Hi everyone. I (30F) have been struggling with “fear of schizophrenia” OCD for a very long time now. This theme certainly comes in waves for me, but even when I'm not experiencing it acutely, it is always in the back of my mind. I feel like I can never truly plan for anything because soon I will be psychotic, so it won't matter anyway. I live my life in constant, abject terror that I am indeed becoming schizophrenic. At this point, I truly think that I am.
Before I go further, I will mention that I have extreme health OCD, as well as some harm OCD and contamination OCD. Prior to this year, I used to think I had every deadly illness in the book. I used to go to the ER for every ache and pain, for every sensation that felt unusual to me. I worked through a lot of that but I cannot seem to apply those same skills to this theme.
This started in 2020 when I had a strange thought like "what if there are cameras?" and while I KNEW that there weren't, the fact that I had such a thought at all made me fear that I was becoming psychotic. I later started paying more attention to my mind pops and hypnagogic hallucinations and it has been downhill from there.
Still, I had kept this fear to myself and under wraps for years until December of 2023. I woke in the middle of the night and as I was scrolling on reddit, I noticed a post to the tune of "What is the scariest fact you know about the human mind?" and the top one was about dementia. Someone had linked a free cognitive test called MindCrowd to test for dementia or mild cognitive impairment. I decided to take it and, being half asleep, scored miserably on it. I decided I was too young for dementia so this was definitely the onset of schizophrenia. Since then, I have taken dozens of cognitive tests and scored very very well on them, including up to about 3 days ago. I do not have cognitive impairment. I am still intellectually and cognitively intact.
I have no family history of schizophrenia or any psychotic disorder (although OCD runs in my family). I have OCD and Borderline Personality Disorder.
I have a lot of symptoms that make me believe that I am entering psychosis. I'll list them below:
**Pareidolia -** This one is the one that is the most distressing to me right now. See r/pareidolia for examples of what I am talking about. At some point in the past, I read that pareidolia is a symptom of schizophrenia. For a few years now, whenever I think of this fact, I become vigilant of facial patterns in things. I am at such a point of hypervigilance about pareidolia right now that no matter what I look at, I can guarantee that I will be able to find a face pattern in it. I am usually actively thinking about pareidolia prior to it happening. If I were heavily distracted, I would most likely not notice it at all. I notice it in everything now. This is one of the most distressing symptoms ever.
**Mind pops and brain chatter -** it feels like I have a mental radio. Particularly when it's quiet or I'm anxious, I "hear" a lot of chatter in my head. This can range from the sound of a crowded area in my head (I don't ACTUALLY hear it; I know it's in my head) to random words and phrases like "Tina Tuna" or "dinnertime", etc. I also have songs playing in my head almost constantly. I don't like to sit in silence because of these phenomena. I usually have music or a podcast playing.
**Hypnagogic/hypnopompic Hallucinations -** these are heard right as I'm falling asleep. Could be bits of conversation. They disappear when I wake up.
**Closed Eye Visuals -** Occur when I'm falling asleep, especially if I'm extremely tired. Can pretty much be anything.
**Weird thoughts -** I think this one I do to myself. I'll have a super fucked up thought like "I wonder what kind of music my cat would listen to if he could like music?" and then be like "what the fuck, why did I think that?"
**Constant hypervigilance -** Making sure I didn't see or hear something that wasn't there. Asking for reassurance from loved ones that they also saw or heard what I saw or heard.
**Brain Fog -** I think this might be stress related but there are times when I become so stressed from my anxiety that I feel like I have no thoughts left in my head.
**Afterimages -** Sometimes if I look at brightly-coloured things like lights, I'll see an afterimage of it for a few seconds.
*I went to the hospital at the beginning of this week for all of this and an ER doctor, a mental health nurse, and a psychiatrist all told me that I categorically and completely do not have schizophrenia or any prodrome of it.This should have been reassurance enough but it is not. I don't think anything is.
I am terrified that I will lose my mind and hurt the people I love. That is my biggest fear in the world. I don't want to hurt anyone. I just want to live a simple, quiet life with my wife and my cats. I love them so much and I never want anything bad to happen to them.
I hate that this is happening to me. I have seen so many stories on this sub about people whose symptoms essentially mirrored mine. Based on post history, a lot of people recovered from this theme. I just can't seem to. This is the worst my OCD has ever been. I can't take medication because I have had horrific experiences in the past on medication.
I spend probably 8-10 waking hours a day thinking about schizophrenia, googling, testing myself (such as with the Mask Illusion, which I do still fall for btw), doomscrolling on Reddit, seeking reassurance from basically everyone, asking my family and friends if I seem psychotic, asking if they heard noises or saw things that I had, etc. I have nightmares about it when I sleep. I feel like I’m going to die from the anxiety this is causing me.
Last night, I barely slept because I kept dreaming of pareidolia. I’m at the point of feeling like if I stepped outside and got hit by a truck, maybe it wouldn’t be such a bad thing cause I could finally stop worrying about schizophrenia.
So, am I schizophrenic? Or is this illness anxiety and OCD? Can OCD trick you into thinking you’re psychotic?