I was talking with a friend the other day. They asked which of my diagnoses of autism and schizophrenia came first. In fact, they both came fairly close to each other – autism was 1994 and schizophrenia was 1995. (ADHD by comparison was in 2019 and anxiety somewhere in the mix – I don’t remember quite when!).
I was in denial about my autism for seven years after I got the diagnosis. Impressive though that is in terms of magnitude of Yennski not getting it, my schizophrenia diagnosis took me a lot longer to accept.
I have taken medication for schizophrenia for over 30 years. These medications are pretty brutal and most have significant side effects. Doctors do not generally prescribe such things lightly, but I still believe for many years that the meds were for something else. Even now I wonder on occasion if I need to take the meds. It is a common experience apparently – thinking ‘I feel well so I can stop with the medication’. The one time I did stop taking the meds I get extremely unwell and spent a month in hospital – something which you might think would demonstrate that I probably do have the diagnoses!! The other reason I am reluctant to take the meds is that I think I don’t have the diagnosis so why would I take the medication for it?
I have had a number of psychotic episodes and psychiatrists and nurses in hospital have told me that what I was experiencing was psychosis but even then, I didn’t really accept the label. I have gradually started to accept schizophrenia over the past few years and only really properly accepted it in recent months. I am not 100 per cent sure why it took me so long to come to terms with my schizophrenia diagnosis. I think popular culture may have had an impact. People with schizophrenia in popular culture are usually irrational, unable to engage in things like work or intimate relationships, are constantly unwell and are either perpetrators or victims of violent crime (usually perpetrators. In fact the term ‘psychotic’ tends to be used – incorrectly – in popular culture to describe a person being violent. There are very few representations of schizophrenia in the media and popular couple that are positive. In my case, because I did not fit the stereotypes it contributed to my belief that the diagnosis was inaccurate.
I didn’t want to have schizophrenia. To my mind there was nothing particularly good about it and a lot of negatives. When I was in hospital, I would see other people who were experiencing psychosis and it scared me, especially when I saw older people. Would this be me as I grow older? I wondered.
I now take a medication called Clozapine. This is an anti-psychotic medication which is only ever prescribed to people with treatment-resistant schizophrenia. Over the years hospital psychiatrists tried to put me on Clozapine, and I always declined. In 2020 when COVID had just become a ‘thing’, I went on Clozapine. It took 17 weeks of monitoring and tests and even now I need to have monthly blood tests and see a Clozapine nurse every month. I describe Clozapine as being a great medication but being a pain in the butt! It has actually been life changing. Things which I thought were correct without any doubt – such as there being ghosts in my house and being unable to do a bunch of things for fear of angering the ghosts – have become non-issues since going on Clozapine and I now recognise that these and other beliefs were due to delusional thinking.
So now after thirty years I have properly embraced my ‘other’ diagnosis. It is not shameful, and I do not need to be some kind of popular culture stereotype. It is part of me like all my other brain things are part of me. I can mostly mange it with medication and therapy. I am now meeting other autistic people with a schizophrenia diagnosis – there is a whole community of us! Schizophrenia is not reason for shame or self-loathing. It is another part of what makes me who I am. Like any chronic health issue it needs some management and understanding. It amazes me that it took me so long to accept my schizophrenia. I am meant to be wise and insightful. I guess I can’t be wise and insightful about everything! Anyway, it is nice to be in a place of acceptance and understanding.

Unwell Yenn drawing from 2019








