What is schizophrenia?  

    Schizophrenia is one of the most complex of all mental health disorders. It is a severe, chronic, and disabling
    disturbance of the brain that causes distorted thinking, strange feelings, and unusual behavior and use of language
    and words.  Approximately 1 percent of the population develops schizophrenia during their lifetime – more than 2
    million Americans suffer from the illness in a given year. Although schizophrenia affects men and women with equal
    frequency, the disorder often appears earlier in men, usually in the late teens or early twenties, than in women, who
    are generally affected in the twenties to early thirties.  A child born into a family with one or more schizophrenic
    family members has a greater chance of developing schizophrenia than a child born into a family with no history of
    schizophrenia.  After a person has been diagnosed with schizophrenia in a family, the chance for a sibling to also be
    diagnosed with schizophrenia is 7 to 8 percent. If a parent has schizophrenia, the chance for a child to have the
    disorder is 10 to 15 percent. Risks increase with multiple affected family members. People with schizophrenia often
    suffer terrifying symptoms such as hearing internal voices not heard by others, or believing that other people are
    reading their minds, controlling their thoughts, or plotting to harm them. These symptoms may leave them fearful
    and withdrawn. Their speech and behavior can be so disorganized that they may be incomprehensible or frightening
    to others. Available treatments can relieve many symptoms, but most people with schizophrenia continue to suffer
    some symptoms throughout their lives; it has been estimated that no more than one in five individuals recovers
    completely.


    What causes schizophrenia?  

    There is no known single cause responsible for schizophrenia. It is believed that a chemical imbalance in the brain
    is an inherited factor which is necessary for schizophrenia to develop. However, it is likely that many factors -
    genetic, behavioral, and environmental - play a role in the development of this mental health condition.
    Schizophrenia is considered to be multifactorially inherited. Multifactorial inheritance means that "many factors" are
    involved. The factors are usually both genetic and environmental, where a combination of genes from both parents,
    in addition to unknown environmental factors, produce the trait or condition. Often, one gender (either males or
    females) is affected more frequently than the other in multifactorial traits. There appears to be a different threshold
    of expression, which means that one gender is more likely to show the problem, over the other gender. Slightly
    more males develop schizophrenia in childhood, however, by adolescence schizophrenia affects males and females
    equally.


    What are the symptoms of schizophrenia?  

    In children with schizophrenia, behavior changes may occur slowly, over time, or have a sudden onset. The child
    may gradually become more shy and withdrawn. They may talk about bizarre ideas or fears and begin to cling more to
    parents. One of the most disturbing and puzzling characteristics of schizophrenia is the sudden onset of its
    psychotic symptoms. The following are the most common symptoms of schizophrenia. However, each child may
    experience symptoms differently.


  • Distorted perception of reality (difficulty telling dreams from reality)
  • Confused thinking (i.e., confusing television with reality)
  • Detailed and bizarre thoughts and ideas
  • Suspiciousness and/or paranoia (fearfulness that someone, or something, is going to harm them)
  • Hallucinations (seeing, hearing, or feeling things that are not real such as hearing voices telling them to do
    something)
  • Delusions (ideas that seem real but are not based in reality)
  • Extreme moodiness
  • Severe anxiety and/or fearfulness
  • Flat affect (lack of emotional expression when speaking)
  • Difficulty in performing schoolwork
  • Social withdrawal (severe problems in making and keeping friends)
  • Disorganized or catatonic behavior (suddenly becoming agitated and confused, or sitting and staring, as if
    immobilized)
  • Odd behaviors (i.e., an older child may regress significantly and begin acting like a younger child)


    The symptoms of schizophrenia are often classified as positive (symptoms including delusions, hallucinations, and
    bizarre behavior), negative (symptoms including flat affect, withdrawal, and emotional unresponsiveness),
    disorganized speech (including speech that is incomprehensible), and disorganized or catatonic behavior (including
    marked mood swings, sudden aggressive, or confusion, followed by sudden motionlessness and staring). The
    symptoms of schizophrenia in children are similar to adults, however, children, more often (in 80 percent of
    diagnosed cases), experience auditory hallucinations and typically do not experience delusions or formal thought
    disorders until mid-adolescence or older.
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