Chapter Eight • Doukaza (pt. 2 or is it 1?)

Beginne am Anfang
                                    

"Huh..." The patient stood up and stomped over to Douma, his shadow cast over Douma, who was on his elbows, but still lying on the hard wooden floor. He giggled nervously as he flipped the page and realized he didn't even know the pinkette's name, Akaza, he read. "Akaza..." Akaza flinched as his name was said. Douma flipped the page again and saw another symptoms column.  

Schizophrenia involves a range of problems with thinking (cognition), behavior and emotions. Signs and symptoms may vary, but usually involve delusions, hallucinations, or disorganized speech, and reflect an impaired ability to function. Symptoms may include:

Delusions. These are false beliefs that are not based on reality. For example, you think that you're being harmed or harassed; certain gestures or comments are directed at you; you have exceptional ability or fame; another person is in love with you; or a major catastrophe is about to occur. Delusions occur in most people with schizophrenia.

Hallucinations. These usually involve seeing or hearing things that don't exist. Yet for the person with schizophrenia, they have the full force and impact of a normal experience. Hallucinations can be in any of the senses, but hearing voices is the most common hallucination.

Disorganized thinking (speech). Disorganized thinking is inferred from disorganized speech. Effective communication can be impaired, and answers to questions may be partially or completely unrelated. Rarely, speech may include putting together meaningless words that can't be understood, sometimes known as word salad.

Extremely disorganized or abnormal motor behavior. This may show in a number of ways, from childlike silliness to unpredictable agitation. Behavior isn't focused on a goal, so it's hard to do tasks. Behavior can include resistance to instructions, inappropriate or bizarre posture, a complete lack of response, or useless and excessive movement.

Negative symptoms. This refers to reduced or lack of ability to function normally. For example, the person may neglect personal hygiene or appear to lack emotion (doesn't make eye contact, doesn't change facial expressions, or speaks in a monotone). Also, the person may lose interest in everyday activities, socially withdraw, or lack the ability to experience pleasure.

Symptoms can vary in type and severity over time, with periods of worsening and remission of symptoms. Some symptoms may always be present.

In men, schizophrenia symptoms typically start in the early to mid-twenties. In women, symptoms typically begin in the late twenties. It's uncommon for children to be diagnosed with schizophrenia and rare for those older than age 45.

Akaza kicked Douma's head, who replied with a grunt. Douma quickly rolled to his right, avoiding being stomped on his face, he got up and ran around Akaza's room looking for his bathroom, which had a cabinet full of medicine for the doctors to give Akaza. He found it and rushed as quickly as a human could and found the cabinet immediately. Akaza stormed into the bathroom as Douma was clicking his tongue looking for the key to unlock the medicine cabinet with a pissed off Akaza biting his left calf, "Do you have rabies or something I don't know of?" Akaza looked up, he said something but was either horribly slurred or it was plain gibberish.

"Aha!" Douma exclaimed as a faint click was heard, he opened the cabinet doors and took out two orange tubes with white tablets in it, one bottle was two thirds full, while the other had three white tablets in it. Akaza stood up, his face blank of any expression as he walked out the room, as if all the anger in him before just faded away. Douma shrugged it off as he read the prescription on each bottle. The blonde sighed, "This will be a huge pain..."

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