Can We Prevent or Delay Schizophrenia?

Rerun image 15-year-old Caitlin was an excellent student with many friends when she entered the ninth grade. 1 year later, she suddenly became restless in school, stopped paying attention to her teachers, and eventually failed all of her subjects. At home, she appeared increasingly withdrawn and isolated, spending hours sleeping or watching television. The previously even-tempered adolescent became angry, anxious, and suspicious of those around her. She was occasionally seen talking to herself while making repetitive, odd hand motions. Several years later, hearing voices and insisting that the CIA was hatching an elaborate plot to murder her and her family, she was diagnosed with schizophrenia.If Caitlin had received help at the first sign of trouble, could her descent into psychosis have been prevented or delayed?

Are There Early Warning Signs?

Schizophrenia is a brain disorder that changes the way a person views reality, responds to others, and experiences emotion. It is a condition that affects every aspect of a person's life, including family relations, friendships, education, and career. While schizophrenia can manifest in different ways, early signs that can indicate a problem include:
  • Not caring about personal hygiene
  • Seeing or hearing things that are not really there
  • Acting or speaking in an unusual way that does not make sense
  • Having disorganized thoughts
  • Having strange beliefs or magical thinking
  • Withdrawing from others
  • Not having any motivation
  • Feeling suspicious of others
  • Having dramatic changes in your sleep pattern
There are programs in the United States and in other countries that focus on treating these early warning signs in an effort to prevent psychotic symptoms from developing any further. The Portland Identification and Early Referral (PIER) Program in Maine is 1 example. PIER aims to help children, teens, and young adults who are at risk for serious mental health conditions such as schizophrenia. If your child is struggling, for instance, the mental health professionals would assess them and create a treatment plan. Treatment may include educating the family about mental health disorders, providing the child with support in school or on the job, and prescribing medication if needed.

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