TanglesTheRope :
I was taught to be careful when it was a sensation, because it’s easy to call it a delusion and miss a medical reason. Having schizophrenia doesn’t make you magically immune to every other medical condition or illness or injury. If they’re yelling about a bell ringing in their ear and buzzing in their ear… that might be tinnitus… which is not really a delusion in the traditional sense. “there’s maggots in my skin.” almost certainly a delusion. Unless he’s homeless. Which statistically, he’s pretty likely to be, for a lot of really horrific systemic reasons…. But we gotta make damn sure there aren’t ACTUALLY bugs in his skin, or a fungal infection, or sores, because he’s probably had terrible access to hydrated healthcare, and that shit happens on the street! How sure are we that the “lightning” that keeps shooting up their leg is a is not good old-fashioned regular nerve pain? obviously, I know that you’re gonna say that you always double check for medical issues before you proceed. I got that. My specific point is about the kinds of medical issues that are difficult to identify outside of reported experience, or are so commonly associated with solutions that it’s easy to dismiss. you can’t hear somebody else’s tinnitus, so you can’t prove they have tinnitus, but if they didn’t have schizophrenia, you wouldn’t assume it was an auditory delusion, you would start trying to treat the tinnitus.
2026-08-01 00:59:42