Schizophrenia symptoms can have an affect on your emotions.1
Some of the ways this can happen include…
FEAR | can be caused by frightening hallucinations or delusions2,3 |
ANGER | can come from being frightened or confused, or feeling misunderstood2,3 |
DEPRESSION | can come from the negative symptoms of schizophrenia, like anhedonia (where you can’t enjoy yourself) or avolition (where you can’t be bothered to do anything) 1,4 |
HOPELESSNESS | can come from feeling like you will never recover4,5 |
HELPLESSNESS | can come from feeling like there’s nothing you or anyone can do to help you5 |
ANXIETY | stems from worrying you won’t be able to cope with any present or future situation4,6 |
SHAME | can come from worrying about the stigma of schizophrenia 4,7 |
Feelings are part of being human
Everyone feels negative emotions at times. And people with certain mental health conditions are more likely to experience strong negative emotions – depression and anxiety are characterised by times of feeling overwhelmed by negative emotions.6
Real people, real emotions
Emotions are real, natural and everybody has them
The emotions you experience in response to schizophrenia symptoms are all human and natural too. It’s possible that the reason you are fearful or angry isn’t objectively real (meaning that other people don’t agree it’s real). That doesn’t mean the emotion isn’t real. If something is bothering you, it’s worth trying to find ways to come to terms with it – maybe CBT or some other kind of talking therapy could help? If it matters to you, it will matter to your therapist, doctor and family.
What to do when it gets too much
Asking for help is the first step to recovery
If your feelings are becoming overwhelming, don’t bottle it up. Tell someone about it. We all need support from time to time. Taking positive action and to get support is a great thing to do – for yourself and for your loved ones.
Family and friends – at the heart of your recovery
Your family is crucial. They can help in lots of ways. For example they could…9,10
…contact an urgent mental service for you
…listen to your worries
…offer comfort and support when you’re feeling down
…make sure your physical health isn’t neglected
…give you a ‘reality check’ if you’re not sure about something
…take care of ‘life admin’ tasks if it’s a bit much for you, like getting the shopping in or organising your money
…remind you about the things that are going well
…join you on your journey as you learn about schizophrenia
…keep an eye out for changes in you that you might not be aware of, and alert the right people
When friends and family are the problem
Your family may not be able or willing to help you in the way you need. If it’s a case of them not knowing HOW to help, encourage them to:
- Learn more about schizophrenia to understand it better
- Read about others’ experiences of living with someone who has schizophrenia
- Visit the Friends & Family Zone on this website
- Come to family therapy meetings
- Talk to you honestly about their thoughts and feelings
Things are more tricky if your family are not supportive, or you don’t have a family environment. You’re still not alone: there are a lot of people who can help you live your life in safety and with hope.
If you’re being bothered by worries, negative emotions and troubling thoughts, you could always…
…talk to your therapist at your next session
…talk to your doctor or nurse at your next appointment
…call a mental health helpline for a friendly listening ear
…call a medical service like 111 for advice
…join a group of other people with schizophrenia, either in real life or online
Finding support
Talking to people who have similar experiences can be really useful. You might be able to find a mental health self-help or support group near you. Ask your therapist, doctor or nurse if they know of any in the area.
Or, you could look for chat rooms online for people with schizophrenia and other mental health conditions. These are usually moderated – an administrator or team of admin people watch what is being said, to make sure that no-one says anything dangerous or inappropriate.
Staying safe online
If you are having an online conversation with anyone, remember internet safety:11
DO… |
DON’T… |
…leave a conversation if it’s upsetting you. You don’t owe strangers on the internet your time or attention. |
…feel you have to reply to every comment. Some people just seem to like to argue. Doesn’t mean you have to join in. If it’s making you feel bad, it’s not worth your time. |
…have a username that doesn’t have any personal information in it. A fun phrase and random numbers is good. Your name and year of birth is not good. |
…put any personal information online, especially if it can be used to identify and/or find you in the real world. |
…ask someone you trust to look at anything you’re not sure about. Sometimes we need someone with a different perspective to tell us if something isn’t right. |
…give ANYONE your bank details, passwords or birthday. Scammers can charm people into giving them this information, and then use it to steal money or commit fraud. |
…respect other people online. You can disagree with them without getting personal. In the same way, other people should respect you. |
…accept any online bullying, or people sharing content (like films and pictures) you don’t like. Block the sender, delete the content and report the person to the website moderator. |
…look into adult learning courses about internet use. These might be run by your local council, college or employment service. |
…arrange to meet anyone you have met over the internet. If you do want to become friends in real life, go to video calls first to check they are who they say they are. If you then arrange to meet, make sure it’s in a public place, someone knows where you are, and, ideally, take someone with you. |
…report bullying and inappropriate behaviour to the website moderators. Don’t engage with bullies and creeps – let the moderators deal with it. |
…believe everything you read. Some people pretend to be someone else online. Some people post things that aren’t true. Be wary. |
Giving support
If you’ve lived with schizophrenia for a while, and feel stable enough to support someone else, you could offer your experience to other people with schizophrenia.
Peer support is now recognised as a valuable aid for recovery in mental illness. 12 There’s nothing like talking to someone who has been through the same kind of things – someone who really “gets” it.
This can be good for both of you – they get support from someone who understands what they’re going through, and you can feel good about helping others and strengthen your own recovery too. 10,12
If this is something you think you would like to do, why not bring it up with your therapist at your next session? They can help you assess whether you are ready to take on this role, and how you might go about it.
REFERENCES:
-
Kring AM, Caponigro JM. Emotion in schizophrenia: where feeling meets thinking. Curr Dir Psychol Sci. 2010: 19 (4): 255-259.
-
Brazier Y. Paranoia and schizophrenia: what you need to know. Available at:https://www.medicalnewstoday.com/articles/192621#causes. Last accessed: July 2022.
-
D’Arrigo T. What is paranoid schizophrenia? Available at:https://www.webmd.com/schizophrenia/schizophrenia-paranoia Last accessed: July 2022.
-
Upthegrove R, Marwaha S, Birchwood M. Depression and schizophrenia: cause, consequence or trans-diagnostic issue? Schizophrenia Bulletin. 2017; 43 (2): 240-244.
-
Berardelli I. The Role of Demoralization and Hopelessness in Suicide Risk in Schizophrenia: A Review of the Literature. Medicina (Kaunas). 2019; 55 (5): 200.
-
Helpguide. How to stop worrying. Available at:https://www.helpguide.org/articles/anxiety/how-to-stop-worrying.htm. Last accessed: July 2022.
-
Keen N, et al. The role of shame in people with a diagnosis of schizophrenia. Br J Clin Psychol. 2017; 56 (2): doi: 10.1111/bjc.12125.
-
Mind. Types of mental health problems. Available at:https://www.mind.org.uk/information-support/types-of-mental-health-problems/ Last accessed: July 2022.
-
Mind.Schizophrenia – friends and family. Available at:https://www.mind.org.uk/information-support/types-of-mental-health-problems/schizophrenia/for-friends-and-family/. Last accessed: July 2022.
-
SANE. Schizophrenia factsheet. Available at:https://www.sane.org.uk/wp-content/uploads/2021/12/Schizophrenia.pdf Last accessed: July 2022.
-
Godding C. Protecting vulnerable people online. Available at:https://livingautism.com/protecting-vulnerable-people-online/ Last accessed: July 2022.
-
Moran GS, et al. Peer support for people with severe mental illness versus usual care in high- middle and low-income countries: study protocol for a pragmatic, multicentre, randomised controlled trial (UPSIDES-RCT). Trials. 2020; 21: 371.