Some people afflicted with schizophrenia have bouts of psychosis with long periods of “normalcy,” while others are in a constant psychotic state, regardless the anosognosia may remain constant, and neither medication nor aging may make a difference.
Has anyone overcome anosognosia?
If so, are you willing to share what it is that you found helpful? Thank you.
One person helpfully shared that that he got over anosognosia, with time.
He made notes on delusions and revisited them, two weeks later, to see which ones panned out to be true.
After getting enough evidence to disprove his paranoid thoughts, he moved on.
This took a long time.
He suggests some people may get lucky with meds, and some with psychological talking therapies.
Maybe it also has something to do with how open and sharing you are as a person? If your personality tends to be more closed and private, it may be harder to be receptive examining the delusions … My mother never wishes to discuss it.
@Lily1 recommended that caregivers keep a daily journal, documenting:
Mood, Hygiene, Sleep patterns, Communication patterns, Eating patterns, Bizarre behaviour
That helps if your loved one is living with you.
You can still keep a journal if they are not, but it may have different details.
The journal may be helpful for the doctor, etc. It may be less helpful for the loved one, as they didn’t write it themselves.
Even so, my mother writes down what she ‘sees’, but still considers it real despite any evidence to the contrary.
The problem is when the impaired ability to interpret new information leads to false perceptions or misguided beliefs, and that leads to poor judgement and detrimental actions.
According to psychologist and schizophrenic sufferer, Frederick J. Frese — convincing a schizophrenic of their condition can sometimes be accomplished by a trusted individual who can “… gradually chip away or ‘defreeze’ the rigid cognitive defensive structure that constitutes the denial.” This could involve giving the sufferer examples of their psychotic behaviors, during their most rational moments (when they are able to reason more accurately).
Strong, positive social ties can help people develop more accurate evaluations of the external world, serving as surrogates or validators for the person’s own perceptions.
However, even with strong, positive social ties, this may not be enough.
I’m interested in learning what has worked for people and welcome all comments.