How to understand that a person is at the initial stage of schizophrenia?

Schizophrenia - causes, symptoms, diagnosis, treatment & pathology

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answers (2)

Answer 1
September, 2021

In short - nothing. This is not a movie, it is not romantic, it is not funny, it is ugly and there are many more "not". Sometimes doctors themselves cannot distinguish (and this is normal) the onset of schizophrenia from delusional disorder, other psychoses, schizoid personality disorder, schizotypal disorder, etc. All differential diagnostics is based on the course of the disease, there are no instrumental and laboratory examinations to say "schizophrenia". This means that in order to determine the diagnosis, it is necessary to look in dynamics - to be observed by a doctor for at least a month, preferably in a hospital. And the prognosis of schizophrenia is very different from the prognosis of similar acute psychoses. Can you imagine the approximate complexity of the task? Shiza is a difficult diagnosis that breaks a person's life. It breaks not only because the disease is ineradicable, but also because people treat a person badly. Therefore, it is worth refraining from such a diagnosis, even in thoughts. Even if (and even more so if) your guess is correct - by putting a stigma on a person, we injure him even more. You can easily find a list of symptoms, but without knowing the disease itself, a person's complaints and anamnesis, it will only be possible to diagnose unnecessary ones.

Answer 2
September, 2021

At the initial stage of the disease, the presence of productive symptoms in men is more noticeable. For example, the delusions of persecution appear earlier than other signs. External symptoms are also quite noticeable, a person becomes slovenly, he does not want to take care of himself, spend efforts on hygiene procedures. At the same time, when such symptoms appear in women, they immediately become noticeable to others. It should be noted that it is completely impossible to predict whether the manifestations of schizophrenia will appear at the initial stage, or they will appear later. For the final clarification, it is necessary to have an accurate diagnosis, the doctor must establish a thinking disorder and make sure that it corresponds to the rest of the indicators.

Typical features of the initial stage of schizophrenia are detected during a diagnostic examination, and simple tests are used for this. At the initial stage of schizophrenia, blockages of thinking are found, which are combined with a feeling of loss of control over the thought process. The patient develops neologisms - his own, personally invented words that have a special meaning. There is a significant blurring of thinking, there are no clear boundaries between concepts. The initial stage of schizophrenia is determined by concrete, autistic thinking, the ability to think abstractly is lost. In particular, the patient is characterized by verbigeration - a mechanical repetition of whole phrases or individual words. In the chronic form of the disease, this happens especially often.

Already at the initial stage, the patient has a logic that is incomprehensible to healthy people, difficulties arise in communicating with others, understanding differences or similarities. It is difficult for a patient to separate the secondary and the main, but, at the same time, he unites phenomena and objects according to signs that do not exist. As a rule, all this is primarily noticed by close people, family. They can describe the changes taking place in a person, which helps to diagnose the patient's condition. In medicine, there has long been a debate about whether a complete cure for schizophrenia is possible. Experts note that how successful the treatment will be depends on a number of factors, including the family's readiness for the treatment to be long and difficult.

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