Yu gɛt kwɛstyɔn bɔt Schizophrenia? Wetin na ‘Paranoid Schizophrenia’? Lɛ wi ɛksplen ɔltin!

Yu go mɔs dɔn yɛri di nem ‘Paranoid Schizophrenia’, nɔto so? Sɔntɛm sɔmbɔdi dɔn ivin tɛl yu bɔt am. Bɔt yu no se dɔktɔ dɛn nɔ de yuz da nem de bɔku igen. So wetin rili na Skizofrenia? Fɔ tru, na sɔntin we wi fɔ fred? Lɛ wi tɔk bɔt am tide insay wan simpul we we yu go ɔndastand.

Yu nɔ tink se dɛn de yuz di wɔd ‘Paranoid Schizophrenia’ igen? Dɔn wetin na Skizofrenia?

Fɔ tɔk am simpul wan, ‘Paranoid Schizophrenia’ na ol wɔd we dɔktɔ dɛn nɔ de yuz igen. Trade, dɛn bin de yuz dis nem fɔ tɔk bɔt wan kayn sik we dɛn kɔl skizophrenia. Dat min se, pipul dɛm wae sho sayn dɛm wae inklud wan strɔng saspek se ɔda pipul dɛm de aut fɔ du bad to dɛm (paranoia) ɔr biliv pan tin dɛm wae dɛn nɔr kin aksept ivin we dɛn tɛl dɛn se dɛn nɔto tru (`delusions`).

Bɔt naw, as mɛdikal sayɛns dɔn go bifo, dis klasification dɔn chenj. Insay 2013, we di American Psychiatric Association bin ɔpdet dɛn diagnostik manyual, di `Diagnostic and Statistical Manual of Mental Disorders Fifth Edition` (DSM-5), ɛn insay 2019, di Wol Ɛlth Ɔganayzeshɔn bin ɔpdet dɛn intanashɔnal klasification fɔ sik dɛm, di `International Classification of Diseases 11th edition` (ICD-11), dɛn pul dis klasification we dɛn kɔl `Paranoid Skizofrenia.`

Naw dɔktɔ dɛn kin tek dis sik wae de mɛk pɔrsin fil lɛk dis sik na wan pan sɔm kayn sik wae dɛn kin kɔl saykosis, wae de maynd nɔr kin ebul fɔ tɔch rial tin. Dat min se na wan big sik, wit bɔrku difrɛn sayn dɛm. I nɔ de brok dɔŋ to sɔbtayp dɛn lɛk aw i bin de bifo.

Udat kin gɛt dis sik? Aw i kɔmɔn?

Skizofrenia kin bigin pan man dɛm wae ol bitwin 15 ɛn 25. Na uman dɛm, e kin bigin bitwin 25 ɛn 35. Bɔt dis nɔr min se na wan say nɔmɔ i kin afɛkt. Ɔl tu di say dɛn kin divɛlɔp am. Skizofrenia nɔ kin bɔku pan yɔŋ pikin dɛm, bɔt i kin apin. Bɔku tɛm, i kin rili bad.

Dis nɔto sik we pɔsin kin gɛt ɛvride, bɔt na wan we bɔku pipul dɛn dɔn yɛri bɔt. Masta sabi bukman dɛn se, pan ɔl 10,000 pipul dɛn, na lɛk 85 pipul dɛn kin gɛt dis sik insay dɛn layf. Ɔlsay na di wɔl, na lɛk 2.77 lak nyu pipul dɛn kin gɛt di sik ɛvri ia.

Wetin kin apin to de bɔdi ɛn maynd wae dis sik kin kam pan pɔrsin wae gɛt dis sik?

Skizofrenia na wan mɛntɛl sik wae kin afɛkt di we aw difrɛn pat dɛm na yu bren de woke. I kin mɔs afɛkt di we aw yu de tink, mɛmba, ɛn ɛkspiriɛns tin. Pipul wae gɛt dis sik kin tranga fɔ no difrɛns bitwin wetin rial ɛn wetin nɔr rial. Bɔrku tɛm dɛn kin si ɛn yɛri tin dɛm wae nɔr rial (hallucinations) ɛn biliv tranga wan tin dɛm wae nɔr rial (delusions). I kin bi bak se dɛn nɔ kin ɔganayz di we aw dɛn de tink ɛn dɛn nɔ kin ebul fɔ tink gud wan.

