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Can psychosocial issues cause this
29. Male. 77 kg. 5'6". Lactovegetarian. Currently on paliperidone 150 mg monthly depot for schizophrenia and 20 mg escitalopram for OCD.
I was pretty normal guy up until 2015. Just had habit of masturbation. I discounted my behavior as a response to and to lower stress of college.
I was attracted to our maid at that point. I sexually abused that maids daughter. I felt horrified when that girl told my elder brother about this. I spent one complete evening in shock. After that I planned on marrying that maid to shield myself from consequences. But that plan and things collapsed in April 2016 when saw trailer of a marathi film which touches on intercaste issues. After 5 days I felt physically empty headed and spoke very little and very little expressions. Later I left work and started staying at home glued to computer.
I now suffer from anhdepression like symptoms that responds to expectation, belief, reassurance, hope, new environment, placebo for example general doctor or self-medicin
"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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Hii...
Your symptoms of low motivation, reduced speech, low emotional expression, and “empty-headedness” can be negative symptoms of Schizophrenia and possible Depression.
Psychosocial stressors can act as triggers or worsening factors, but they are usually not the sole cause.
Your current treatment with Paliperidone and Escitalopram is appropriate, but residual symptoms may still occur.
Next Steps
Review with your psychiatrist for dose optimization or medication adjustment (sometimes change of antipsychotic or augmentation is needed)
Assess specifically for depressive symptoms vs negative symptoms
Consider adding psychosocial interventions ( CBT, structured routine)
Health Tips
Maintain a structured daily routine (sleep, activity, meals)
Gradually increase social and physical activity
Limit excessive screen time and isolation
Continue medications regularly; avoid self-medication
Family support and psychoeducation are important
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