What Are the Early Warning Signs of Schizophrenia?

It can be a bit strange to observe changes in your own, or a loved one’s behavior. More often than not, these changes can be minor and easily ignored.
Still, detecting even the mildest initial signs of something major such as schizophrenia, can be of major importance down the line.
Knowing what to be watchful for means you’re in a better place to get the proper help.
At On Track Psychiatry, our team is here to guide you with expertise.
Let’s walk through what those early signs can look like.

The Early Phase

Schizophrenia normally comes on gradually. It hardly ever appears all at once in the middle or late teens.
Most often, the first changes show up in early adolescence or at some time in early adulthood, usually between ages 17 and 19- this is called the “prodromal” phase.
At first, these changes may not be readily apparent, and you may very well overlook them as they are mostly subtle. Here are some to watch for:

  • The gradual shift in thoughts and feelings
  • Subtle and small changes in one’s behavior or personality
  • Problems that just seem to come out of nowhere
  • Difficulty keeping up with daily life or responsibilities

Changes in Thought and Perception

Some of the earliest differences affect how someone thinks or experiences the world:

  • Confused or mixed-up thinking
    • Trouble focusing or following a conversation
    • Thoughts may jump around from topic to topic
  • Suspicion or feeling uneasy
    • Feeling like others are watching or talking about you for no reason
    • Distrust of people you normally trust
  • Odd beliefs or ideas
    • Ideas that seem strange or hard for others to understand
    • Fixation on topics that don’t usually spark interest
  • Unusual sensory experiences
    • Hearing whispers or sounds that nobody else hears
    • Seeing shadows or shapes that aren’t really there
    • Smelling or tasting things with no clear source

Behavioral and Emotional Shifts

You might also spot changes in how someone acts or expresses themselves:

  • Avoiding the usual company of friends, family, and social events
    • Not participating in any group meetings or conversations
  • Drop in performance at school or work
    • Sudden slip in grades or trouble meeting deadlines
  • Changes in personal habits and hygiene
    • Becoming indifferent toward one’s appearance or cleanliness
  • Low energy or a lack of motivation
    • Losing interest in activities
    • Doesn’t want to get out of bed or do activities
  • Emotional differences
    • Flat or dull facial expressions
    • Reactions that don’t really seem to “fit” the situation

How On Track Psychiatry Can Help

It’s natural to be confused if any of these signs present themselves. This is why On Track Psychiatry comes in to lend a helping hand.

Here’s how we can help:

  • Thorough and judgment-free assessment
  • Customized treatment plans based on your specific needs
  • Therapy/counseling for processing experiences
  • Medication management when needed
  • Ongoing compassionate care and support

Our board-certified Psychiatric Mental Health Nurse Practitioners, Tondalaya Sanford and Michelle Arshinkoff, provide support.
You’ll find a safe place to speak openly at On Track Psychiatry.
If the warning signs above feel all too familiar for you or someone you know, there’s no harm in reaching out.

Read more: Reintegrating into Meaningful Life After Mental Health Treatment

Ready to talk? 

Feeling ready to talk yet? Schedule an appointment with On Track Psychiatry. We’re here to help you take that next step, whenever you feel ready.

FAQs

When do the early signs start to appear?

Most commonly in late teens to early 30s.

Can stress cause schizophreniform disorder?

Stress alone doesn’t cause schizophrenia. Sometimes makes signs more noticeable.

Is there any treatment for schizophrenia?

Yes, many people lead full and meaningful lives with:

  • Therapy
  • Medication management
  • Continuing support

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