Wetin na de men sayn wae de sho se yu gɛt dis sik?

Skizofrenia kin go bifo tru tri stej. Na di stej wae de sik pasmak, yu kin gɛt at le wan pan dɛn fayv men sayn ya:

• Di lay lay tin dɛn we pɔsin kin biliv: Dɛn tin ya na lay lay tin dɛn we pɔsin nɔ go ebul fɔ chenj, ilɛksɛf dɛn tɔk bɔku rizin ɔ pruf.
• Hallucinations: Na tin wae kin apin wae yu si, yɛri, ɔr fil tin wae nɔr rili de.
• Tɔk we kɔnfyus ɔ we nɔ gɛt wanwɔd: Di tin dɛn we dɛn de tɔk kin nɔ gɛt ɛnitin fɔ du wit dɛnsɛf. Dɛn kin yuz wɔd dɛn we nɔ mek sɛns.
• Di we aw pɔsin de biev we nɔ ɔganayz ɔ we nɔ kɔmɔn: Tin dɛn lɛk fɔ biev strenj, nɔ bisin bɔt in yon klin, ɛn ɔda tin dɛn.
• Negatif symptoms: Dis na wae de rεdukshכn pan tin dεm wae dεn kin εkspεkt pan pɔrsin, lεk fɔ sho aw pɔrsin de fil, fɔ intres, ɛn fɔ de wit ɔda pipul dɛm.

Paranoia ɛn aw i de sho

Pan ɔl we dɛn bin de kɔl am ‘Paranoid Schizophrenia’, bɔku tɛm dɛn kin si paranoia wit skizofrenia. Dis paranoia na wan patɛn wae de mek yu nɔr de trɔst ɔda pipul dɛm, biliv se ɔlman de tray fɔ du yu bad, ɛn biev lɛk aw yu de biev.

Dis saspek kin kכmכt mεntal tru tu simptom dεm we dεn kכl `delusions` (false beliefs) εn `hallucinations` (we yu si/yεri tin dεm we nכ de).

• Delusions: Dis na di wan dɛm we a bin dɔn tɔk bɔt, lay lay biliv dɛm we dɛn nɔ go ebul fɔ chenj ilɛksɛf dɛn prɛzɛnt bɔku pruf. Delusion wae kin kam wit dawt kin bi di "persecutory" variety. Dat min se, dɛn biliv tranga wan se sɔmbɔdi de tray fɔ du dɛn bad, fɔ gɛt bad impak pan dɛn layf. Imajin, sɔmbɔdi tink se sɔmbɔdi de pɔyzin dɛn it, ɔ di neba dɛn de plan agens dɛn na nɛt. Dɛn tin ya na tin dɛn we pipul dɛn kin tink bɔt.
• Hallucinations: Dis na fɔ si ɔ yɛri tin dɛn we nɔ rili de. We pɔsin gɛt sɔm kayn tin we i de tink bɔt, i nɔ kin ebul fɔ ɔndastand se nɔto rial tin. Bɔku tɛm, dɛn tin ya kin mek di lay lay tin dɛn we wi bin dɔn tɔk bɔt, strɔng mɔ. Fɔ ɛgzampul, pɔsin kin yɛri pɔsin de ala pan am, dɔn i kin tink se, “O, da pɔsin de de tray fɔ du mi bad.”

Nɔr no bɔt in yone kɔndishɔn (`Anosognosia`) .

Wan ɔda kɔmɔn sayn fɔ skizofrenia na wan sik wae dɛn kɔl ``Anosognosia.'' Dɛn kin jɔs tɔk bɔt dis as "nɔr nɔr no bɔt in yone sik." Dis min se di pɔsin in bren nɔ kin ebul fɔ ɔndastand se i gɛt wan sik, pan ɔl we i gɛt sɔm sayn ɔ ɔda pruf fɔ sho se i gɛt am. Dis kin rili kɔmɔn wit dis sik, na dat mek pipul dɛm wae gɛt dis sik kin nɔr kin gri fɔ tek tritmɛnt ɛn nɔr kin gri se dɛn gɛt dis sik.

Wetin kin mek pɔsin gɛt skizofrenia? Ɛni patikyula tin dɛn de we kin mek pɔsin want fɔ du sɔntin?

