Asperger's and schizophrenia.
Yes, and actually children can be diagnosed with schizophrenia - it's just a lot rarer than in adults/adolescents.
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"There are things you need not know of, though you live and die in vain,
There are souls more sick of pleasure than you are sick of pain"
--G. K. Chesterton, The Aristocrat
I have been diagnosed with paranoid schizophrenia because I have been hearing voices and having strong visual hallucinations for the past four years. I have had four major hospital admissions where I have completely lost myself in delusions and hallucinations and couldn't do normal things like eat, look after myself and carry on a conversation, not to forget the daily self-harm and attacking the staff members. I have been sectioned three times, one of which occurred in a police station.
So my "flattened affect" (i.e. cannot show emotion) could be both the schizophrenia and the AS? Because it annoys my Mother and she keeps asking me why I am like that.
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I am a partially verbal classic autistic. I am a pharmacology student with full time support.
Similarities:
- Disorganized speech in schizophrenia could be mixed up with the unusual speech patterns of an Aspie. The big difference seems to be that the disorganization in schizophrenia comes from disorganized thoughts, while the Aspie's speech is a more immediate problem with verbal expression.
- Some Aspies have a flat affect (they don't express emotion well). That's also a symptom of schizophrenia.
- A meltdown may remind a psychologist of some of the 'disorganized behavior' present in schizophrenia.
- If you have very bad executive dysfunction, it could be read as avolition or disorganization.
- Lack of or decline in speech is a negative symptom in schizophrenia, as well as autism.
In your specific case, though, none of those confounding factors would have been present. You were diagnosed with the paranoid subtype; so that means that the psychologist saw no disorganization, no thought disorder, and no negative symptoms. (You might also be encouraged to know that this is the subtype with the best prognosis for permanent remission, and the one that responds best to medical treatment.)
Sora's explanation of the possibility of having both AS and schizophrenia is exactly what I meant to say. If you have AS first, and then schizophrenia later, you can be diagnosed with both. It means your history is that of someone with Asperger's long before the onset of your schizophrenia-specific symptoms.
Thanks for this, it was very informative.
Yes, I have been diagnosed with the paranoid subtype (I am glad to hear that is the type that has the best prognosis), but I do have some problems with motivation/disorganisation and I have been told I definitely have flattened affect.
The AS appeared when I was around 11 years old (although I had behavioural problems as a kid) and the paranoid schizophrenia, I believe, truly started off when I was 14 (I'm nearly 19 now), although I was diagnosed at 15.
Thank you Callista, and thank you Sora.
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I am a partially verbal classic autistic. I am a pharmacology student with full time support.
I can sympathise with you on this, I get things like this, although I hallucinate a LOT. And stress makes things worse, mind you.
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I am a partially verbal classic autistic. I am a pharmacology student with full time support.
I've read about childhood schizophrenia being misdiagnosed as autism and vice versa. Very similar. I don't know how the psychiatrists differentiate unless it has something to do with delusions or hallucinations. Those two symptoms are usually needed by a psychiatrist before they label someone with "schizophrenia".
Yeah, but true schizophrenia in childhood is really rare. For every case of childhood schizophrenia, you'll find nearly 300 autistic children. It's the kind of thing you write journal articles about. Plus... childhood schizophrenia usually has onset at age 7 or later; autism is evident before 5.
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Reports from a Resident Alien:
http://chaoticidealism.livejournal.com
Autism Memorial:
http://autism-memorial.livejournal.com
That doesn't make much sense. A child having hallucinations and delusions is obviously not autistic.
_________________
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com
Autism Memorial:
http://autism-memorial.livejournal.com
Hi there,
SteelMaiden wrote or asked; "How many "traits" or "symptoms" do Asperger's and schizophrenia share?"
First; I find it a bit strange he tags you with both labels. I thought, one should exclude the other, (DSM-IV says so) although, I know, there are simularities. Commonalities.
I know I am not schizophrenic and it's probably easier to sum up some differences but that's not the question.
I quess:
~Both know real confusion, misinterpretations and frustration.
~Both have or better know ambiguity.
~Both can go into a somewhat passive state, sometimes. Even a sort of katatony state with a avolonish mindset without any intrinsic motivation.
~Aloofness is a trait said to be seen by both.
~Both can have delusions but the AS-er can detect them much better, I belief, and tries to be far more logical in solving the dillema(s). Sceptical even of his/her own thoughts, where someone with schizophrenia, tjah... seeks answers in maybe, some bizarre assumptions and is maybe more drawn to the occult, superstition and somewhat odd believes.
~Both know compulsion, of thought and maybe also of actions, not sure the Schizophrenic does.
~
Of course I'm no expert on the topic; it has my interest but I could be wrong on some points here.
Last, I like to say that psychologists/ shrinks think their field of work is an exact science. Which is wrong. Psychology isn't like physics or maths where one seeks empirical proof and, let's say, tests can be repeated (under the same conditions) and the results will be the same.
Shrinks are by definition arbitrary, it is his/her perspective of someone and some are real arrogant and do not seem to care that much about someone's wellbeing. Box-thinkers and easy taggers. Where I think we're all different and I dislike being boxed-up(?). I'm Ceesjan and that the only label that suit me right and the only label I accept to carry. Okay, I have a framework now and I learn everyday about autism in general and AS in perticular. Here on this Planet, from you guys and of course my own studies, out of books or internet. It's a fascinating trip....
Best of luck,
C.
_________________
Solum certum nihil esse certi, et
homine nihil miserius aut superbius.
Last edited by Erminea on 21 Sep 2008, 11:11 am, edited 1 time in total.
It makes sense if you remember that children are naturally imaginative and explore this imaginatory world as part of a developmental phase. That's why diagnosing schizophrenia in childhood is so tentative. For instance, how many kids have imaginary friends?
Just because a child believes an imaginary friend is real means the child is having a delusion and could be schizophrenic?
I like this [extremely] basic comparison:
People with Schizophrenia are unsure if what they experience is real or not (seeing, thinking, hearing, etcetera), whereas the person with Asperger's/Autism doesn't realize that people have different thoughts from her own (i.e., she doesn't behave as if other people are unique individuals in the "mild" cases, to appearing as if people don't exist at all in the "severe" cases).
There are social deficits in Scizophrenia (mainly Schizoid behaviour), as well as the "flat affect", and these can mimic Asperger's/Autism, but the social deficits in the latter are more severe/profound, and with a whole slew of extra stuff attached.
i do not think AS and schizophrenia could co-exist.
to be schizophrenic is to have no sense of self.
their self becomes absorbed in the wash of reality, and they lose control and become scared.
they are swamped by the waves of existence because they have no self boundaries.
autistics are very fortified and are not prone to melt into the foundations of their standing.
the coexistence of the 2 in a single person is hard for me to imagine.
that is my opinion only.
It makes sense if you remember that children are naturally imaginative and explore this imaginatory world as part of a developmental phase. That's why diagnosing schizophrenia in childhood is so tentative. For instance, how many kids have imaginary friends?
Just because a child believes an imaginary friend is real means the child is having a delusion and could be schizophrenic?
_________________
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com
Autism Memorial:
http://autism-memorial.livejournal.com
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