulses and affects people's mood and happiness. Studies have proved that when dopamine secretion is high, individuals feel happy and energetic, just like many drug addicts, they are in a state of high mood in the early stage. However, with the increase of dopamine concentration, individuals become more alert, irritable and even hostile to the surrounding environment.

For patients with schizophrenia, or some patients who take active substances (drugs, alcohol, etc.). ), the dopamine function of the limbic system is hyperactive, which leads to many "positive symptoms". Such as hallucinations, delusions, paranoia, increased alertness, decreased sleep demand and aggressive behavior. This explains why many schizophrenics have the energy to make a scene without sleeping for a few days at the onset. Family members may describe him as "bright eyes, scary eyes".

For convalescent patients, we should be alert to insomnia, which may be a precursor of disease recurrence. Many mental patients often have insomnia symptoms before the disease recurs, which often can't attract the attention of their families, especially for individuals with short course of disease, and their families lack experience in this field. They may think that patients take medicine on time, control it well, and have no symptoms of nonsense and paranoia.

In fact, there are some signs before mental patients relapse. If you find or master this knowledge, you may be able to control the development of the disease to the greatest extent.

First, sleep reduction: this includes waking up early and falling asleep. Many patients go out after waking up in the morning, knowing that they will come back at a certain time, so their families think that patients just go out for a walk. Here is a reminder: it is necessary to compare the living conditions and routine of patients some time ago. If the routine changes for several days, we should consider the possibility of getting sick.

Second, the diet is reduced: the patient's diet is reduced, and even the speech is reduced, indicating emotional fluctuations.

Third, frequent smoking: the increase in smoking can reduce the efficacy of some antipsychotic drugs, leading to disease recurrence. In many cases, frequent smoking also suggests that patients are in an anxious state, which may be caused by taking drugs or the characteristics of the disease itself.

Pacing and irritability: the patient kept walking back and forth in the house, and his mood was unstable. At this time, he may be getting closer and closer to the disease, and it is best to intervene in time.

To sum up, sleep disorder not only often exists as an additional symptom of schizophrenia, but also may indicate the recurrence of the disease. Sleep problem is a common disease in most mental diseases, and it can also be used as an independent disease to plague such people. Therefore, solving the sleep problem is usually the premise of improving mental illness. Some antipsychotics have sedative effects, so they can control symptoms and improve sleep at the same time. These drugs are usually used as first-line drugs in clinic, but for some mental patients with stubborn symptoms, the effect of single drug use is not obvious, and they often need to be combined.

I hope my answer is helpful to you, please pay attention, and I will update the relevant knowledge every day.

Thank you for your invitation. I'm Yang Bailao, a psychologist, and I'm glad to answer your question.

Schizophrenia patients can have sleep disorders in both attack and remission stages, which are usually characterized by difficulty in falling asleep, shallow sleep, dreaminess or intermittent sleep. Schizophrenia patients have increased sleep and improved sleep efficiency. Schizophrenia can prolong the sleep latency after treatment. Patients who take medicine for a long time gain weight and are prone to apnea syndrome.

Schizophrenia can indirectly lead to insomnia.

Because many schizophrenics have serious paranoia of victimization, generally speaking, because schizophrenics have paranoia of victimization, they don't have enough sense of security, and they are uneasy when they dare not sleep or sleep at night, which is easy to cause schizophrenia.

In addition, in fact, poor sleep can easily aggravate the symptoms of schizophrenia, because poor sleep and poor mental state make it easier for patients to be distracted and unable to concentrate, which will lead to more serious delusions or auditory hallucinations.

Don't use some drugs or listen to folk remedies without authorization. Seek professional help when necessary and cooperate with the treatment. Usually pay attention to your own adjustment, relax your mind, don't give yourself too much pressure, exercise actively, arrange your schedule, and don't stay up late. Eat more food that is good for sleep.

Schizophrenia has sleep disorder, if a person does not have sleep disorder, there can be no schizophrenia! It is because of poor sleep for a long time that the symptoms of mental illness finally appear. I went to the provincial hospital because I was unwell, but I couldn't afford so much money at home! I have to go back! Later, I went to the mental hospital in the county! It is cheaper. The doctor said it was schizophrenia! I took the medicine for schizophrenia and slept soundly! People are more energetic than before! Lucky man, my family didn't abandon me because of my illness! Take me home when I'm ready! I saw many people's families in the hospital just bought something to look at, but they couldn't go home for many reasons! On the day the doctor was hospitalized, he seemed to be a man in a cage! I never wanted to run away! I can't escape from the hospital. There are many doors that are stricter than prisons! If you want to go out, you can only take it out by your family!

