Avatar Therapy for Schizophrenia

A few days ago, I discovered the free educational program by Massachusetts General Hospital Department of Psychiatry and spent today at Schizophrenia Education Day: Progress in Schizophrenia – New Insights into Brain Development, Drug Use and Treatment. I walked away with so many new thoughts.

A study ran by King’s College London and University College London was using digitally generated avatars for schizophrenic patients to confront their hallucinatory voices.

(You can read more details at the BBC and The Lancet Psychiatry journal.)

My first voice was a young man. In my head, I had an idea of what he might look like and could probably pick out recordings of a voice that matched his the closest. However, creating him, my Joe, as I called him later, feels a bit scary. (Though now a Japanese man can get a digital girlfriend and in China there is a digital anchor!) These folks are right. I had a “personal relationship” with Joe. This would either enhances or damages that. Would this make him feel more real? Would this further mess with my sense of reality? By making him more real, do we hope to empower patients and raise us from being the one that is suppressed to dominant? Will this succeed in putting more control back to patients’ chaotic and confusing lives?

The rest of my voices – there were many of them – were all of my friends and families. I did not need avatars in this case. When I see them in real life, I did wonder about if they were really speaking to me in this abnormal way and why they would do that.

I am lucky that my voices were not aggressive or violent and that I am mostly-voice-free with medication. For folks whose treatments do not remove harmful auditory verbal hallucinations, this is an innovative way to fight the battle. I hope to hear more about this.

 

Romance Scam: How It Happened to Me

I have never met someone who intended to hurt me since day 1 until Paul who I “met” on OkCupid early June this year. I have been actively using OkCupid for about three years as a forty something single woman looking for like minded men around my age and area. In the last couple of years, I was able to meet 15 local men but most of them did not go beyond the first date. I continued to be optimistic.

On July 7th, 2018, I received a message from Paul, 45, NYC. The message was normal and with substance – I look forward to having meaningful conversations with you – and that’s huge. I decided to respond. In his response, he was quick to ask me: “How is online dating going for you? and what are you looking for?” He was also quick to state clearly what he was looking for: “I’m looking for a woman who is ready for a serious long term relationship with commitment. Would like to take each day at a time to learn more about you. How long have you been single? I got divorced almost 4 years ago and I have a 15 yrs old boy that lives with me. I’m mentally and emotionally ready for something new.” I thought, great, a man who knew what he wanted and it was a real relationship.

Paul was not shy about sharing details about himself. “I’m originally from the Netherlands and I have been living in the US for almost 13 years. I have lived in CA and Seattle until few months ago before I moved to NY… I work as a Project Evaluator in disaster and aid management, I help to facilitate the distribution of relief and provide medical assistance to displaced people living in remote areas across the world. I’ve been doing it for 17 years, It can be very challenging and rewarding.” I thought he had a very admirable job. However, I made a mental note to asking him more about because I knew so little of disaster and emergency management in the world.

It turned out that I met him when his birthday was coming up. “Can we chat tomorrow? It is my birthday today and I’m having friends and family over at my place.” The next day, he let me know that, ” I had a lot of fun celebrating with family and friends. I cooked some of my favorite meal then invited them over for dinner. When is your birthday Moreover, I’m grateful to have a job that provides me with the opportunity to help those that are in need and knowing that there is more to do is what motivates me in other to do more. I decided to move to NY in other to leave some memories behind us and for my son to be closer to his grandparents. Have you always lived in NY?”

He soon suggested that we move off OkCupid while sharing a few more details about himself. “I liked Boston since my first visit couple of years ago and who knows maybe you might give me another reasons to come there. Smiles! Hope you get to see your parents. How old are they? My parents are deceased and I wish they were still here. Will you like to communicate through phone and text messaging? I think it is a more efficient way of interacting with one another.”

During the first month, we texted and messaged. He started checking in with good-morning and good-night texts. My friends were impressed and so was I.

On Monday night, July 23, Paul surprised and called me for the first time. We had an awkward pause for about 10 seconds then he started laughing and I felt at ease. I liked him a bit more that instance. I had told him that I only talked to my parents on the phone and no one else. He said that he wanted to be added to the list. I could feel that he was interested in me. That felt good. From that day one, we talked almost every day. Sometimes it was a quick call, other times longer. His calls and texts became part of my routine and day.

That week, Paul complained about a severe headache and had to see a doctor. The doctor suggested to him to take a scan and he did. He went back to the doctor a couple of days later and got his test results back. It was all normal! Meanwhile, I was sharing personal details with him as well. I told Paul about my full name, email, and website.

