You are correct about self-diagnosis, it can be counterproductive. You believe that you have schizophrenia and though I cannot know with certainty, your symptoms do not seem to warrant that diagnosis. My contention is further supported by your discharge paperwork which stated that you had “psychosis, delusions and cannabis abuse.”
Psychosis is a break with reality. People with schizophrenia have psychotic episodes, but in order to receive that diagnosis, your symptoms would have to have been present for at least six months. Related psychotic disorders, such as brief psychotic disorder or schizophreniform disorder, are characterized by having symptoms for at least one month and less than six months, respectively.
It is possible that your psychotic episode was induced by your cannabis abuse. Studies have shown that increased use of cannabis is associated with an increased risk of psychotic disorders such as schizophrenia.
Your ultimate goal is to “live and be a productive member of society.” To achieve that goal, you should focus your efforts on maintaining your psychological stability and abstaining from substance use. The most effective way to accomplish your goal is to seek counseling. A therapist can support and guide your efforts to maintain sobriety and psychological stability.
It would be a mistake to ignore the advice of the hospital treatment team who recommended outpatient treatment. Going forward, it will be important for you to have the aforementioned support systems in place to prevent you from using substances and assist you in maintaining your psychological stability. Having those psychological supports in place will greatly assist you in reaching your life goals. Please take care.
Dr. Kristina Randle