
one of the things that's often missed in discussions about schizophrenia [aside from the fact that it's frequently confused with bipolar and/ or dissociative identity disorder] is that it causes two "sets" of symptoms: positive symptoms, like delusions or hallucinations, which involve things being present that shouldn't be, and negative symptoms, where things that should be present are absent. another important thing to remember is that schizophrenia affects between 1 and 3% of the population worldwide [with little variation depending on place, as we've already seen], which makes it pretty rare, so it shouldn't necessarily be a first conclusion. finally, it usually presents in late adolescence or early adulthood, between the ages of 15 and 25. that doesn't mean that the 37 year old you know with these symptoms can't be schizophrenic, but it does make it less likely.
so now that we have those things out of the way, let's talk about what schizophrenia looks like.

- withdrawal from social activity
- drop in grades
- changes in groups of friends
- irritability
- excessive reactions to criticism
- unhealthy or inappropriate sleep patterns [periods of insomnia and/ or excessive sleeping]
we'd all be locked up if those were the criteria. so, in my opinion, those are things to consider in the context of other, more telling symptoms. "positive" early symptoms of schizophrenia can include:
- paranoia and delusions of persecution: a sense that one is being targeted by others [known or unknown] and that others mean one harm
- delusions of reference: a term meaning a belief that neutral objects, like a television set or stars, are implicated in activity connected directly to the person [e.g., communicating or speaking to them, following them, monitoring them...]
- disorganised speech: this can refer to things that are simply nonsensical, or jumping from one topic to another without any relation [as a test, if someone does frequently make this type of non-sequitur, i'd suggest asking them in a friendly way how they got from a to b: sometimes, perfectly rational people just spin through a series of topics in their head without explaining, but someone edging towards schizophrenia is less likely to know how they made a connection, or the connection won't make anymore sense than the original non-sequitur.]
positive symptoms are the easiest to recognise and the most specific to schizophrenia. they can be indicative of other things, but any of these, and certainly any combination of these are what i'd consider serious red flags. the so-called "word salad", or very disorganised speech, where random words just seem to fall out of a person in a big, random pile, is particularly difficult for a schizophrenia to hide and should not ever be ignored. [that is to say, if it happens reasonably often, or if the person doesn't realise why what they've said is bizarre.] it can be a symptom of a few things aside from schizophrenia, and all of them are serious.

in light of that, here are a few subtle indicators of delusions at work:
- preoccupation with one person or thing, particularly a negative or suspicious preoccupation
- a repeated pattern of behaviour that seems to make no logical sense
- a preoccupation with how one is thought of by others [delusions are most often founded on the sense that one has a particular importance or significance, greater than that of others]
- frequently hearing things that aren't there [we all do it some times, but if it happens a lot, it can be an early sign of auditory hallucinations, whether it's thinking that one hears something outside, or thinks someone has spoken when they haven't]
- sensitivity to stimuli such as lights, sounds, smells or touch [again, that sensitivity can be a precursor to hallucinations- believing that the stimulus is much stronger than it is]
- inappropriate emotional responses
negative symptoms of schizophrenia are much harder to pin down, but they can be just as indicative of a problem. my advice with these is to put them in context with other possible symptoms, considering how frequently they occur, how severe they seem compared to an "average person", etc. after all, a lot of these are things that we all do- some of us quite frequently. here are a few:
- lack of emotion [schizophrenics tend to appear unaffected by anything external]
- blank, empty-eyed expression [again, we all get this sometimes, but a schizophrenic will have this more frequently, including when they're not just "spacing out"]
- difficulty expressing emotion either verbally or physically [such as through facial expressions]
- ignoring personal hygiene
- pronounced forgetfulness or absent-mindedness [including frequently losing objects or being unable to remember how to do simple tasks]

of course, finding out that you have schizophrenia just sucks. the treatments are hard on your system and just because you catch it early doesn't mean that the disorder won't worsen with time. but knowing that you have it and getting it treated sucks a lot less than getting to a point where you're so disconnected from reality that you're a danger to yourself and possibly to others. and when someone is exhibiting symptoms, the risk of bad news is a better option than the risk of a bad future.
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