Schizophrenia is a serious mental
disorder in which people interpret reality
abnormally. Schizophrenia may result in some
combination of hallucinations, delusions, and extremely disordered
thinking and behavior that impairs daily functioning, and can be
disabling. People with schizophrenia require
lifelong treatment
People with schizophrenia require lifelong treatment. Early
treatment may help get symptoms under control before serious
complications develop and may help improve the long-term
outlook.
Symptoms
Schizophrenia involves a range of problems with thinking
(cognition), behavior and emotions. Signs and symptoms may vary,
but usually involve delusions, hallucinations or disorganized
speech, and reflect an impaired ability to function. Symptoms may
include:
- Delusions. These are false beliefs that are
not based in reality. For example, you think that you're being
harmed or harassed; certain gestures or comments are directed at
you; you have exceptional ability or fame; another person is in
love with you; or a major catastrophe is about to occur. Delusions
occur in most people with schizophrenia.
- Hallucinations. These usually involve seeing
or hearing things that don't exist. 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.
- Disorganized thinking (speech). Disorganized
thinking is inferred from disorganized speech. Effective
communication can be impaired, and answers to questions may be
partially or completely unrelated. Rarely, speech may include
putting together meaningless words that can't be understood,
sometimes known as word salad.
- Extremely disorganized or abnormal motor
behavior. This may show in a number of ways, from
childlike silliness to unpredictable agitation. Behavior isn't
focused on a goal, so it's hard to do tasks. Behavior can include
resistance to instructions, inappropriate or bizarre posture, a
complete lack of response, or useless and excessive movement.
- Negative symptoms. This refers to reduced or
lack of ability to function normally. For example, the person may
neglect personal hygiene or appear to lack emotion (doesn't make
eye contact, doesn't change facial expressions or speaks in a
monotone). Also, the person may lose interest in everyday
activities, socially withdraw or lack the ability to experience
pleasure.
Symptoms in teenagers
Schizophrenia symptoms in teenagers are similar to those in
adults, but the condition may be more difficult to recognize. This
may be in part because some of the early symptoms of schizophrenia
in teenagers are common for typical development during teen years,
such as:
- Withdrawal from friends and family
- A drop in performance at school
- Trouble sleeping
- Irritability or depressed mood
- Lack of motivation
If you think someone you know may have symptoms of
schizophrenia, talk to him or her about your concerns. Although you
can't force someone to seek professional help, you can offer
encouragement and support and help your loved one find a qualified
doctor or mental health professional.