As is the case with many major neuropsychiatric illnesses, the typical age of onset for schizophrenia is in late adolescence or early twenties, with a slightly later onset in females.
Although schizophrenia can occur at any age, the average age of onset tends to be in the late teens to the early 20s for men, and the late 20s to early 30s for women. It is uncommon for schizophrenia to be diagnosed in a person younger than 12 or older than 40. It is possible to live well with schizophrenia.
Signs and symptoms may vary, but usually involve delusions, hallucinations or disorganized speech, and reflect an impaired ability to function. The effect can be disabling. In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s.
The most common early warning signs include:
Depression, social withdrawal. Hostility or suspiciousness, extreme reaction to criticism. Deterioration of personal hygiene. Flat, expressionless gaze.
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
Experts aren't sure what exactly triggers the first episode or the early warning signs. But many things can lead to psychosis: Genetics. Several specific genes and a family history of psychosis may make it more likely for you to develop it.
You could have: Hallucinations: Seeing or hearing things that aren't there. Delusions: Mistaken but firmly held beliefs that are easy to prove wrong, like thinking you have superpowers, are a famous person, or people are out to get you. Disorganized speech: Using words and sentences that don't make sense to others.
Signs and symptoms may vary, but usually involve delusions, hallucinations or disorganized speech, and reflect an impaired ability to function.
Symptoms of Borderline Schizophrenia
Level of functioning in work, interpersonal connection, or self-care is impaired by the symptoms for a significant portion of time. Change in functioning is significant compared to previous level of functioning. Continuous signs of the disturbance for a six-month period.
Unfortunately, most people with schizophrenia are unaware that their symptoms are warning signs of a mental disorder. Their lives may be unraveling, yet they may believe that their experiences are normal. Or they may feel that they're blessed or cursed with special insights that others can't see.
Residual Schizophrenia
This specific type is characterized by when an individual doesn't display positive symptoms of paranoid schizophrenia (hallucinations, delusional thinking), although they still have the negative symptoms or more mild schizophrenia symptoms (no expression of emotions, strange speech).
Prodromal stage
This is the first stage of schizophrenia. It occurs before noticeable psychotic symptoms appear. During this stage, a person undergoes behavioral and cognitive changes that can, in time, progress to psychosis.
Some of the risk factors for schizophrenia are: Genetics. Your genes and your environment both play a role. But your chances of getting schizophrenia may be more than six times higher if one of your parents, siblings, or another close relative has it.
According to the World Health Organization (WHO), the decline in life expectancy among people with more severe mental illness ranges from 10–25 years . Most studies of schizophrenia show a life expectancy reduction of 10–20 years.
The onset of first episode psychosis typically presents when an individual is between the ages of 18-25, however, may present between the ages of 15-40. It is uncommon for first episode psychosis to present in childhood.
Personality disorders such as antisocial, borderline, histrionic, narcissistic, avoidant, dependent and obsessive-compulsive types have been detected in one third to one half of schizophrenia patients (Nielsen, Hewitt & Habke, 1997; Solano & Chavez, 2000).
Peculiar, eccentric or unusual thinking, beliefs or mannerisms. Suspicious or paranoid thoughts and constant doubts about the loyalty of others. Belief in special powers, such as mental telepathy or superstitions. Unusual perceptions, such as sensing an absent person's presence or having illusions.
While bipolar disorder cannot develop into schizophrenia, it's possible to experience symptoms of both. Before you consult a mental health professional, here are a few things you should know about the two conditions.
The symptoms of schizophrenia are usually classified into: positive symptoms – any change in behaviour or thoughts, such as hallucinations or delusions. negative symptoms – where people appear to withdraw from the world around then, take no interest in everyday social interactions, and often appear emotionless and flat.
There's no single test for schizophrenia and the condition is usually diagnosed after assessment by a specialist in mental health. If you're concerned you may be developing symptoms of schizophrenia, see a GP as soon as possible. The earlier schizophrenia is treated, the better.
Doctors diagnose schizophrenia by performing a thorough physical exam and carefully reviewing family, psychiatric, and medical history. They'll ask about any unusual experiences or distressing perceptions.
As much as you might love or care for the individual, if they are emotionally, mentally, or physically abusive, it is okay to step away from the situation. Some examples of emotional, mental, and physical abuse include: Emotional & Mental Abuse: Being dissatisfied, no matter how hard you try or how much you give.
High functioning schizophrenia means you still experience symptoms but you're able to participate at work, school, and in your personal life to a higher degree than others with the condition. There is no particular diagnosis. With the right treatment plan, schizophrenia symptoms can be managed.