Schizophrenia has three distinct phases, which share some overlapping symptoms. The three stages are prodromal, active, and residual. Diagnosing the stages of schizophrenia is important for an individual to receive the proper treatment to manage their condition. Show
Schizophrenia is a chronic mental illness that affects an estimated 24 million people worldwide. This illness affects the way a person thinks, feels, and behaves. People with schizophrenia may experience:
People can manage their symptoms with the help of a care team that coordinates and delivers effective treatments. However, without treatment, symptoms of schizophrenia can severely impact a person’s ability to engage in work or school, live independently, and maintain healthy interpersonal relationships. This article discusses the stages of schizophrenia, their causes, symptoms, diagnosis, treatment options, and where to seek emergency care. This is the first stage of schizophrenia. It occurs before noticeable psychotic symptoms appear. During this stage, a person undergoes behavioral and cognitive changes that can, in time, progress to psychosis. The early stage of schizophrenia usually involves non-specific symptoms that also occur in other mental illnesses, such as depression. Symptoms of prodromal schizophrenia include:
According to the authors of one 2018 review, up to 73% of people with schizophrenia experience the prodromal stage before they develop the characteristic symptoms of schizophrenia. Identifying individuals in the prodromal stage remains challenging. In this stage, people with schizophrenia exhibit characteristic symptoms of psychosis, including hallucinations, delusions, and paranoia. Active schizophrenia, or active psychosis, involves obvious symptoms such as:
The Diagnostic and Statistical Manual, Fifth Edition (DSM-5) no longer recognizes this stage for diagnosing purposes. However, it is still useful for describing the symptoms of schizophrenia. In residual schizophrenia, a person experiences fewer or less severe symptoms than those seen in the active stage. Typically, people in this stage do not experience positive symptoms, such as hallucinations or delusions. The residual stage is similar to the prodromal stage. People may experience negative symptoms, such as a lack of motivation, low energy, or depressed mood. Symptoms of residual schizophrenia include:
Schizophrenia is a multidimensional condition that arises from a number of variables. Research has shed light on the possible causes of schizophrenia. However, the reasons why people move through the phases of schizophrenia remain unclear. A combination of environmental, genetic, and physiological factors may alter the brain’s structure and chemistry. These changes lead to schizophrenia. Experts associate the following factors with schizophrenia:
Doctors and mental health practitioners often diagnose schizophrenia during the active stage, when symptoms are most prominent. A doctor must follow the criteria outlined in the DSM-5 to diagnose schizophrenia. According to the DSM-5, a schizophrenia diagnosis consists of the following elements:
While a person can develop schizophrenia at any age, the average age of onset varies slightly between men and women. According to NAMI, the initial symptoms of schizophrenia usually appear between the late teens to early 20s for men and the late 20s to early 30s for women. The authors of one 2018 case report state that schizophrenia can occur in children less than 13 years old, though this appears to be rare. Although schizophrenia is a lifelong condition, it is treatable. Receiving timely and effective treatment can help manage symptoms and prevent relapses. Treatment options include:
If you or a loved one is experiencing suicidal thoughts or exhibiting dangerous or risky behaviors, please seek emergency care:
Schizophrenia is a complex, long-term condition that can significantly impact a person’s ability to function and maintain healthy relationships. Effective treatments are available that can help a person manage their symptoms and prevent relapses. People with schizophrenia also benefit from the support of their family and friends and access to community services. Schizophrenia consists of three stages — prodromal, active, and residual. The prodromal stage consists of non-specific symptoms, such as lack of motivation, social isolation, and difficulty concentrating. Prodromal symptoms are not always obvious. As a result, diagnosing schizophrenia in this stage can be extremely difficult. Active schizophrenia involves noticeable psychotic symptoms, such as hallucinations and delusions. People require immediate medical attention at this stage. Timely diagnosis and prompt treatment can help reduce the severity and frequency of psychotic episodes. The residual stage is no longer acknowledged as a diagnostic criterion, but it helps explain the progression of schizophrenia. In the residual stage, hallucinations, delusions, and disorganized thinking are mild or completely absent. A person may continue experiencing symptoms from the prodromal stage. How people function in the present is usually __ how they performed in the past?How people function in the present is usually consistent with how they performed in the past. There is unavoidable change throughout the lifespan.
What neurotransmitter which is especially involved in movement and motor coordination declines in late adulthood?Correspondingly, degeneration of neurotransmitter systems—primarily the dopaminergic system—may contribute to age-related gross and fine motor declines, as well as to higher cognitive deficits.
Which of the following is an example of when an individual must perform divided attention?Divided attention is the ability to pay attention to two tasks at once such as cooking a meal while talking to a friend or driving a car and talking to a passenger at the same time – neither activity is stopped in order to carry out the other activity.
What is an especially common sleep problem of late adulthood affecting more than half of persons over age 65 years?Monane3 has estimated that insomnia affects nearly half of all those over the age of 65 years. Elderly women tend to report sleep disturbances more frequently than elderly men.
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