schizophrenia

Schizophrenia

Schizophrenia, however, primarily affects how a person perceives and interacts with reality. Symptoms include hallucinations (seeing or hearing things that are not there), delusions (false beliefs), disorganized thinking, and impaired social functioning. Individuals with schizophrenia may struggle to distinguish between reality and their perceptions, often leading to isolation or difficulty maintaining relationships and daily routines.

Both conditions require early diagnosis and a comprehensive treatment approach that may include medication, psychotherapy, lifestyle adjustments, and strong social support. With proper care and management, individuals living with bipolar disorder or schizophrenia can lead fulfilling and productive lives.

What are the signs and symptoms of schizophrenia?

It’s important to recognize the symptoms of schizophrenia and seek help as early as possible. People with schizophrenia are usually diagnosed between the ages of 16 and 30, after the first episode of psychosis. Starting treatment as soon as possible following the first episode of psychosis is an important step toward recovery. However, research shows that gradual changes in thinking, mood, and social functioning often appear before the first episode of psychosis. Schizophrenia is rare in younger children.

Schizophrenia symptoms can differ from person to person, but they generally fall into three main categories: psychotic, negative, and cognitive.

Definitions

  • Psychosis refers to a set of symptoms  characterized by a loss of touch with reality due to a disruption in the way that the brain processes information. When someone experiences a psychotic episode, the person’s thoughts and perceptions are disturbed, and the individual may have difficulty understanding what is real and what is not.
  • Delusions are fixed false beliefs held despite clear or reasonable evidence that they are not true. Persecutory (or paranoid) delusions, when a person believes they are being harmed or harassed by another person or group, are the most common.
  • Hallucinations are the experience of hearing, seeing, smelling, tasting, or feeling things that are not there. They are vivid and clear with an impression similar to normal perceptions. 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. For example, the person may switch from one topic to another or respond with an unrelated topic in conversation. The symptoms are severe enough to cause substantial problems with normal communication.
  • Disorganized or abnormal motor behavior are movements that can range from childlike silliness to unpredictable agitation or can manifest as repeated movements without purpose. When the behavior is severe, it can cause problems in the performance of activities of daily life. It includes catatonia, when a person appears as if in a daze with little movement or response to the surrounding environment.

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