Schizophrenia

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Phase 1: Schizoid Phase
- indifferent to social relationships
- limited range of emotional experience & expression
- don’t enjoy close relationships
- appear cold and aloof
Phase 2: Prodromal
- social withdrawal
- impairment in role functioning
- behaviour is peculiar or eccentric
- neglect of personal hygiene
- blunted or inappropriate affect
- disturbances in communication
- bizarre ideas
- unusual perceptual experiences
- lack of initiative, interests, energy
Phase 3: Acute Schizophrenia
- “acute” phase of the illness
- psychotic symptoms are prominent
- presence of both positive and negative symptoms
Phase 4: Residual
- periods of remission and exacerbation
- usually follows acute phase
- symptoms similar to prodromal phase
- return to premorbid functioning not common
- flat affect, impaired role functioning
- impairment increases between acute episodes