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Those affected by schizophrenia are also more inclined to develop numerous physiological and psychological conditions. Most notably, they experience higher rates of substance abuse and suicidality; where more than half of people with schizophrenia have reported suicide ideation or attempts, and nearly half experience substance abuse or dependence. [19]
Paraphrenia is often associated with a physical change in the brain, such as a tumor, stroke, ventricular enlargement, or neurodegenerative process. [4] Research that reviewed the relationship between organic brain lesions and the development of delusions suggested that "brain lesions which lead to subcortical dysfunction could produce delusions when elaborated by an intact cortex".
Many people with schizophrenia may have one or more other mental disorders, such as mood disorders, anxiety disorders, and obsessive–compulsive disorder. These are separate disorders that require treatment. [10] When comorbid with schizophrenia, substance use disorder and antisocial personality disorder both increase the risk for violence. [169]
About 3.7 million, or 1.8%, of adults in the U.S. have a lifetime history of schizophrenia, according to research published in 2023. The estimate was two to three times higher than previous estimates.
It can be considered a manifestation of autonetic agnosia, that is, a deficit in the ability to identify self-generated mental events, along with thought insertion and others. [22] This type of delusion influences both speech production and speech perception. Over time, thought broadcasting can shape how one thinks.
She still hears the voices, she told me, but with her therapist’s help, she is learning to ignore them. “The thoughts come in a wave. You can’t stop them. You just have to let the wave flow,” she explained. “You just have to let them go. ‘Oh, there goes a thought, just keep it going.’ Kind of like a hiccup or a burp.”
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