Has anyone seen schizophrenia patients with long-term severe trauma (CPTSD)?

During my childhood, I experienced years of ongoing trauma from my teachers — physical punishment and verbal humiliation. Later, I was diagnosed with schizophrenia. I've come to suspect that I may also have CPTSD (even though it's not formally diagnosed where I live).

Compared to other patients I've met, my hallucinations and delusions seem to carry much more emotional weight. I also struggle with severe somatic symptoms and dissociation. Interestingly, lorazepam helps with my anxiety, while blonanserin did almost nothing.

I'm wondering — has anyone here encountered patients with a similar profile? What treatment approaches tend to work for this combination? I'd really appreciate any thoughts or experiences you're willing to share. This matters a lot to me.

Thanks.

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u/REndlesss_ — 10 days ago

A trend I've noticed on Bilibili (a major Chinese video platform) regarding DID

I used to watch a fair amount of content about mental disorders on Bilibili. At first, I'd occasionally come across videos about DID. But over time, the number of such videos increased sharply—and then, quite dramatically, it seemed like almost overnight, many creators who made content about mental health adopted a DID narrative.

What stood out to me was that some of these creators had previously been diagnosed with other mental disorders. Yet they all started using the same terminology—like "XX system"—to describe their experiences. Some even claimed to have comorbid schizophrenia, major depression, and DID simultaneously.

I'm not saying their diagnoses are false. I'm not in a position to judge that. I'm just genuinely curious about the trend itself—how a specific diagnosis seems to have become so prominent on a platform, almost like a shift in how people talk about their experiences.

Would love to hear if similar patterns have been observed elsewhere.

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u/REndlesss_ — 11 days ago

Lmao my pseudo-hallucinations have a higher IQ than me

This is real. Every morning, before I'm even fully awake, he shows up — an adult male voice who insists on calling me "sir" (even though I'm a girl lol). He's loud as hell and seriously messes with my sleep.

He uses words like "pilgrimage" and "nirvana" — stuff you don't hear every day — and starts debating philosophy with me while I'm still half-asleep and completely disoriented. Half the time, he says things I haven't even thought of yet — jokes, theories, weird observations — and then I end up looking like the slow one.

But he's not exactly a friendly guy. He drains me completely — like he's hollowed out my own thoughts and left me empty. And he judges me constantly. He'll point out that I used the same word two sentences in a row and tell me to rewrite it. He's basically my inner editor from hell.

I'm switching to paliperidone this summer, hopefully. I'm going to destroy him. 😼

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u/REndlesss_ — 14 days ago