My boyfriend has major mood swings, flat emotions, and does not like daylight. Could it be schizophrenia?

Question

Hello doctor,

This is for my boyfriend. I am trying to understand what diagnosis he might have? The symptoms are major mood swings. Sometimes he is angry. Within minutes his face changes do not want to talk or see me, then he disappears for days. Other symptoms: grandiose ideas, changes conversations fast from one topic to another, very unrelated. He does not want to be hugged or kissed. Gets aroused fast. Then he gets very angry and irritable sometimes, goes into isolation. Flat emotions sometimes, no emotions at all. Bad short-term memory; he cannot remember what he told me a few days ago. He likes to walk around at night, does not like the daylight. I want to understand what mental disorder he might have.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern. It is difficult to diagnose from the above details, but you have to rule out a drug abuse history. Your boyfriend may abuse any substance like alcohol, cannabis, or opioids. He may have psychosis due to substance use disorder. He has to stop abusing a substance to get a cure and start medications as early as he can. You must take him to the nearest psychiatrist for a detailed evaluation.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, he may have schizophrenia. Schizophrenia is one type of psychosis. But still, you need to find out about his substance history. He needs to start the treatment (antipsychotic medications) that can help him, but if he keeps consuming substances, then medications will not help him.

He needs a detailed evaluation to reach a diagnosis.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Any substance abuse person has an important characteristic that a person disappears for a few days without any specific reason and stays isolated, even they are manipulative. You have mentioned above that the rest of the symptoms are favoring psychosis. Even he may have a borderline personality issue. It is a type of personality, nature. He may have a chronic feeling of emptiness, emotional outbursts, overwhelming behavior, self-harming behavior. He mostly feels that no one understands him in this world. He may have difficulty keeping the relationship for a long time. He may have job-related issues. He may be a manipulative and frequent lier.

A person can have both psychosis and personality issues.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

Above, I have mentioned symptoms are due to borderline personality. But he may have both. Psychosis and schizophrenia are the same. Your boyfriend may have borderline personality disorder and psychosis (schizophrenia).

I hope that you are now clear.

Thank you.

My boyfriend has major mood swings, flat emotions, and does not like daylight. Could it be schizophrenia?

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