I am having daydreams where I am being physically punished. They are stories in my head where I am always the victim. They usually involve an authority figure beating me and forcing sex on me. These daydreams have become obsessive that I have lost interest in my hobbies. It is disturbing to me that I enjoy them and I want them to happen to me in real life. It is difficult to focus at work and driving with this story script running in my head. I am 45 and have Had Schizoaffective disorder since my 20s. These daydreams are always a precursor that I am getting sick. I get the daydreams and 1 or 2 weeks later I hear voices. This time I lasted 2 weeKs before the voices started. I take my medicine as prescribed. I am udergoing increased stress with a bankruptcy. My question is why do I get these daydreams and how can I stop them before I get extremely sick and need hospitalization? Thank you for your time in answering my question.
If you are taking medications, then you most likely have a psychiatrist. It is up to a psychiatrist to adjust your medications so that the symptoms can be reduced or eliminated. Psychiatrists are medical doctors and as such, are experts in the use and the interactions of medications. Talk to your psychiatrist and if you are not satisfied, get a second or even third opinion.
If you are not in counseling or some other form of psychotherapy, then you might consider doing so. Studies indicate that counseling appears to make medications more effective.
I am aware of no consensus as to the cause of hallucinations or delusions that has been scientifically proven or is widely accepted. It is widely accepted, that stress is detrimental to everyone’s physical and psychological health. Someone in poor physical health may actually be killed by the stress they are undergoing. Someone with diagnosed psychological issues, may see an increase in symptoms and their severity.
Make sure you notify everyone involved in your treatment, of your new symptoms. Prevention is always easier than the cure. All that I can provide you, are a few words in a written response to a question. That might be informative, but it most certainly is not real help. Real help, is available to you from your treatment team. Don’t hesitate to get real help. Good luck and I apologize that I could not be of more assistance.
Dr. Kristina Randle