Divɛlɔp sik we dɛn kɔl skizofreniaNo wan patikyula difinitiv kɔz nɔ de yet. Masta sabi bukman dɛn biliv se bɔku tin dɛn kin ɛp fɔ du dat. Bɔt yu nɔr kin shɔ se yu go gɛt dis sik jɔs bikɔs yu gɛt ɛni wan pan dɛn tin ya. Dɛn dɔn no tri men tin dɛm wae kin mek pɔrsin gɛt skizofrenia:

• di kεmikכl imbalans na yu bren: Dis na chenj dεm na di kεmikכl dεm (e.g., nyurotransmit dεm) we dεn de yuz fכ kכmכnik bitwin di bren sεl dεm.
• Prɔblɛm dɛn we yu bɔn wit yu bren: Sɔm prɔblɛm dɛn we kin afɛkt di we aw yu bren de gro bifo dɛn bɔn yu, we yu stil de na di bɛlɛ.
• Di kɔmyunikeshɔn disrɔpshɔn bitwin difrɛn pat dɛn na di bren: Difrɛn pat dɛn na yu bren de wok togɛda. Masta sabi pipul dεm biliv se if dεn kכnεkshכn dεm ya brok dεn kin mek yu gεt sik wae dεn kכl skizofrenia.

Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik we dɛn kɔl skizophrenia. Dɛn tin ya we kin mek i gɛt prɔblɛm na di jɛnɛtik muteshɔn we dɛn kin gɛt frɔm in mama ɛn papa, we pɔsin kin gɛt sɔm kemikal dɛn, prɔblɛm dɛn we kin apin we i gɛt bɛlɛ, ɛn we i kin yuz drɔgs fɔ ɛnjɔy insɛf. Bɔt dɛn nɔr dɔn no ɛni patikyula tin ɔr kɔz fɔ dis sik.

De tin wae impɔtant pas ɔl na dat, skizofrenia nɔto sik wae pɔrsin kin pas. I nɔ de skata frɔm wan pɔsin to ɔda pɔsin.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Bɔrku tɛm, na pɔrsin wae sabi bɔt mɛntɛl hεlth, lɛk pɔrsin wae de mɛn pipul dɛm wae gɛt dis maynia sik kin no bɔt dis sik. Dɛn kin yuz difrɛn we dɛn ɛn tin dɛn we dɛn kin yuz fɔ no if i gɛt am. Dɛn we ya na fɔ analayz yu mɛrɛsin ɛn pasɔnal histri, aks kwɛstyɔn bɔt yu ɛkspiriɛns ɛn sayn dɛm, ɛn wach aw yu de biev ɛn aw yu de wok.

Ɔl dɛn we ya nid fɔ kam togɛda fɔ no if pɔsin gɛt skizofrenia. Bikɔs, fɔ kɔnfirm di diagnosis, dɛn tin ya nid fɔ du:

• At ɔl tu pan di fayv men sayn dɛm we wi bin dɔn tɔk bɔt fɔ de de.
• Dɛn men sayn ya fɔ de fɔ at le wan mɔnt . Dɔn bak, di wan ol ifɛkt fɔ las fɔ at le siks mɔnt .
• I go mɔs bi se sɔntin bin ambɔg yu soshal layf ɔ wok .

Us tɛst dɛn kin du fɔ no dis sik?

Bɔrku tɛst de wae dɛn kin du fɔ ɛp fɔ no if yu gɛt dis sik. Pan ɔl we nɔr pan dɛn tɛst ya nɔr kin ebul fɔ no if yu gɛt dis sik, dɛn kin ɛp fɔ pul ɔda kayn sik ɔr prɔblɛm wae kin kam wit dis kayn sik.

Sɔm pan di tɛst dɛn we dɛn kin du na:

• Imej tɛst: Dɛn tin ya na CT skan ɛn MRI skan.
• Blɔd, urine, ɛn spɛshal wata (`Spinal tap`) tɛst: Dɛn wan ya de luk fɔ tin dɛm lɛk di chenj we di kεmikכl de chenj na di bכdi wata, hεvi mεtal pכyzin, εn infεkshכn.
• Di tɛst dɛn we di bren de du:wan ilektroεnsεfalogram (EEG) de analכz εn rεkכd di ilektrikal aktiviti na yu bren. Dis kin ɛp fɔ pul di tin dɛn we kin apin lɛk ɛpilepshi.