While I was taking to Paul almost every night, I wanted to know more about him. I Googled him several times based on what I knew: Paul Henriks, 347-667-2147, prhenriksjobs003@gmail.com, and found nothing at all. He had zero online presence. I told myself not to worry and continued to get to know him.

In addition to messages, I asked Paul for pictures wanting to know more about him. “So I can see what you are seeing!” I told him. Paul was able to send me photos of his family, the birthday party he went to, and from his camping trip. Finally, photos! I told him that I now knew that he was not a serial killer and was real. I sent him a few more my recent photos too and told him that I was breaking my rule of “no pictures before meeting in person.” He responded, “I am not going to kill you with pictures!” I told him about my schizophrenia. He said that he did not mind.

On Monday July 30, Paul happily told me that he had won the proposal that he has been working one. That was work for him for the next 18 to 20 months. He said he wanted to come and see me. I thought that was serious commitment to getting to know me. I was happy to hear that. He needed to wait to hear more about his work travel schedule this week, then he would let me know when he could meet.

Out of the blue, Paul deleted his profile on OKC. I did not expect that! Typically, this requires a conversation. But he just made his own decision. I asked him what he meant by that and he said that he wanted to focus on this. The next day, I disabled mine too. I felt that I was talking to someone who was kind and caring. I would also focus on this.

During one of our phone calls, Paul sounded a bit upset. When I asked him what was wrong, he said that he was expecting to travel for work sooner than he thought. He would only be able to visit me after his work trip. I thought that was okay and reassured him that was fine with me.

Paul emailed me his flight details and confirmations for traveling to Manila, Philippines for work. His return flight was from Manila to Boston. He did not book a flight leaving Boston to go back to New York. During this time, giving the time zone difference, we talked less regularly. But Paul continued to show an effort to keep in touch with me.

We lost communication for three days. Then I received the a few emails from Paul.

Email: Tuesday, August 14, 12:10 PM

Good morning babe,

How are you? I hope you had a good night sleep. I arrived Manila safely, although we experience a mid air turbulence and a  bumpy landing other than that it was fine. I had my first official meeting with the Directors today, It was short but It offered me an opportunity  to make a positive impression. I am looking forward to yet another meeting with the Directors tomorrow to discuss the details surrounding the execution of the project, project schedule and contract review/negotiations.

Moreover, It’s been almost 3 days since we last spoken, I must confess that I’m missing you more than I could ever imagine. You have become a special part of day and our conversation has brought me great joy and laughter.

I should be able to communicate with you through text or phone within the next 24 hours. I look forward to hearing your sweet voice.

You are always on my mind..

Email: Monday, August 20, 9:01PM

Good morning babe!

Hope you’re having a wonderful day. Sorry I couldn’t get to talk to you last before going to bed. I had two separate meetings with the Lawyers and the committee in charge of the legal process. We talked about the details surrounding the  signing of the contract and the financial aspect from the Budgeted Capital, Legal fees and Total Accrued Profit. At the end I agreed to pay 8% of my total profit as the legal fee in advance so the Directors and the committee in charge can grant the Lawyers the  legal capacity to represent me in all the legal proceedings regarding the signing of the contract that binds the project approval which is the final stage. I’ve written to my Bank to make provisions for the legal fee so we can proceed with the signing of the contract agreement.

Yesterday was the last meeting with the officials. Hopefully the whole contract agreement would be finalized by tomorrow morning. It is a public holiday here today, I’ll be spending most of today here at the apartment.

Talk to you before you go to bed.

Email: Tuesday, August 20, 8:52PM

Good Evening to you!

Hope you’ve had a good day at work. I didn’t have to wake up at 1am for the phone call appointment with the Bank. I received a email in response to my request for a short term loan of $110,000.00 in other to complete the payment for the legal fee. My short term loan request was denied but they were able to processed the transfer of $260,000.00 as part of the payment for the legal fee.  As a result of this disappointment I won’t be able to sign the contract agreement until the end of the week while I look into other options available for me to come up with the remainder of the legal fees which will take few days.

I’m having a meeting at 9am with the Directors  and the committee. I’m going to call you when I’m through with the meeting.

<end of email>

Paul had to extend his trip in Manila. He was not able to come to Boston as planned. Needless to say, I was very disappointed. However, I understood that work was important to him. I told myself to be supportive and patient.

