Sunday, August 09, 2009

Schizophrenia

I have seen few casses of schizophrenia during my practice and very much convinced that more than a psychological disorder, its a physiological disease. Its just unfortunate that few people get it. No they are not crazy people. Its just like diabetes, coronary artey disease or breast cancer which strike many people without their own fault.

"Doctor Sahib, chote chote bonoN (dwarf) jesi koi makhlooq hai. HazaroN ki taadat main mere aas paas jama rehte hain. Bus dar lagta hai mere ooper na char doraiN. Soti hun to bister ke neeche jama ho jaate hain. Kubhi yun mehsoos hota hai, bahir khirki ke jama hain. Aik shor sa har waqt machaye rakhte hain. Har waqt ayatul kursi parhti rehti hun magar koi faraq nahi parta. Kisi aur ko nazar nahi aate na sunai dete hain. Dr. Sahib, log kehte hain mujhe schizophrenia hai. Hoga magar khuda ki qasam - kuch to hai jo sach hai. Sab kuch jhoot nahi. Ye sirf mere dimag ka khalal nahi...."

1 comment:

bsc said...

Firstly, auditory and visual hallucinations are not necessarily found only in schizophrenics (you already know that)
Next, it is true that the hallucinations in schizophrenics do seem real to them and they wonder why the other (normal) persons cant see them.
Yes, with appropriate treatment these "bonaiN" are likely to disappear. (Before taking up neurology I did 1 yr. of psychiatry to feel comfortable with psychiatric patients. My own impression was that for a real compassionate physician it is essential to have one year minimum experience in psychiatry before starting practice in internal medicine or some other speciality. It changes the outlook and one's attitude )toward "neurotics", "hysterics" and such.