What are signs and symptoms of schizophrenia in a 14 year old girl?

by Symptom Advice on February 9, 2011

Ok, I have a "friend" who is about 14 and she tells me about strange things that seem crazy! I wonder if she has schizophrenia, but I'm no psychologist! I'd like a little help on how to possibly help her.

the best thing to do would to go on the net and look under schizophrenia symtons, or go to the doctors

i don`t think the symtons from adults and teenagers differs to much

Schizoprenia cannot be diagnosed with a 14 yr old girl.

some times is normal at that age show some symptoms or problems,because want attention, and you know many times the parents are so busy,the best way to stay on line is exercise and talk whit the parents.

tell her parents. They can get her checked out.

Only a trained professional can diagnose a mental disability. I doubt your friend has schizophrenia, though, because her parents would have noticed things right away. It's a serious disease and it's not often that people with it can hide it so well. (The delusions/hallucinations come at all manners of time and any grossly disorganized behavior would have been noticed by parents/teachers quite quickly.)

If your friend is just saying she hears voices, blah blah blah, then she's just being a normal fourteen-year-old girl wanting attention and to seem cool and new. Ignore her.

Schizophrenia DOES NOT happen until one is in their 20's. Until then, you are not likely to know that someone is going to become schizophrenic. Chances are, she has a very creative mind OR is delusional.

mb

maybe she is just making stuff up so look like a cool chick

usually someone who is 14 displays symptoms of being schizoid, not schizophrenic. schizophrenia will sometimes develop later on. i have only read of a few cases of full fledged schizophrenia in younger individuals

two or more of the following, each present for a significant portion of time during a 1 month period
1) delusions
2) hallucinations
3)disorganized speech
4) grossly disorganized or catatonic behavior
5) negative sypmtoms, ie, affective flattening, alogia, or avolition

Schizophrenia is characterized by profound disruption in cognition and emotion, affecting the most fundamental human attributes: language, thought, perception, affect, and sense of self. the array of symptoms, while wide ranging, frequently includes psychotic manifestations, such as hearing internal voices or experiencing other sensations not connected to an obvious source (hallucinations) and assigning unusual significance or meaning to normal events or holding fixed false personal beliefs (delusions). No single symptom is definitive for diagnosis; rather, the diagnosis encompasses a pattern of signs and symptoms, in conjunction with impaired occupational or social functioning.

Symptoms are typically divided into positive and negative symptoms because of their impact on diagnosis and treatment. Positive symptoms are those that appear to reflect an excess or distortion of normal functions. the diagnosis of schizophrenia, according to DSM-IV, requires at least 1-month duration of two or more positive symptoms, unless hallucinations or delusions are especially bizarre, in which case one alone suffices for diagnosis. Negative symptoms are those that appear to reflect a diminution or loss of normal functions. these often persist in the lives of people with schizophrenia during periods of low (or absent) positive symptoms. Negative symptoms are difficult to evaluate because they are not as grossly abnormal as positives ones and may be caused by a variety of other factors as well (e.g., as an adaptation to a persecutory delusion). However, advancements in diagnostic assessment tools are being made.

Diagnosis is complicated by early treatment of schizophrenia’s positive symptoms. Antipsychotic medications, particularly the traditional ones, often produce side effects that closely resemble the negative symptoms of affective flattening and avolition. in addition, other negative symptoms are sometimes present in schizophrenia but not often enough to satisfy diagnostic criteria (DSM-IV): loss of usual interests or pleasures (anhedonia); disturbances of sleep and eating; dysphoric mood (depressed, anxious, irritable, or angry mood); and difficulty concentrating or focusing attention.

Currently, discussion is ongoing within the field regarding the need for a third category of symptoms for diagnosis: disorganized symptoms. Disorganized symptoms include thought disorder, confusion, disorientation, and memory problems. While they are listed by DSM-IV as common in schizophrenia—especially during exacerbations of positive or negative symptoms (DSM-IV)—they do not yet constitute a formal new category of symptoms. some researchers think that a new category is not warranted because disorganized symptoms may instead reflect an underlying dysfunction common to several psychotic disorders, rather than being unique to schizophrenia.

Examples of Physical Symptoms—-

–A blank, vacant facial expression. An inability to smile or express emotion through the face is so characteristic of the disease that it was given the name of affective flattening or a blunt affect.
–Overly acute senses- lights are too bright, sounds are too loud.
–Staring, while in deep thought, with infrequent blinking.
–Clumsy, inexact motor skills
–Sleep disturbances- insomnia or excessive sleeping
–Involuntary movements of the tongue or mouth (facial dyskinesias). Grimacing at the corners of the mouth with the facial muscles, or odd movements with the tongue.
–Parkinsonian type symptoms- rigidity, tremor, jerking arm movements, or involuntary movements of the limbs
–An awkward gait (how you walk)
–Eye movements- difficulty focusing on slow moving objects
–Unusual gestures or postures
–Movement is speeded up- i.e. constant pacing
–Movement is slowed down- staying in bed (in extreme cases, catatonia)

Examples of Feelings/Emotions—-

–The inability to experience joy or pleasure from activities (called anhedonia)
–Sometimes feeling nothing at all
–Appearing desireless- seeking nothing, wanting nothing
–Feeling indifferent to important events
–Feeling detached from your own body (depersonalization)
–Hypersensitivity to criticism, insults, or hurt feelings

