This question is to a qualified, certified,experienced and competent psychiatrist only. I am 58 years old and Schizophrenic since 1987. I was put on various medications and I responded to them very well and hence there is a lot of relief now. Currently, I am on only one anti-psychotic viz Sizodon Forte 0-0-1 and there is tremendous relief. Of late, my body is showing showing side effects, probably due to the fact that I no longer need powerful anti-psychotics. Now, I don't have hallucinations & delusions. I have two questions here. (a) There are thought disturbances like, always preoccupied with thoughts, and get aggressive thoughts because I am not fully occupied. Is this due to the fact, that I am not working and absence of work is rust to the month Is this a positive symptom of Schizophrenia? (b) I have stammering since childhood and necessary action was taken by a speech therapist and now I speak almost fluently. Because of this, I developed inferiority complex and hence was not socializing, staying aloof from friends and relatives etc. I have this problem even now. My personal hygiene is good. Is this a negative symptom of Schizophrenia? Kindly answer to these two questions, as I can impress on my psychiatrist whom I am visiting next week. Thanks.

Dr. Sushil Kumar S VPsychiatrist13yrs exp

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Good Morning ~ I appreciate your questions, and also appreciate the fact that you are taking and tolerating your medications with minimal side effects so far. I believe you need appreciation also for having asked questions on this forum. A) Though disturbances like preoccupation with certain types of thoughts and aggressive thoughts are certainly positive symptoms of schizophrenia and may be decreased by non-medication methods like yoga and pranayama or by medication augmentation of your current medications. Like you have said yourself, involving yourself in productive activity may also decrease the symptoms to the point that you may become comfortable without having aggressive thoughts. B) Stammering is a common problem and occurs in 1-2% of the general population. Most likely stammering is anxiety related and gets better over time or with less anxiety. Anxiety can be reduced with either medications or with counseling i.e. Anxiety reducing techniques. Exposing yourself to anxiety provoking situations will reduce your anxiety gradually. Counseling may be helpful in this case. Stammering is separate from schizophrenia. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio or video appointment 

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