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The
symptoms
of schizophrenia
are generally
divided
into
three
categories,
including
positive,
disorganized
and negative
symptoms.
Positive
Symptoms,
or "psychotic" symptoms,
include delusions
and hallucinations
because the patient
has lost touch
with reality
in certain important
ways. "Positive" as
used here does
not mean "good." Rather,
it refers to
having overt
symptoms that
should not be
there. Delusions
cause the patient
to believe that
people are reading
their thoughts
or plotting against
them, that others
are secretly
monitoring and
threatening them,
or that they
can control other
people's minds.
Hallucinations
cause people
to hear or see
things that are
not there.
Disorganized
Symptoms include
confused thinking
and speech, and
behavior that
does not make
sense. For example,
people with schizophrenia
sometimes have
trouble communicating
in coherent sentences
or carrying on
conversations
with others;
move more slowly,
repeat rhythmic
gestures or make
movements such
as walking in
circles or pacing;
and have difficulty
making sense
of everyday sights,
sounds and feelings.
Negative Symptoms
include emotional
flatness or lack
of expression,
an inability
to start and
follow through
with activities,
speech that is
brief and lacks
content, and
a lack of pleasure
or interest in
life. "Negative" does
not, therefore,
refer to a person's
attitude, but
to a lack of
certain characteristics
that should be
there.
Schizophrenia
is also associated
with changes
in cognition.
These changes
affect the ability
to remember and
to plan for achieving
goals. Also,
attention and
motivation are
diminished. The
cognitive problems
of schizophrenia
may be important
factors in long-term
outcome.
Schizophrenia
also affects
mood. Many individuals
affected with
schizophrenia
become depressed,
and some individuals
also have apparent
mood swings and
even bipolar-like
states. When
mood instability
is a major feature
of the illness,
it is called,
schizoaffective
disorder, meaning
that the same
individual prominently
displays elements
of schizophrenia
and mood disorders.
It is not clear
whether schizoaffective
disorder is a
distinct condition
or simply a subtype
of schizophrenia.
Disease
Information
Source: National
Institutes
of Mental Health
(NIMH) and
The St. Luke
Hospital West
Mental Health
Unit
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