Yu tink se tritmɛnt de fɔ dis? Yu tink se dɛn kin mɛn am?

Skizofrenia na wan sik wae dɛn kin trit ɛn kɔntrol, bɔt dɛn nɔr kin ebul fɔ mɛn am. Sɔm pipul kin wɛl kpatakpata ɛn nɔr kin ɛva gɛt dis sik bak. Bɔt masta sabi pipul dɛn kin kɔl dɛn kayn pipul ya "in remission" bikɔs i nɔ pɔsibul fɔ tɔk if dɛn go kam bak.

Dɛn kin trit skizofrenia wit sɔm kayn we dɛn we dɛn jɔyn togɛda ɔr wan tɛm. Mɛrɛsin, saykotɛrapi, ɛn aw fɔ mɛn yusɛf na di impɔtant tin dɛn. Ɔl tri, if yu yuz dɛn kɔrɛkt wan ɛn ɔltɛm, kin ɛp fɔ kɔntrol di sik. If yu no di sik kwik kwik wan ɛn trit yu kwik kwik wan, dat kin mek yu gɛt gud tin fɔ du.

Us mɛrɛsin ɔ tritmɛnt dɛn dɛn kin yuz?

Mɛrɛsin na di kɔna ston fɔ di tritmɛnt plan dɛm fɔ dis sik wae de mɛk pɔrsin fil fayn. Bɔrku tɛm, pipul dɛm wae gɛt dis sik kin gɛt ɔda tritmɛnt wae kin ɛp fɔ mek dɛn gɛt mɔr sik ɛn ɛp dɛm fɔ go wit dɛn.

Tu men kayn mɛrɛsin de wae dɛn kin yuse fɔ trit skizofrenia: `typical antipsychotic medications` ɛn `atypical antipsychotic medications`. Apat frɔm dat, ɔda mɛrɛsin dɛn kin ɛp fɔ trit sik we dɛn kɔl skizofrenia dairekt ɔ fɔ ridyus di sayd ɛfɛkt dɛn we di mɛrɛsin dɛn we de mek pɔsin gɛt sik we de mek pɔsin nɔ fil fayn kin gɛt.

Ɔda tritmɛnt ɔ we dɛn we go ɛp:

• Saykotɛrapi: Mental wɛl bɔdi tritmɛnt kin ɛp pipul dɛm wae gɛt dis sik fɔ ɔndastand ɛn bia wit dɛn sik. E kin ɛp bak fɔ mɛn ɔda mɛntɛl hεlth prɔblɛm wae kin kam wit ɔr kin kam wit skizofrenia.
• Ilɛktrokɔnvulsiv tɛrapi (ECT): Dis kin ɛp mɔ fɔ sik wae de mɛk pɔrsin fil fayn wae nɔr de tek mɛrɛsin, ɔr wae pɔrsin de pan denja fɔ du bad to insɛf ɔr ɔda pipul dɛm bikɔs ɔf de sik wae de mɛk pɔrsin fil bad.

Aw a go tek kia ɔf misɛf ɔ kɔntrol di sayn dɛm?

Yu nɔ fɔ ɛva no se yu gɛt dis sik, ɔr pɔrsin wae yu lɛk wit yu, bikɔs dis nɔr kin izi fɔ no ɔltɛm. I kin tek trenin ɛn ɛkspiriɛns fɔ no am kɔrɛkt wan. Dɔn bak, de sayn dɛm fɔ dis sik kin apin wit ɔda tin dɛm, lɛk `Paranoid Personality Disorder` ɔr `Delusional Disorder`. Fɔ ɔl dɛn rizin ya, dɔktɔ fɔ no bɔt dis sik.

If yu gɛt kwɛstyɔn bɔt aw kwik yu go fil fayn afta yu dɔn bigin fɔ trit yu, yu dɔktɔ na di bɛst tin fɔ no bɔt am. I go ebul fɔ gi yu kɔrɛkt ɛstimat, ɛn i go tink bɔt di tin dɛn we de apin na yu layf we go afɛkt di we aw di tritmɛnt go wok fayn. I go tɛl yu bak bɔt ɔda tritmɛnt opshɔn dɛn if di fɔs tritmɛnt nɔ wok.

