Early Signs of Schizophrenia:
The following list, compiled by one mental health consumer, contains some of the typical early warning signs of schizophrenia. Keep in mind that schizophrenia onset is typical between the ages of 15 and 25 (although it can affect children younger than fourteen, with a subtype known as childhood-onset schizophrenia). The disorder can come on over a period of years (called insidious onset) or be very rapid. It affects 1% of the general population. The list is subdivided into Physical Symptoms, Feelings and Mood, Behavior, Cognitive Problems, Delusions, and Hallucinations.
Please remember that only a qualified psychologist, psychiatrist (or in some areas a social worker) can accurately diagnose schizophrenia or any other brain disorder. A psychologist or psychiatrist will use the clinical history of the person, as well as the symptoms and criteria in the DSM-IV (in the United States) to make a diagnosis.
Examples of Physical Symptoms----
--A blank, vacant facial expression. An inability to smile or express emotion through the face is so characteristic of the disease that it was given the name of affective flattening or a blunt affect.
--Overly acute senses- lights are too bright, sounds are too loud.
--Staring, while in deep thought, with infrequent blinking.
--Clumsy, inexact motor skills
--Sleep disturbances- insomnia or excessive sleeping
--Involuntary movements of the tongue or mouth (facial dyskinesias). Grimacing at the corners of the mouth with the facial muscles, or odd movements with the tongue.
--Parkinsonian type symptoms- rigidity, tremor, jerking arm movements, or involuntary movements of the limbs
--An awkward gait (how you walk)
--Eye movements- difficulty focusing on slow moving objects
--Unusual gestures or postures
--Movement is speeded up- i.e. constant pacing
--Movement is slowed down- staying in bed (in extreme cases, catatonia)
Examples of Feelings/Emotions----
--The inability to experience joy or pleasure from activities (called anhedonia)
--Sometimes feeling nothing at all
--Appearing desireless- seeking nothing, wanting nothing
--Feeling indifferent to important events
--Feeling detached from your own body (depersonalization)
--Hypersensitivity to criticism, insults, or hurt feelings
Examples of Mood----
--Sudden irritability, anger, hostility, suspiciousness, resentment
--Depression- feeling discouraged and hopeless about the future
--Low motivation, energy, and little or no enthusiasm
--Suicidal thoughts or suicidal ideation
--Rapidly changing mood- from happy to sad to angry for no apparent reason (called labile mood)
--Severe Anxiety
Changes in Behavior associated with schizophrenia ----
--Dropping out of activities and life in general
--Inability to form or keep relationships
--Social isolation- few close friends if any. Little interaction outside of immediate family.
--Increased withdrawal, spending most of the days alone.
--Becoming lost in thoughts and not wanting to be disturbed with human contact
--Neglect in self-care- i.e. hygiene, clothing, or appearance
--Replaying or rehearsing conversations out loud- i.e. talking to yourself (very common sign)
--Finding it difficult to deal with stressful situations
--Inability to cope with minor problems
--Lack of goal-directed behavior. Not being able to engage in purposeful activity
--Functional impairment in interpersonal relationships, work, education, or self-care
--Deterioration of academic or job-related performance
--Inappropriate responses- laughing