I have pure o type ocd, I have over come from this 70% with clomipramine. But I'm still unproductive, I don't bath for 1 month and I didn't brush my teeth for 4 month. I was not that lazy before .what is happening to me, I want to bath. I want to study but simply I can't execute. My mother is a schizophrenic but I don't have such delusion n hallucination. What you think? please suggest as lac of self care is also a symptom of schizophrenia.
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Ocd can coexist with schizophrenia. Since there is family history of schizophrenia ,these symptoms are suggestive of premonitory symptoms of schizophrenia. There is one form schizophrenia called negative schizophrenia where negative symptoms are predominant like 1.social withdrawal 2.poor family interaction 3.abandoning of goals 4.lack of determination 5.poor intrest in studies, work. 6.poor self care ,lack of cleanliness. 7.lack of involvement in entertainment activities. 8.sitting in one corner of house for long time. 9.lack of affective responsive means abscene of smile, anger. 10. Decreased speech. Delusions and hallucinations are absent in negative schizophrenia. Since your case requires detailed analysis,
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Dear Lybrate-User, You are right. Lack of self care and ocd symptoms are also symptoms of schizophrenia. Since you have a genetic predisposition also added, it is better you discuss this with your psychiatrist. You need not have delusion and hallucination like your mother. They are positive symptoms - probably controlled with clomipramine. You might be having negative symptoms, needing diagnosis and proper treatment.
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Yes lack of motivation and projection is to be ruled out.
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You might be having schizo-obsessive disorder, where OCD symptoms are present along with some negative symptoms of schizophrenia, discussing these with your psychiatrist and treating for the negative symptoms (not bathing, brushing teeth, lazy) can be improved. All the best.
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