Primary hyperreflexivity and fatigue

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On the schizophrenia spectrum, people often suffer from primary hyperreflexivity. Basically, the way things are supposed to work is that you become affected automatically and passively by things, like where something comes up that represents a deviation from a "perfect Gestalt" immediately "affects" you and you act on it, but without really thinking about it or the thing even being what pops into your awareness.

Often times, something will pop out, as like a deviation from a perfect Gestalt, but for me, it becomes the focal point of awareness. The thing stands out from the background and irritates me. I begin to itch and the object in spite of itself becomes almost larger than life, as though its very presence mocked me. Sometimes, I will want to take the object and cover it with my hands. The problem is that such an object does not drive me to action, instead becoming a focus of awareness. I begin to obsess about the object and to think about what I should do with it, to perhaps clean it, but I sit there and get irritated and irritated by it.

In order for me to act, I cannot simply becoming "affected" by something. I must deliberately carry the action out. Unfortunately, doing this too much leads to fatigue, to what Blankenburg called "schizophrenic asthenia."

Yesterday, I was very active in overcoming my typical idleness as we went on a trip. Now that I am here on vacation, however, I am very tired and cannot do much if anything.

I don't have schizophrenia, but I have Tourettes. There's always an urge telling me to tic, similar to how you feel, like I can't help but do it.

But this doesn't sound like hyperflexivity. This sounds more like mercurial obsession.

In my case, it would be in the awareness of a mess. I would notice the object out of place, but would not act on it. Instead, its presence seems to mock me, I start to itch. Sometimes, I will want to take the object and cover it with my hands so that it is no longer visible. If I'm cleaning, I keep having such things pop into awareness, and I must force myself to act to take care of it, increasing my fatigue.

Sometimes, as well, I will become aware of some physical process in my body, like blood pumping through a specific area. For some reason, the sensation will keep popping into awareness, causing me to feel unsteady, like my thoughts and feelings have no regard for me. This second one I am told is primary hyperreflexivity.