Mɛmba se, skizofrenia na wan sik wae kin kam wae yu nɔr bin de ɛkspɛkt. So, dɛn nɔ kin ebul fɔ stɔp am ɔ di risk fɔ gɛt am kin ridyus.

If a gɛt dis sik, wetin a fɔ ɛkspɛkt?

Skizofrenia na wan sik wae kin tranga pɔrsin in layf bad bad wan bikɔs e kin afɛkt dɛn rilayshɔn wit rial tin. Dis min se pɔrsin wae gɛt dis sik kin gɛt prɔblɛm fɔ no wetin na tru ɛn wetin na lay. I kin rili mek pɔsin fred ɛn kɔnfyus.

Wae pɔrsin gɛt delusion ɛn hallucinations wit de paranoia wae wi bin dɔn tɔk bɔt, e kin kɔmɔn fɔ mek dɛn fil frayd ɛn nɔr de trɔst ɔda pipul dɛm. Pɔrsin wae gɛt dis sik kin mistek biliv se de wan wae de tray fɔ ɛp dɛn de tray fɔ du bad to am.

Wit tritmεnt, dεn kin mεnεj skizofrenia bכku bכku wan. If dɛn nɔr gɛt tritmɛnt, ɔr if tritmɛnt delay ɔr stɔp, pipul dɛm wae gɛt dis sik kin strɛs wit de ifɛkt wae de sik kin gɛt. Dis kin afɛkt dɛn layf siriɔs wan, ivin denja. Dɛn kin gɛt prɔblɛm fɔ kɔntinyu fɔ gɛt padi biznɛs wit dɛnsɛf ɛn fɔ mek dɛn nɔ gɛt wok. Dis kin mek prɔblɛm dɛn lɛk fɔ lɔs dɛn os ɛn fɔ de wit ɔda pipul dɛn. Pipul wae gɛt dis sik kin gɛt bɔrku risk bak fɔ kil dɛnsɛf. Dis min se tritmɛnt nɔr kin jɔs ɛp, bɔt kin sev layf bak.

Schizophrenia na wan sik wae de kam wae yu de liv yu layf, wae nɔr kin mɛn. Sɔm pipul kin gɛt wan tɛm nɔmɔ fɔ gɛt dis sik na dɛn layf ɛn afta dat dɛn kin stɔp. Bɔt, dɔktɔ dɛn kin tek dɛn kayn ɛpisod ya as "in remission" pas fɔ mɛn ɔ sɔlv. Dis na bikɔs di sayn dɛm kin kam bak we yu nɔr bin de ɛkspɛkt.

Aw a kin kia fɔ misɛf?

If yu gɛt skizofrenia, fɔ kia fɔ yusɛf ɛn fɔ kɔntrol yu sik na sɔntin we yu kin du. Ɛspɛshali we yu bil tayt padi biznɛs wit yu dɔktɔ ɛn di wan dɛn we yu lɛk. Na sɔm pan di impɔtant tin dɛn we yu kin du fɔ kia fɔ yusɛf:

• Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am (nɔ stɔp fɔ tek am we yu nɔ tɔk to yu dɔktɔ).
• Si yu dɔktɔ ɔltɛm (dɛn apɔntinmɛnt ya go ɛp yu fɔ mek di mɛrɛsin ɔ tritmɛnt plan we go fayn fɔ yu).
• Nɔ ignore ɔ avɔyd yu sayn dɛm.
• Nɔ yuz rɔm ɛn drɔgs fɔ ɛnjɔy yusɛf (dɛn tin ya kin mek yu sik wɔs ɔr kin mek yu gɛt ɔda prɔblɛm).
• Nɔ fred fɔ aks fɔ ɛp. Bil rilayshɔn wit pipul dɛm we yu kin trɔst – mɔ di wan dɛm we yu lɛk ɛn yu dɔktɔ. Nɔ isolate yusɛf frɔm dɛn.

Apat frɔm di de dɛn we dɛn kin tɛl yu fɔ go to yu dɔktɔ, go to yu dɔktɔ if yu notis se yu sik chenj ɔ chenj di we aw yu mɛrɛsin dɛn de wok.

If yu de tink bɔt fɔ du bad to yusɛf, fɔ kil yusɛf, ɔ fɔ du bad to ɔda pipul dɛn, go na ɔspitul ɔ kɔl imejensi nɔmba wantɛm wantɛm.

