I formerly used earplugs to drown out the noise and chatter in restaurants and some other public places, but now I’ve switched to noise-canceling headphones to deal with the anxiety those noises cause. Let me tell you about them and about why I need noise-canceling headphones for anxiety in the first place.

Schizophrenia and addiction seem intertwined for me. I don't know if I am more prone to addiction because of my mental illnesses, but it seems like it. For years I smoked cigarettes, and I believe they were masking my more problematic symptoms and emotions or that smoking was a coping mechanism for the symptoms, which were increasing the older I got. I didn't have my first episode of psychosis until my late twenties. Still, before that, I dealt with anxiety, often staying up late into the night, going over every detail of every conversation I had earlier in the day -- constantly worrying that I said or did the wrong thing. 

For me, psychosis involves auditory hallucinations (hearing voices and sounds) and is the most dangerous part of my illness. The last time I went to the emergency room for symptoms of psychosis, the doctor asked me if I heard voices, and when I answered that I was, he asked an important question, "Do you do what the voices tell you to do?" And unfortunately, my answer was yes. If you can't immediately see the danger in this scenario, try to think of it this way, imagine taking orders from something that is not real. It's alarming. Schizophrenia, voices, combined with suicidal ideation, is even more alarming.

Yesterday, I noticed an eyelash on my finger. I asked my husband Tom if wishing on eyelashes amounted to magical thinking, even though I already knew it did. I just wiped the eyelash away instead of wishing on it. I am trying to stop most forms of magical thinking.

While doing a few mental health presentations recently, I was surprised that not everyone knew that hallucinations could originate from any of the five senses (taste, touch, sight, sound, smell). There are many different types of hallucinations. I have experienced hallucinations from every one of my senses except maybe taste (gustatory). My most common hallucinations are olfactory (smell). I frequently smell chemicals or something burning when there is no source for either one of those things. 

Schizophrenia and generalized anxiety disorder (GAD) are complicated illnesses for which quick fixes do not work. It often seems like popular media outlets cover and sell ideas that dealing with anxiety is just a matter of learning a few mindfulness exercises or wrapping yourself up in a weighted blanket. I see less in the media addressing the symptoms of schizophrenia. Still, I know from experience that people can think that just telling someone with delusions or hallucinations that they aren't real will somehow make the belief disappear (it doesn't).

Today I'd like to share the challenges I face balancing weight loss and avoiding becoming "hangry" (hungry plus angry) with schizoaffective disorder.

Until recently, I thought conspiracy theories and delusions were the same. That made me wonder why people who believe in conspiracy theories don't receive a diagnosis of mental illness. After reading numerous articles on the differences between conspiracy theories and delusions, I now better understand the difference between the two.

It is common to have more than one mental illness at a time. Most people I know (from support groups) have multiple diagnoses. I have both paranoid schizophrenia and generalized anxiety disorder. I know people with schizoaffective disorder and obsessive-compulsive disorder (OCD). I also know of people with bipolar disorder and eating disorders. It is not rare to have a personality disorder along with schizophrenia, bipolar, or another diagnosis. People call it a dual diagnosis if someone has a substance abuse disorder and a mental illness.

I have a tool in my toolbox for schizoaffective disorder that I haven’t written about before. The tool is earplugs.