For the rest of August, Paul worked on getting the funds he needed to pay the lawyers. He got additional 30k from his sister and Andre’s grandparents and 50k from credit cards. He was still short of 20k. Sam and a friend in CA could not give back the money he had loaned them earlier until next week. Paul is in a tough situation. He admitted that he had never bit on such a large project before and that this situation had never happened to him before. Friday was the deadline for the final negotiation. If he did not have money by then, he loses the whole project.

Meanwhile, different scenarios were running through my head. I had a session with my therapist Deborah. My gut told me not to help him by lending him money. Deborah agreed and said, stay out of it. We were both thinking this could be a scam! But I wanted to hope that I had met a good man. So I continued to hope for the best while promising Deborah that I would be careful and protect myself. I Googled “lending friends money” and the first article said, You do not have to lend anyone money.

Then over the weekend, Aug 30 to Sept 2, I did not hear from Paul at all. I thought that he might be traveling home to New York. He must be devastated. As far as I knew, he lost the project. I did the math in my head and the project was a couple of millions. It was not like him to not communicate at all. I missed hearing from him. I was also worrying for him.

Sunday night Sept 2, Paull finally texted. He was still in Manila and in the hospital. His severe headache was back. He only texted briefly. I still did not know what was going on other than where he was. He said we could talk later his night but he did not call. Somehow, the deadline for his contract got extended.

Tuesday night Sept 4. Paul texted again. This time I was calmer. He was still in the hospital. They kept him because he was not well enough to leave. He was getting better but still weak. His guide in Manila Nel has been in communication with his son Andre and brother-in-law Sam. He said he misses me and I feel better! I told myself that I needed to be patient while he sorted out his healthy. He was obviously under a lot of stress because of work and health. He again told me that he should be released from the hospital and that we could talk soon.

On Thursday Sept 6., Paul sent me this text:

Paul: I am not sure how you’re going to feel about this but I’m in a very difficult position regarding the whole legal agreement and I’m not sure if there is something you can do to assist me financially. I want to know if you could at least lend me about 10,000USD so as to be able to finalize the whole agreement. I’ll be able to pay back by the time you’re in NJ… thanks!”

Me: Paul, I just don’t know you well enough to just send you money. It’s a lot of money! Would you be able to send me more information? Let me take a look? How much are you short of?

Paul: I’m short of about 10,000usd (Ten Thousand US Dollars)

Me: At this point, I am not comfortable lending you money… I only have your phone number… I don’t even know your address… I am sorry.

Paul: Okay. I understand. You don’t have to be sorry.

Me: When is your new deadline?

Paul: Monday

Friday Sept 7, 7:45 AM, more text.

Me: Any luck on getting what you need?

Paul: No luck.

Me: Why would you have money later in a week or two but not right now? Also what about Sam, your friend in CA and other investment funds (that you told me about)? By the way, what is your address? Home address I mean.

Me: So does this mean that you are not going to get this project? What’s happening on Monday? I think this whole thing is a bit crazy! Especially that you are doing this all on your own and don’t have a company of people with you.

Me: [Sending Paul banks that offer short-term loans with 6.99 to 24.99 APR]

Me: How much money do you already have? Would these people really reject a selected (?best) candidate for 10K? Does not make any sense to me!

Paul: I am sorry but I won’t have asked you for help if I wasn’t going to lose out completely on this project. There wouldn’t be any reason for me to do what I did.

Sat Sep 8, 10:23AM

Me: It could be a scam. You could disappear. I have not idea. No way of knowing.

<End of text>

Throughout this whole experience, I was oscillating between trusting Paul and wanting to help him versus being cautious since I had never met the man. I thought the texts and phone calls brought us closer together but for me it was still missing something. I felt like I was in “something” but not quite. I was not completely emotionally and mentally invested in Paul yet. That was my luck. I had learned from previous online-dating dates that my imagination sometimes got ahead of myself. Texting and phone-call personalities could never represent 100% of someone’s true in-person personality. Keep initial texting short. Gotta meet the guy to really know what’s the real deal!

Short of meeting up, I tried different ways to validate Paul’s identity. I asked him for his full name. Then I Googled him and found nothing. It was hard to imagine someone with zero online presence. He claimed that he stopped using Facebook profile during the Cambridge Analytica scandal. But what about LinkedIn? As an independent consulting working for himself, I would imagine that he would need a professional online presence. I also Googled his phone number and profession and found nothing.

