Saturday, January 10, 2015

Somatic Hallucination?

Something came up in Thomas's therapy this week that got me to thinking. First of all I want to say that Thomas has been doing pretty decently lately. Again I have to credit the Cymbalta (an antidepressant) for the changes I have seen in Thomas. He's dealing with other symptoms but the depression seems to have lifted. I am so upset that we hadn't been able to catch this sooner because I think he's been truly depressed for years. That is no way to live. But in therapy, talk of the "demon" inside of Thomas came up again.

One of the greatest things that has changed lately is that Thomas no longer feels like he has a "demon" or something evil occupying him. I'm not sure what changed where that was concerned other than to think that between me and Dr. K., we convinced him that he didn't have something evil inside of him. For being a delusion that's been around a while, it was pretty easy to eradicate it. I am so happy about that because after learning he felt like that I felt horrible that he actually walked around in his life thinking that to be true.

What accompanied that belief though was a physical sensation that something is inside of him trying to push out of him. He now refers to it as "pressure" but he's had it a long time and it is always with him. Not only that but on a scale of 1 to 10 (10 being the strongest it has ever felt) he falls at a 5 on a constant basis. That's high for him and it would be high for anyone having to live with that feeling 24/7. The thing is, now that he doesn't associate it with the belief that there is a demon inside of him trying to push out of him, he is just left with this incessant pressure. My question to you and my hypothesis is,

Would this be considered, or could this be a somatic hallucination?

He says he doesn't have trouble breathing, he reports no cardiac symptoms, he just feels this pressure and it makes him crazy. I don't know what to make of it exactly but I would like for it to be gone from his life.

So, I open this up for all of you to take a guess at. Perhaps one of my page members with schizophrenia has felt something similar. Perhaps someone has happened upon some information about this kind of thing. I don't know. But I'm hoping you guys will weigh in on this one. I just want Thomas not to have to feel this feeling anymore.

Thanks everyone!

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