Knowing if you have schizophrenia involves noticing persistent symptoms like hallucinations (hearing voices), delusions (false beliefs), disorganized speech, unusual movements, and social withdrawal, impacting daily life significantly for over six months, but only a professional diagnosis by a psychiatrist can confirm it by ruling out other conditions. Look for major changes in thinking, emotion, and behavior, such as trouble concentrating, lack of motivation, poor hygiene, or paranoia, especially between late teens and early 30s.
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 them, take no interest in everyday social interactions, and often appear emotionless and flat.
That's because some early symptoms of schizophrenia — those that occur before hallucinations, delusions and disorganization — are commonly seen in many teens, such as:
During a schizophrenic episode, it's important to stay calm and patient to help the person feel stable. Use short, clear sentences to help people understand, make sure the environment is safe by getting rid of any potential hazards, and reduce noise and other distractions.
Regularly drinking more than the recommended amount of alcohol or using illegal drugs can trigger psychosis and make symptoms of schizophrenia worse. Alcohol and drug use can also cause other mental health problems, such as depression and anxiety as well as causing damage to your physical health.
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.
The "25 rule" (or "rule of quarters") in schizophrenia suggests that outcomes fall into four roughly equal groups: 25% recover fully, 25% improve significantly with some ongoing support, 25% improve somewhat but need considerable help, and 25% have a poor outcome with chronic illness or suicide risk, highlighting the varied nature of schizophrenia's long-term course, though some sources use a "rule of thirds" with similar proportions for different outcomes.
Most people with schizophrenia are never violent and indeed do not display any dangerous behaviour. However a small number do become violent when they are suffering from the acute symptoms of psychosis because of the influence of the hallucinations and delusions on their thinking.
Early diagnosis and appropriate treatment make it possible to recover from psychosis. Some people who receive early treatment never have another psychotic episode.
One of the early signs of schizophrenia is social withdrawal. Individuals may begin to distance themselves from friends and family, showing a lack of interest in social activities they once enjoyed. They might become reclusive, preferring to spend time alone.
Auditory hallucinations, or “hearing voices,” are the most common in schizophrenia and related psychotic disorders. Disorganized thinking and speech refer to thoughts and speech that are jumbled or do not make sense.
Haloperidol, fluphenazine, and chlorpromazine are known as conventional, or typical, antipsychotics and have been used to treat schizophrenia for years. However, they sometimes have movement-related side effects, such as tremors and dystonia, a condition that causes involuntary muscle contractions.
Symptoms of schizophrenia often begin during the teenage and young adult years, when it can be especially difficult to diagnose schizophrenia. This is because the first signs can include a change of friends, a drop in grades, sleep problems, and irritability — common and nonspecific adolescent behavior.
Disorganized or catatonic behavior: Moving or acting in ways others might not expect (like laughing excessively, making repetitive motions or staying very still) Negative symptoms: Reduced ability to function (like showing little emotion, speaking in a flat tone or losing motivation to socialize or enjoy activities)
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.
Speech may be mildly disorganized or completely incoherent and incomprehensible. Disorganized (bizarre) behavior may take the form of childlike silliness, agitation, or inappropriate appearance, hygiene, or conduct.
Here are five potential causes:
The negative symptom domain consists of five key constructs: blunted affect, alogia (reduction in quantity of words spoken), avolition (reduced goal-directed activity due to decreased motivation), asociality, and anhedonia (reduced experience of pleasure).
Signs of Schizophrenia
Overview
Schizophrenia is a serious mental illness that affects how a person thinks, feels, and behaves. People with schizophrenia may seem as though they have lost touch with reality, which can be distressing for them and for their family and friends.
Research shows a combination of genetics and your environment can trigger the disease. If you have a family member with schizophrenia, you're more likely to have it. Things like stressful life events, exposure to viruses or toxins before you were born, and trauma in your early childhood can also increase your risk.
The fundamental symptoms, which are virtually present through all the course of the disorder (7), are also known as the famous Bleuler's four A's: Alogia, Autism, Ambivalence, and Affect blunting (8). Delusion is regarded as one of the accessory symptoms because it is episodic in the course of schizophrenia.
Community-dwelling patients with schizophrenia spend most of their time at home, sedentary and not engaged in productive activities, as determined by ecological momentary assessment (EMA).