In some people, schizophrenia appears suddenly and without warning. But for most, it comes on slowly, with subtle warning signs and a gradual decline in functioning, long before the first severe episode.
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.
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.
While it was once thought to be a disease that only worsened over time, schizophrenia is now known to be manageable thanks to modern treatment practices. With a dedication to ongoing treatment, often beginning with intensive residential care, most individuals can live normal or almost-normal lives.
A variety of self-awareness deficits are more severe and pervasive in patients with schizophrenia than in patients with schizoaffective or major depressive disorders with or without psychosis and are associated with poorer psychosocial functioning.
People who have psychotic episodes are often totally unaware their behaviour is in any way strange or that their delusions or hallucinations are not real. They may recognise delusional or bizarre behaviour in others, but lack the self-awareness to recognise it in themselves.
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.
You can still have a rewarding relationship when you're dating someone with schizophrenia. It helps if you're able to educate yourself, so you're prepared for the unexpected, and getting support is always a good first step.
Drastic changes in behaviour may occur, and the person can become upset, anxious, confused, angry or suspicious of those around them. But most people who get psychotic episodes are not a danger to others. They may not think they need help, and it can be hard to persuade them to visit a doctor.
If you, or someone you know, are described as having “borderline schizophrenia”, it could point toward mild symptoms, unclear symptoms, or a combination of symptoms. The best thing you can do is to seek clarification from a licensed professional.
Highly stressful or life-changing events may sometimes trigger schizophrenia. These can include: being abused or harassed. losing someone close to you.
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. The GP will ask about your symptoms and check they're not the result of other causes, such as recreational drug use.
Schizophrenia affects approximately 24 million people or 1 in 300 people (0.32%) worldwide. This rate is 1 in 222 people (0.45%) among adults (2). It is not as common as many other mental disorders.
Trauma may cause changes in the body and affect neurotransmitters in the brain, increasing the risk of psychotic symptoms or schizophrenia. Childhood trauma may trigger schizophrenia in those susceptible to it, and people may experience symptoms between their late teens and early 30s.
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.
Living with schizophrenia, it is possible to meet people, to socialize and make friends, and to have a loving intimate relationship. The best way to find a path to a healthy relationship is to treat your illness. Schizophrenia is not a flaw or weakness; it is a real disease.
If one parent has the condition, it raises your chances of developing schizophrenia by about 13 percent. If your identical twin has the illness, you have a roughly 50 percent chance of developing schizophrenia. If both of your parents have schizophrenia, you have a 40 percent likelihood of developing the illness.
Overall, people who live with schizophrenia have lower IQ scores than those who don't experience the condition. There are people who live with schizophrenia who have higher IQ scores, and they appear to have somewhat different symptoms than those with lower scores.
Simple schizophrenia
Negative symptoms (such as slow movement, poor memory, lack of concentration and poor hygiene) are most prominent early and worsen, while positive symptoms (such as hallucinations, delusions, disorganised thinking) are rarely experienced.
Research has shown that untreated schizophrenia can lead to neurological damage. Individuals dealing with schizophrenia may also have thoughts of harming themselves or others. Persistent paranoid delusions, especially when left untreated, may eventually lead someone to act on those thoughts.
Of the different types of schizophrenia, residual schizophrenia is the mildest, characterized by specific residual schizophrenia symptoms.
But in general, 3 main symptoms are associated with a psychotic episode: hallucinations. delusions. confused and disturbed thoughts.
Derealization is a mental state where you feel detached from your surroundings. People and objects around you may seem unreal. Even so, you're aware that this altered state isn't normal. More than half of all people may have this disconnection from reality once in their lifetime.
People with schizophrenia experience difficulties in remembering their past and envisioning their future. However, while alterations of event representation are well documented, little is known about how personal events are located and ordered in time.