I’m not certain of your exact question, but it seems as though you want to know if you are developing psychosis and/or schizophrenia. It’s always impossible to provide a diagnosis over the Internet, but I can provide general information about psychosis and schizophrenia.
Psychosis is a break with reality. Individuals who are experiencing psychosis have difficulty knowing what’s real and what is not real. Their mind is jumbled. It’s difficult for a person with psychosis to function on a day-to-day basis. They think bizarre thoughts, may be paranoid and engage in unusual behavior. Many people have described it as a frightening experience.
Schizophrenia is a thought disorder and is only diagnosed when an individual experiences a very specific set of symptoms, including: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic-like behavior, and negative symptoms. Those symptoms have to have significantly disrupted one’s life and must be present for at least six months. If certain symptoms are not present, then schizophrenia would not be diagnosed.
You have been evaluated by a doctor who seemingly does not believe that you have psychosis or schizophrenia. That was his or her opinion after having assessed your symptoms and psychosocial history. According to your letter, your doctor believes that you have anxiety and not psychosis or schizophrenia.
Your anxiety could be fueling your fear of psychosis and schizophrenia. That is not uncommon. You also mentioned being unemployed. That increases ones risk for anxiety. It creates worry about one’s financial situation. The stress of being unemployed is likely contributing to your anxiety.
Your lack of sleep is also probably contributing to your anxiety. Not sleeping causes mood instability.
You have consulted a doctor but what about a therapist? Therapy is an effective treatment for anxiety. Medication might also help. Many people report that both therapy and medication significantly reduces their anxiety. Please take care.
Dr. Kristina Randle