Examples of Mood—-

–Sudden irritability, anger, hostility, suspiciousness, resentment
–Depression- feeling discouraged and hopeless about the future
–Low motivation, energy, and little or no enthusiasm
–Suicidal thoughts or suicidal ideation
–Rapidly changing mood- from happy to sad to angry for no apparent reason (called labile mood)
–Severe Anxiety

Changes in Behavior associated with schizophrenia —-

–Dropping out of activities and life in general
–Inability to form or keep relationships
–Social isolation- few close friends if any. little interaction outside of immediate family.
–Increased withdrawal, spending most of the days alone.
–Becoming lost in thoughts and not wanting to be disturbed with human contact
–Neglect in self-care- i.e. hygiene, clothing, or appearance
–Replaying or rehearsing conversations out loud- i.e. talking to yourself (very common sign)
–Finding it difficult to deal with stressful situations
–Inability to cope with minor problems
–Lack of goal-directed behavior. Not being able to engage in purposeful activity
–Functional impairment in interpersonal relationships, work, education, or self-care
–Deterioration of academic or job-related performance
–Inappropriate responses- laughing or smiling when talking of a sad event, making irrational statements.
–Catatonia- staying in the same rigid position for hours, as if in a daze.
–Intense and excessive preoccupation with religion or spirituality
–Drug or alcohol abuse
–Smoke or have the desire to want to smoke (70-90% do smoke) – note: this is a very normal behavior for people who do not have schizophrenia also!
–Frequent moves, trips, or walks that lead nowhere

Examples of Cognitive Problems Associated with Schizophrenia —-

–Ruminating thoughts- these are the same thoughts that go around and round your head but get you nowhere. often about past disappointments, missed opportunities, failed relationships.
–Making up new words (neologisms)
–Becoming incoherent or stringing unrelated words together (word salad)
–Frequent loose association of thoughts or speech- when one thought does not logically relate to the next. For example, "I need to go to the store to buy some band-aids. I read an article about how expensive AIDS drugs are. People take too many street drugs. the streets should be clean from the rain today, etc" the need to go to the store to buy band-aids is forgotten.
–Directionless- lack goals, or the ability to set and achieve goals

–Lack of insight (called anosognosia). Those who are developing schizophrenia are unaware that they are becoming sick. the part of their brain that should recognize that something is wrong is damaged by the disease.
–Racing thoughts
–In conversation you tend to say very little (called poverty of speech or alogia)
–Suddenly halting speech in the middle of a sentence (thought blocking)

–Trouble with social cues- i.e. not being able to interpret body language, eye contact, voice tone, and gestures appropriately. –Often not responding appropriately and thus coming off as cold, distant, or detached.
–Difficulty expressing thoughts verbally. Or not having much to say about anything.
–Speaking in an abstract or tangential way. Odd use of words or language structure
–Difficulty focusing attention and engaging in goal directed behavior
–Poor concentration/ memory. Forgetfulness
–Nonsensical logic
–Difficulty understanding simple things
–Thoughts, behavior, and actions are not integrated
–Obsessive compulsive tendencies- with thoughts or actions
–Thought insertion/ withdrawal- thoughts are put it or taken away without a conscious effort
–Conversations that seem deep, but are not logical or coherent

Examples of Delusions—-

The most common type of delusion or false beliefs are paranoid delusions. these are persecutory in nature and take many forms:

–Overpowering, intense feeling that people are talking about you, looking at you
–Overpowering, intense feeling you are being watched, followed, and spied on (tracking devices, implants, hidden cameras)
–Thinking that someone is trying to poison your food
–Thinking people are working together to harass you
–Thinking that something is controlling you- i.e. an electronic implant
–Thinking that people can read your mind/ or control your thoughts
–Thinking that your thoughts are being broadcast over the radio or tv
–Delusions of reference- thinking that random events convey a special meaning to you. An example is that a newspaper headline or a license plate has a hidden meaning for you to figure out. that they are signs trying to tell you something.
–Religious delusions- that you are Jesus, God, a prophet, or the antichrist.
–Delusions of grandeur- the belief that you have an important mission, special purpose, or are an unrecognized genius, or famous person.
–Delusions that someone, often a famous person, is in love with you when in reality they aren't. Also called erotomania or de Clerembault syndrome.

Examples of Hallucinations—-

–Hallucinations are as real as any other experience to the person with schizophrenia. As many as 70% hear voices, while a lesser number have visual hallucinations.
–Auditory hallucinations can be either inside the person's head or externally. when external, they sound as real as an actual voice. sometimes they come from no apparent source, other times they come from real people who don't actually say anything, other times a person will hallucinate sounds.
–When people hear voices inside their heads, it is as if their inner thoughts are no longer alone. the new voices can talk to each other, talk to themselves, or comment on the person's actions. the majority of the time the voices are negative.
–Visual hallucinations operate on a spectrum. They start with the overacuteness of the senses, then in the middle are illusions, and on the far end are actual hallucinations.

Does she have multiple personalitys? I would watch out for her, keep your distance.maybe she has ADD?

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