The effect can be disabling. In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s. Schizophrenia is considered early onset when it starts before the age of 18. Onset of schizophrenia in children younger than age 13 is extremely rare.
Common early signs of schizophrenia vary by age group and include: Young children: Delayed development. Older kids and teens: Depression, isolation, behavioral problems (e.g., stealing) or changes (e.g., bizarre or unusual thoughts or actions), and trouble focusing.
Functional deficits such as emotional flattening, social withdrawal, and a lack of motivation and pleasure are usually prominent. The most commonly reported psychotic features are auditory hallucinations and delusions.
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.
Borderline schizophrenia is a term that is used to describe the occurrence of both BPD and schizophrenia. However, it is not an established diagnosis. BPD and schizophrenia are separate conditions that can occur together. They also share many similarities.
Unfortunately, most people with schizophrenia are unaware that their symptoms are warning signs of a mental disorder. Their lives may be unraveling, yet they may believe that their experiences are normal. Or they may feel that they're blessed or cursed with special insights that others can't see.
Prodromal stage
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.
People with schizophrenia have trouble inferring other people's mental states. Eye-gaze direction is a ubiquitous social cue that we use to direct attention and infer what other people are thinking, what their intentions are.
Given the complexity and variability of schizophrenia symptoms, it's possible to have the disorder and not realize it. Some people with schizophrenia may be able to function relatively well in their day-to-day lives, masking their symptoms from others and even themselves.
There's no single test for schizophrenia and the condition is usually diagnosed after assessment by a specialist in mental health. If you're concerned you may be developing symptoms of schizophrenia, see a GP as soon as possible. The earlier schizophrenia is treated, the better.
They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them. They may sit for hours without moving or talking. These symptoms make holding a job, forming relationships, and other day-to-day functions especially difficult for people with schizophrenia.
Personality disorders such as antisocial, borderline, histrionic, narcissistic, avoidant, dependent and obsessive-compulsive types have been detected in one third to one half of schizophrenia patients (Nielsen, Hewitt & Habke, 1997; Solano & Chavez, 2000).
You could have: Hallucinations: Seeing or hearing things that aren't there. Delusions: Mistaken but firmly held beliefs that are easy to prove wrong, like thinking you have superpowers, are a famous person, or people are out to get you. Disorganized speech: Using words and sentences that don't make sense to others.
This is likely primarily driven by the misdiagnosis of schizophrenia, as many symptoms of schizophrenia mimic symptoms of other conditions. These conditions include bipolar disorder, schizoid personality disorder, delusional disorder and schizoaffective disorder.
Of the different types of schizophrenia, residual schizophrenia is the mildest, characterized by specific residual schizophrenia symptoms.
If you, or someone you know, are described as having “borderline schizophrenia”, it could point toward mild symptoms, unclear symptoms, or a combination of symptoms. The best thing you can do is to seek clarification from a licensed professional.
Generally, it all boils down to a person's unique symptoms. This can include disorganized thinking, paranoia, delusions, hallucinations, agitation, or a loss of interest in activities.
Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
These changes happen gradually, typically in three phases: early, acute, and recovery. The onset of first episode psychosis typically presents when an individual is between the ages of 18-25, however, may present between the ages of 15-40. It is uncommon for first episode psychosis to present in childhood.