Schizophrenia.com

Remission and functioning?-your thoughts please

Do you think they dovetail neatly together? My sz symptoms are mild-just some breakthrough psychosis, but I’m fully aware that without support I could easily slip into the increasing self neglect that was my life in Essex after my wife died. The sz symptoms may be in ‘remission’ but that doesn’t mean I’m about to join the ranks of average functioning, non mentally ill, 63 year olds

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Remission is not functioning. They’re mostly independent of each other. Infact its mainly the negative symptoms that contribute to functioning. Negative symptoms are the main predictors of quality of life.

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Yes your positive symptoms may be mild but you are still struggling with negatives, cognitives and ASD.
Still better than being lost in psychosis but full recovery is another thing…

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I’m not sure about that, particularly if you were early onset. But of course remission should entail some improvement in your functioning.

If symptoms were the problem for you not working or functioning and now you have no symptoms then by conclusion you’re likely able to work or function unless there are extemporaneous variables that are not evident. Good things.

There’s more involved than just sz symptoms.

Sadly Psychiatrists ignore negative and cognitive symptoms and blame us for these. Schizophrenia is just positive symptoms for them. I think its because there is no treatment and that science is not advanced yet or any time soon.

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Negative symptoms are hard to pin down-I’m not that interested in socialising beyond family and stepfamily, struggle to think of future goals, on a score of ambition I’d get about 3/20,am emotionally quite flat .

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