Paul was perfect via text and phone calls though. He started his first message looking for a serious long-term relationship. Even I was wondering what he saw in me and my online profile that he was so sure. His good-morning and good-night texts were heart melting. He said and did all the right things from the start.

But quickly, the conversations turned to money matters. I knew better not to mix a-man-I-never-met with money matters. I did not understand the business arrangement that he was describing, as important as he seemed to think of it. I did not understand what he did for living, as much as it sounded nobel. Why would he not having anyone else but a stranger to ask for money? Why would he be so short of cash if he was able to bid on such a large project? Why was he not better prepared for his contract negotiation? He did not manage his business and money well. There was too much that I did not understand about him to feel comfortable with the situation.

When he started to talking about money, I thought to myself, oh my god, he might ask me for money. I saw three options. First, if I lend him money and he disappears, shame on me. Second, if I did not lend him money and he gets upset, then I could see his true colors and his priorities. Third, if I did not lend him money and we continued to speak then that would show his true color. Based on facts, not feelings, I thought the smart thing to do was to stay out of his business. No matter what the situation was, asking a stranger for money was a red flag in itself.

One week after Paul stopped talking to me, I shared this with my close friends. They validated my suspicion. We all agreed that this was a romantic scam. A very elaborate one! Paul Henriks probably did not exist. There might even be a team of people. This was their “work” and I was their “project.” This could happen to anyone! I look at the name, texts, emails, and photos on my phone and I still can’t believe it!

Iceland: Reykjavik and the Golden Circle

Iceland is a place where it has not yet been disturbed by human beings. People to horses is three to one. There are not that many trees but plenty of lava rocks. It’s possible to see glaciers, volcano, black beaches, and waterfalls within one day . My favorite spot was the Blue Lagoon which is a geothermal spa.  Chasing northern lights was as fun as seeing it! (Unfortunately, I have no picture to show for it!) Besides nature, be ready to pay for expensive food because most things are imported. If you love nature, you will love Iceland!

Top 8 Favorite Dating Advice from My Friends

After being happily single and not dating for a decade, getting back to dating and trying out online dating for the first time was quite an experience. I did not face this new life experiment alone. I equipped myself with good friends and books. I have been learning and enjoying dating more as a forty-something. Here are my favorite dating advice that helps me be happy and enjoy the journey!

  1. If he does not show up, he is not my man! Starting from the first message, to first call, to first date, he has to want to part of it. I met Q the furniture maker and we hit it off during our first date. The first date followed by a second date at the beach. We had fun! After that, when I texted him, he did not respond at all. We lost our connection. I kept thinking about all the good things about him. Then one of my guy friends said to me, “he has gotta to show up!” In order for something to happen, he has to text, call, or meet up! I should be able to tell his engagement and interest based on his actions. If there is not action, don’t ignore it or explain it. (Note: of course be reasonable. If the guy does not get in touch in 24 hours, that might not be a deal break. Use best judgement here.)
  2. I am not a priority. Very often, when meeting someone new, I hope for the best.  When something goes wrong, I try to find explanation for his behavior. The very typical example that everyone has experienced is “Oh, he has not texted or called in a week. He must be busy!” What this behavior is really saying is that I am not a priority in his life. It could that dating for him comes after work, kids, social commitments, etc. He could be indeed very busy with other responsibilities. But if he is not willing to spend time and energy getting to know me on day 1, then there is not likely a future for “us.” (Note: the level of priority here depends on what you are looking for and can be different. Perhaps, you decide that you are okay with meeting up for dinner once a month. If you are okay, then that’s okay!)
  3. Texting is good but meeting up is a must! Texting has become a critical part of my online dating experience. This has replaced talking as the standard method of first contact for many of us. The initial texts usually give me an idea of what the person is like, normal or not. I texted with J the local mid-school teacher. He seemed like a wonderful person. We met and I did not feel any connection. There was also C the dancer, who did not look at all like his picture. I am now very careful about men in sunglasses or have just headshots. Text personality can be misleading and based on creative imagination. Still gotta meet to get the true personality!
  4. Have fun! If he likes me, I can feel it! Meeting people is fun and I keep reminding myself of that. First date is not a test. It’s an opportunity for two strangers in this world to meet and get to know each other better. Remember when we were just kids? I remind myself to be curious with an open mind and open heart. If the first few dates are not fun, then it might be hard to have lives together. I look forward to hear about his life stories, his likes and dislikes, his ups and downs. My best frame of mind is cautiously optimistic! If someone likes me, I can totally feel it! I would know!
  5. Do I want to meet up again after the first date? I plan for a living. It’s very easy and nature for me to think of the next 50 steps from the first date. Don’t get head of myself! Take it one day at a time. I met N in another state and I thought of how I could commute regularly to see him after we first met. That’s too much stress and thinking. Now I just ask myself, would I like to see him again. Not when we would move in together. Not when we would get married. That’s for later. At the beginning, just enjoy getting to know him.
  6. Don’t be too nice too quickly! There are many books that talk about this topic, such as Why Men Love Bitches. As a woman who is fairly nice, I tend to want to take care of the man I date. Do everything in my power to make it work. When I first started dating, I would treat him like a good friend and plan out everything for us. I remember meeting B the engineer. We had gotten to our 5th date and he finally said, I don’t feel any connection. What I learned is that I need to give him some space to think about us. Let him or take turn in getting to know each other.
  7. Know what are my top three priorities! Expectation is tough. No one is perfect, including me. When I meet someone online, I filter the profiles based on my top priorities. For example, it’s good to know that “kind” is required and “living in Boston” is optional. Give and take is good!
  8. Be me and do me! Finally, always be true to myself. I recently met P the consultant and it was so easy. A girlfriend told me, “When I first met my husband, I was surprised at how easy it was, after so many crappy dates! If you meet the right person, you will be able to tell.” That’s what happens when two people are compatible and share the same values. This is also the only way to sustain a long-term relationship. I absolutely love this!

