It is possible to experience hallucinations while being aware that they aren't real. As with delusions, this would require a meta-awareness of the unreality of what appears to be a real experience.
Visual hallucinations in those with schizophrenia tend to involve vivid scenes with family members, religious figures, and animals. Reactions to these visions can vary and include fear, pleasure, or indifference.
Early Warning Signs of Schizophrenia
One is that people with the disorder often don't realize they're ill, so they're unlikely to go to a doctor for help. Another issue is that many of the changes leading up to schizophrenia, called the prodrome, can mirror other normal life changes.
Some people develop a delusional idea to explain a hallucination they're having. For example, if they have heard voices describing their actions, they may have a delusion that someone is monitoring their actions. Someone experiencing a paranoid delusion may believe they're being harassed or persecuted.
Many individuals with schizophrenia are unaware of the symptoms and consequences of their illness. Unawareness of schizophrenia is linked to poorer adherence to treatment and is a risk factor for a range of poorer outcomes.
Bipolar disorder.
Some people with severe bipolar disorder have delusions or hallucinations. That's why they may be misdiagnosed with schizophrenia.
Schizophrenia usually involves delusions (false beliefs), hallucinations (seeing or hearing things that don't exist), unusual physical behavior, and disorganized thinking and speech. It is common for people with schizophrenia to have paranoid thoughts or hear voices.
Yet for the person with schizophrenia, they have the full force and impact of a normal experience. Hallucinations can be in any of the senses, but hearing voices is the most common hallucination.
Auditory hallucinations were by far the most common, followed by visual hallucinations, and then by tactile and olfactory or gustatory hallucinations. Auditory hallucinations were associated with an earlier age of first hospitalization among the schizophrenics.
There is evidence that in patients with schizophrenia there is impaired modulation of thalamocortical gamma activity by external sensory input, allowing attentional mechanisms to play a preponderant role in the absence of sensory input. This may lead to hallucinations.
Past studies have reported that offspring of affected mothers have a higher risk of schizophrenia than the offspring of affected fathers; however, other studies found no such maternal effect [Gottesman and Shields, 1976].
An essential part of the treatment of people who have schizophrenia must be to inform them of their diagnosis.
It is possible for individuals with schizophrenia to live a normal life, but only with good treatment. Residential care allows for a focus on treatment in a safe place, while also giving patients tools needed to succeed once out of care.
A schizophrenic episode can last days or weeks, and in rare cases, months, says Dr. D'Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others the episodes may come and go in phases.
Patients who suffer from schizophrenia often have auditory hallucinations. They hear voices that are not there. Many times these hallucinations say things like “You are a terrible person, you are lazy, you are a waste of time” and other derogatory or critical remarks.
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.
Paranoid schizophrenia
It may develop later in life than other forms. Symptoms include hallucinations and/or delusions, but your speech and emotions may not be affected.
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.
Residual schizophrenia is the mildest form of schizophrenia characteristic when positive symptoms of paranoid schizophrenia (hallucinations, delusional thinking) are not actively displayed in a patient although they will still be displaying negative symptoms (no expression of emotions, strange speech).
Doctors don't think there's just one “schizophrenia gene.” Instead, they think it takes many genetic changes, or mutations, to raise your chances of having the mental illness. You're more likely to get schizophrenia if someone in your family has it.
You may have hallucinations if you: hear sounds or voices that nobody else hears. see things that are not there like objects, shapes, people or lights. feel touch or movement in your body that is not real like bugs are crawling on your skin or your internal organs are moving around.
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.
There are five types of symptoms characteristic of schizophrenia: delusions, hallucinations, disorganized speech, disorganized behavior, and the so-called “negative” symptoms. However, the symptoms of schizophrenia vary dramatically from person to person, both in pattern and severity.
Some people with schizophrenia appear to talk to themselves as they respond to the voices. People with schizophrenia believe that the hallucinations are real. Disordered thoughts. Thoughts may become jumbled or blocked.
Schizophrenia does not mean split personality or multiple-personality. Most people with schizophrenia are not any more dangerous or violent than people in the general population.