If you didn’t read part one, click here.
In 55 minutes, the reality we’ve been living in was questioned. The prognosis we’d been operating under was debated. The fate of Tim’s future quality of life was mulled over. This was all the result of one question posed by the doctor.
If Tim’s cognitive issues are organic – from birth – is it possible that the psychosis and behavioral issues are a result of seizures, and NOT Schizophrenia?
We discussed several studies (and here) that show persons with cognitive issues and psychosis often have seizure related disorders as well. The doctor told me several things he’d learned over his 40 years in psychiatry:
- Persons with Schizophrenia / Schizoaffective don’t typically have cognitive issues
- Persons with psychosis where the hallucinations and paranoia are mostly around self-preservation – they report the voices tell them to run away or hit others or injure others that mean them harm
- Persons with Schizophrenia / Schizoaffective don’t usually care about pleasing other people
- It is not uncommon for persons with TBI or “organic” cognitive disabilities to have hallucinations and delusions, but most are rooted in seizure disorders