I hope you find some of these useful! If you have other advice that you like, leave me a comment below.

My Grandma’s Soy Pork and Egg

One of my most vivid and fondest memories of childhood is the bento box that grandma prepared for me for school lunch everyday. It was not fancy at all but it was tasty. For six years, everyday for lunch, I ate a soy boiled egg, soy stewed pork, and white rice. No vegetable. I emptied the bento box everyday.

A couple of years ago, when I had the chance to spend more time with grandma, I pestered her for the recipe. My 96-years-old grandma responded, “I have not cook in a long time. I don’t remember!” But I persisted. She finally told me! I was so excited to find out her secret that I cooked it that night while she hovered around the kitchen door giving more instructions. “More wine. What can do you with that little bit of wine!” “More sugar. That makes it shine!” I can still hear her clearly in my mind. (Note: My aunt did not like grandma near the narrow kitchen anymore while we cook. Just to be safe.)

One thing I’ll say about Grandma’s recipe: My 96-years-old Taiwanese grandma told me this from memory verbally so it’s extremely imprecise. I always had fun just sort of making it up every time I made this. However, it is a very forgiving recipe and very yum! 

Modified Instapot recipe of soy pork belly and eggs based Grandma’s:

#instapot: 40 minuets instead 4 to 7 hours on stove top

Ingredients and Preparation:
Before: pork belly (I found some from Wholefoods that were pretty good; cut in cubes but not too small), eggs (boil and peel shells), garlic (peel skin), soy sauce, rice wine, brown sugar (2 to 3 spoons), star anise (3). I found that the dark soy sauce tastes better but you can use any kind. Lots of garlic. You can never have too much. Pork that has some fat tastes better. But you can go completely lean if you want.

Steps:

  1. Put pork, eggs, garlic, and star anise in the Instapot.
  2. Add about half inch of soy sauce and half inch or more of rice wine. The rice wine gives it a good flavor. Add water until everything is covered in liquid but not more than a third of the pot (which is the standard insta instruction).
  3. Add brown sugar which gives the meat the shine!
  4. Grandma said, don’t be stingy with your soy, sugar and wine!
  5. Cook and wait. On stove top: slow fire for about 4 to 7 hours. Instapot: around 40 minutes on medium. It also depends on how cooked you want the meat to be.

If you are adventurous, you can add carrots, potatoes, or tofu. Anything that you like with soy sauce! Enjoy!

P.S. I have a food journal on Instagram if you want to see more photos of just food!

Look At All These Data

Since my last post on PHR2, continuing with my interest in personal health records , I downloaded Partners Healthcare Patient Gateway app and set up Apple Health app. Patient Gateway is the system that my primary care doctor’s office provides for free.

The Patient Gateway app allows me to contact my doctor’s office directly and easily through the app without having to pick up the phone and call. My messages were always responded within 24 hours. In addition to Messages, I now have access to my Appointments, Appointment Details, Provider Letters, Test Results, and Medications. I can also View and Pay Bills. I now have a wealth of more detailed information from my doctor’s office that I did not have before. I feel that I have become an insider!

