" Lost In Confusion For 45 Years " is a novel that deeply explores mental illness and the struggles of life. It tells the story of a protagonist who has been suffering from schizophrenia for 45 years, beginning in his youth. Throughout his life, he grapples with the blurred boundaries between reality and hallucination, struggling to understand himself and his connection to the world. This leads to a series of emotional breakdowns, family conflicts, and difficulties in adapting to society. The story opens with the protagonist being forcibly sent to a psychiatric hospital, overwhelmed by fear and unable to accept the reality of his "illness." He believes that his family and the medical system are conspiring against him. As treatment progresses, fragmented memories from his past gradually resurface—his youthful romance and violent outbursts, the struggles of his overseas studies, and conflicts in his career and social life. These recollections piece together a lifetime of torment, driven by inner contradictions and relentless hallucinations. As he ages, the protagonist begins to reflect on his condition and attempts to understand and accept himself. With the help of a psychiatrist, he gradually explores his past traumas, learns to manage his emotions, and ultimately finds inner peace in the later years of his life. Determined to break free from his confusion, he embraces renewal and a fresh start. This novel, rich in realism, not only delves into the inner world of individuals with mental illnesses but also sheds light on societal stigma and misunderstandings surrounding psychiatric disorders. Through the protagonist’s journey, readers will gain a deeper understanding of the complexities of mental illness and the struggles and redemption of the human spirit in the face of adversity.