There are two main types of schizophrenia symptoms, positive and negative. Positive symptoms include delusions and hallucinations. Negative symptoms involve flat affect, anhedonia, tiredness, and so forth. Negative symptoms mimic depression and they are often a side effect of antipsychotic medication.
Many antipsychotic medications are good at eliminating the positive symptoms of schizophrenia but not the negative symptoms.
The symptoms you are describing may be one of two things: (1) the negative symptoms of schizophrenia or; (2) side effects of your medication.
I would strongly recommend consulting your prescribing physician. Report your depression-like symptoms and ask your doctor to adjust your medication (if you are taking any at all). You might benefit from a reduction in your dosage or a different medication.
In the event that you are not taking medication, then you may be experiencing the negative symptoms of schizophrenia, which is concerning. Your having depression is also a possibility but from my vantage point, it’s difficult to make that determination.
There is nothing to fear about seeking treatment. Medication prevents psychotic episodes. Some research suggests that psychotic episodes can cause brain damage. You want to do everything in your power to prevent psychotic episodes. Please take care.
Dr. Kristina Randle