The Apple Health app connected directly with my primary care doctor’s system. The app is automatically populated and updated with my records from the doctor’s office too. One part of the app is the Health Records. It keeps track of different kinds of records such as Allergies, Clinical Vitals, Conditions, Immunizations, Lab Results, Medications, and Procedures.

I am excited to have access to my own records via these two apps. If you remember my analog of the personal finance systems (see post: Personal Health Records), as an ePatient, my experience has definitely been upgraded. I now have access to my records digitally, automatically, and in a centralized place online. Patient Gateway app also allows me to take actions for my health via the app. Apple Health app also allows tracking of additional personal healthy data outside of the doctor’s and hospital visits when I am not sick or doing a check-up. There are more functionalities that I need to check out!

This is all very exciting! Great progress made for individuals like me! As the technology and access advance, I can now be better informed. I also have the opportunity to learn more about my own health. I already feel more in touch with my own health because of these two apps.

With better data, now the question is what do I and the apps do with this knowledge. As an ePatient, am I making better decisions about my own health, and ultimately, am I becoming healthier? Can I look at all these data and make sense of my health status from it all? Can my care be better coordinated, i.e. to reduce duplicated tests? Can care transition from doctor to doctor be easier, i.e. changing primary care doctors, from primary care doctor to specialist, or from specialist to specialist? Can the apps add smarts such as personalization and recommendations? Can mental health records be included? What about records outside of doctor’s office such as from research and third-parties like 23andMe? Can we eventually get to family history and managing risks?

Really looking forward to more updates from Partners Healthcare and Apple! This is a great time to be an ePatient!

P.S. I have also downloaded the CVS and BCBS apps. Will have to learn more about them next! Rounding out the pharmacy and health insurance!

It’s Logical!

“It should always be remembered that the behavior of persons with schizophrenia is internally logical and rational: they do things for reasons that, given their disordered senses and thinking, makes sense to them!” -Torrey, E. Fuller. Surviving Schizophrenia. 1983. Page 49.

“The ideas I had about supernatural beings came to me the same way that my mathematical ideas did. So I took them seriously.” -John Forbes Nash Jr.

*~*~*~*~*

My friend J read a draft of my memoir. He was surprised that my story was not chaotic or filled with confusion. He made me want to tell my story even better, even more, to show that my experience did all made sense to me. I took very deliberate steps to make sense of what was happening to me and around me.

Let’s start with hearing my first voice Joe. For the 30 years of my life before that moment, I had trusted my ears without any problem. I have pretty good hearing. When I first heard Joe talking, I looked for where the talking was coming from, for someone, for speakers, or anything that might broadcast the voice. I did not understand how “he” was able to talk to me that way. So I continued to investigate. I thought that there might be some smart technology being used. I heard the man talking! That was real to me! I tried to understand what “he” wanted! That’s usually why someone talks to another person.

Another example is that my senses became super acute. I noticed so much more from my surroundings. You can relate to this. Someone coughs loudly in front of you and makes sure that you see her. We do this all the time! Could be for fun, for joke, for giving you a hint by saying something while coughing. Another example. Someone puts up a V sign with their fingers at a sport game. We all know that means victory! So, when I start noticing everything around me, it felt like they should mean something. More people were coughing around me, so I thought, is this a bad winter? I did not say to myself, why am I all of a sudden hearing more coughing. I just did. Everyone did. I wondered why! I tried to understand what they or that meant!

Is it really logical to say “I hear someone talking” or “so many people are coughing” then conclude that “I have schizophrenia?” Ironically, to me it felt more like taking a leap of faith later, when I was told to take a pill and not being told why and what it would fix.

My strategy of dealing with things that I don’t understand is to use my brain to logically break down and solve the problem. Similar to what Nash said, I was the same person when I triggered schizophrenia. I tried to solve schizophrenia with logic. I am glad other people’s experience and perspectives described in Surviving Schizophrenia echoed mine and why they don’t think they were crazy or mad either.

Instead of thinking that people with schizophrenia would typically behave abnormally, I suggest we think of it as people being presented with and experienced abnormal things first. These things could be visual, auditory, or sensory. Think of these as “external” stimuli, not internal! That’s the perspective I am asking you to have. Schizophrenics are just trying to make sense of it all like everyone else with life. Sometimes, to deal with things that don’t make sense, you might have to do something different or unusual. Having reactions are appropriate and expected human behaviors!

Really, it’s a broken brain in charge!