Wetin a fɔ du if di pɔsin we a lɛk de sho sɔm kayn sik wae de kam pan pɔrsin wae gɛt dis sik ɔr ɔda kayn sik wae tan lɛk dis?

Bikɔs pipul dɛm wae gɛt dis sik nɔr kin no de sik ɔr de sik, bɔrku tɛm dɛn nɔr kin tink se dɛn nid mɛrɛsin ɔr tritmɛnt. Dis kin mek di pɔrsin wae gɛt dis sik ɛn di wan dɛm wae de kia fɔ dɛn, fil bad ɛn frayd.

If yu notis se yu pɔrsin wae yu lɛk de sho sayn dɛm fɔ skizofrenia ɔr dis kayn sik, yu kin tray fɔ ɛp dɛm pan dɛn we ya:

• Aks aw yu go ɛp. We yu lisin ɛn gi yu ɛp, yu go ebul fɔ kip di layn dɛn fɔ tɔk to pipul dɛn. I de ɛp dɛn bak fɔ fil se dɛn gɛt kɔnekshɔn wit ɔda pipul dɛn.
• Ɛnkɔrej dɛn fɔ si pɔsin we go ebul fɔ ɛp dɛn. Tritmɛnt fɔ pɔrsin wae gɛt dis sik, mɔr lɛk mɛrɛsin kin ɛp pɔrsin in sik. Bɔku tɛm, dat nɔmɔ kin du fɔ mek dɛn no se dɛn gɛt wan sik we dɛn nid fɔ go to dɔktɔ.
• Nɔ jɔj ɔ agyu. Pipul wae gɛt dis sik kin gɛt prɔblɛm fɔ no difrɛns bitwin tru ɛn lay. Nɔ jɔj dɛn ɔ tray fɔ mek dɛn biliv se dɛn de gɛt tin dɛn we dɛn de tink bɔt ɔ we dɛn de tink bɔt tin dɛn we dɛn de du. Dis kin mek dɛn nɔ trɔst yu igen ɛn i kin mek dɛn fil se dɛn de dawt yu mɔ ɛn mɔ.
• Stay wit yu at. Wae yu vɛks ɛn pwɛl hat kin afɛkt yu padi biznɛs wit yu pɔrsin wae gɛt dis sik wae gɛt dis maynia sik. Dɛn kin vɛks izi wan bak na say dɛn we nɔys ɔ chaotic. Tray fɔ pik say dɛn we kwayɛt ɛn we gɛt kol at. Du wetin yu ebul fɔ mek dɛn fil sef ɛn fil fayn as yu ebul.
• Gɛt ɛp we ɛnitin apin we nɔ izi fɔ yu. If pɔrsin wae gɛt dis sik de tɔk bɔt fɔ du bad to insɛf ɔr ɔda pipul dɛm, ɔr if i de sho se i de dawt pasmak, de agyu, ɔr de bihayvya, yu fɔ kɔl yu lokal imejensi nɔmba kwik kwik wan.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Pan ɔl we ‘Paranoid Schizophrenia’ na ol wɔd fɔ dis sik, paranoia stil na kɔmɔn pat pan de sayn dɛm wae pipul dɛm kin gɛt. Skizofrenia na wan sik wae kin mek pɔrsin kɔnfyus, bɔrku tɛm wae kin mek pɔrsin frayd wae pɔrsin nɔr kin no bɔt rial tin ɛn nɔr kin ebul fɔ no difrɛns bitwin wetin rial ɛn wetin nɔr rial.

We pipul dɛn kin gɛt dawt, i nɔ kin izi fɔ dɛn fɔ abop pan di wan dɛn we want fɔ ɛp dɛn. Dis kin mek i nɔr izi fɔ no ɛn trit de sik. Bɔt if dɔktɔ ɛp, mɔr lɛk mɛrɛsin, pipul dɛm wae gɛt dis sik kin avɔyd siriɔs prɔblɛm ɛn liv layf wae go mek dɛn gladi. If yu ɔ pɔsin we yu lɛk de gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ. Na di bɛst tin we yu go ebul fɔ du.

` Skizofrenia, Paranoid Skizofrenia, Mental Wɛlbɔdi, Saykosis, Dilushɔn, Halucinations, Tritmɛnt, Anosognosia