Schizophrenia patients will have typical mental symptoms during the onset, such as auditory hallucinations, hallucinations and delusions of victimization. Some patients will have nervousness, fear, anxiety, fear, anger and other emotions because of the delusion of being killed, which will affect their sleep; Another part of patients have auditory hallucinations or hallucinations, laughing and talking to themselves from a distance, resulting in sleep loss or even staying up all night, accompanied by strange expressions or behaviors. At the same time, the aggravation of sleep problems, even staying up all night, or sleeping delusions and persistent insomnia will in turn aggravate mental symptoms.

What is the relationship between schizophrenia and sleep?

Neurologists have said that all sleep disorders are emotional, and anxiety is the main emotional form of various psychological problems and mental diseases. It can be said that insomnia is caused by anxiety, and almost all patients with various mental diseases such as anxiety, obsessive-compulsive disorder, depression and even schizophrenia are accompanied by sleep disorders.

Schizophrenia patients often have sleep disorders, difficulty falling asleep, many dreams and nightmares. They are afraid of cowardice, of things that are harmful to them, and they are very anxious. If they are anxious, they will have sleep problems.

Many people think that schizophrenics are difficult to control. They are extremely aggressive, hitting people and smashing things at will. In fact, they are timid and afraid of many things. They can't help themselves when they hit people and smash things. Therefore, if patients learn to control their emotions, there will be no excessive behavior.

First of all, there is no causal relationship between schizophrenia and sleep disorders.

Secondly, there will be sleep disorders in the development of schizophrenia. Schizophrenia patients often have psychotic symptoms such as hallucinations and delusions at the initial stage of onset. Affected by hallucinations and delusions, patients are often accompanied by sleep problems, such as difficulty in falling asleep, waking up early, difficulty in maintaining sleep, and some will be black and white. After treatment, as hallucinations and delusions are gradually controlled, patients' sleep problems are often alleviated. Most antipsychotic drugs commonly used by patients have sedative effect, and patients will have drowsiness and excessive sleep after taking them.

Moreover, sleep disorder is very common in the crowd. Patients often ask doctors half jokingly and half seriously: Doctor, will my poor sleep become schizophrenia? Faced with this problem, I have to explain to them that schizophrenia is a common and frequently-occurring disease in psychiatry, and it is also a serious chronic disease. Its pathogenesis is very complicated, mainly manifested as abnormal sensory perception, such as auditory hallucinations, hallucinations, delusions, sensitivity and paranoia, suspicion that people around you are talking about themselves and hurting themselves. , the mood is dull, the family concept is poor, I don't know how to care about my family, I am lonely, lazy and my social function is damaged. Sleep disorder may be an accompanying symptom of schizophrenia, but it does not lead to schizophrenia.

Finally, during the rehabilitation period, patients' symptoms are controlled, their condition is improved, their social functions are partially restored, and some patients can return to work. But at this time, we must pay attention to ensuring regular work and rest, never stay up late, and it is best not to work at night. If patients sleep irregularly and work night shifts frequently, it will easily lead to the recurrence of patients' illness.

From my observation of my mother's situation, it has a lot to do with it: my mother suddenly fell ill the year before last, which was just a stimulus. She starts to sleep at night and gets up in the middle of the night to stroll on the balcony. What I saw with my own eyes was like seeing a ghost. I also went to see a fortune teller for this reason, and then I went to the psychiatric department of the hospital to see a doctor and took medicine. She began to be normal. Last year, she stopped taking drugs for two months, but before the onset, she just couldn't sleep again. Now I eat every day, especially like sleeping, and people are stupid, but other jobs don't affect anything. Therefore, the family members of schizophrenic patients at home must always pay attention and don't panic. It is really not difficult to find the precursors of the disease. Also, be sure to listen to the doctor, don't stop taking the medicine easily, and don't listen to the patient saying that he is so uncomfortable.

Similarly, people with depression also have sleep problems, and feel that depression is like mild schizophrenia. Can good love greatly alleviate this kind of disease? But what is certain is that it is really effective for "anthomaniac".

Most schizophrenics have sleep disorders during the onset; Patients in convalescence may also relapse or worsen due to sleep disorders.

Schizophrenia patients can have sleep disorders in both attack and remission stages, which are usually characterized by difficulty in falling asleep, shallow sleep, dreaminess or intermittent sleep. Schizophrenia patients have increased sleep and improved sleep efficiency. Schizophrenia can prolong the sleep latency after treatment. Patients who take medicine for a long time gain weight and are prone to apnea syndrome.

Another part of patients have auditory hallucinations or hallucinations, laughing and talking to themselves from a distance, resulting in sleep loss or even staying up all night, accompanied by strange expressions or behaviors. At the same time, the aggravation of sleep problems, even staying up all night, or sleeping delusions and persistent insomnia will in turn aggravate mental symptoms.

Many people think that schizophrenics are difficult to control. They are extremely aggressive, hitting people and smashing things at will. In fact, they are timid and afraid of many things. They can't help themselves when they hit people and smash things. Therefore, if patients learn to control their emotions, there will be no excessive behavior.