Schizophrenia does not have a sudden onset—meaning a person does not wake up one day with schizophrenia. Instead, the illness usually develops slowly over months or years and often comes with warning signs. These warning signs often appear when a person is becoming an adult, between the ages of 16-30.
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. Often, friends or family members will know early on that something is wrong, without knowing exactly what.
The condition may develop slowly. The first signs can be hard to identify as they often develop during the teenage years. Symptoms such as becoming socially withdrawn and unresponsive or changes in sleeping patterns can be mistaken for an adolescent "phase".
In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s. Schizophrenia is considered early onset when it starts before the age of 18. Onset of schizophrenia in children younger than age 13 is extremely rare.
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.
Borderline schizophrenia is held to be a valid entity that should be included in the DSM-III. It is a chronic illness that may be associated with many other symptoms but is best characterized by perceptual-cognitive abnormalities. It has a familial distribution and a genetic relationship with schizophrenia.
Early Warning Signs of Schizophrenia
For example, a teen who's developing the illness might drop their group of friends and take up with new ones. They may also have trouble sleeping or suddenly start coming home with poor grades.
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.
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).
Though schizophrenia can vary from one individual to the next, some of the most commonly occurring symptoms include delusions, hallucinations, and a lack of emotion in speech and in facial expressions.
Auditory hallucinations, “hearing voices,” are the most common in schizophrenia and related disorders. Disorganized thinking and speech refer to thoughts and speech that are jumbled and/or do not make sense.
Bipolar disorder.
Some people with severe bipolar disorder have delusions or hallucinations. That's why they may be misdiagnosed with schizophrenia.
“It is a serious illness, but it does not develop overnight. The symptoms usually worsen over a period of months or years.” Because schizophrenia changes the way you think, behave and relate to others, it requires lifelong treatment. “If you can manage the symptoms, you can have a reasonably stable life,” stresses Dr.
Symptoms of Schizophrenic Episodes. Positive symptoms, which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia. Cognitive symptoms, which can include difficulty concentrating and disorganized thoughts, speech, and behavior.
A schizophrenia episode might last days, weeks, or even months. A schizophrenia episode might last days, weeks, or even months (in exceptional situations). Some people have only one or two schizophrenia episodes throughout their lifetime, whereas others have multiple episodes that come and go.
“If someone with schizophrenia has had good treatment and it's well-controlled, they might seem a little 'off' at times, but you might not even know they have it,” Weinstein says. But for those without access to the medicines and care that they need, or those who stop their treatment, schizophrenia is devastating.
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.
Most commonly though, people diagnosed with schizophrenia will hear multiple voices that are male, nasty, repetitive, commanding, and interactive, where the person can ask the voice a question and get some kind of answer.”
The prodromal stage consists of non-specific symptoms, such as lack of motivation, social isolation, and difficulty concentrating. Prodromal symptoms are not always obvious. As a result, diagnosing schizophrenia in this stage can be extremely difficult.
Symptoms. It can be difficult to diagnose schizophrenia in teens. 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.
Seeing, hearing, or tasting things that others do not. Suspiciousness and a general fear of others' intentions. Persistent, unusual thoughts or beliefs.
Case Study Illustrates How Schizophrenia Can Often Be Overdiagnosed. Making a diagnosis of schizophrenia requires careful evaluation because the disorder involves much more than what patients perceive as hallucinations.
Most people with schizophrenia make a recovery, although many will experience the occasional return of symptoms (relapses). Support and treatment can help you to manage your condition and the impact it has on your life.