1. Prodromal Phase The prodromal phase refers to the period before the full onset of psychosis. During this phase, individuals might exhibit subtle changes in behavior, thoughts, and emotions. These changes are often nonspecific and can be mistaken for other issues such as stress or depression.
Characteristics of Prodromal phase Social Withdrawal: The person may start to isolate themselves from friends and family. Changes in Sleep Patterns: Insomnia or excessive sleeping could occur. Deteriorating Performance: Decline in work or academic performance. Suspiciousness: Unwarranted suspicion of others' motives or intentions. Example from the documentary "The Center Cannot Hold": "In the prodromal phase, John began avoiding his friends and spending most of his time alone. He started missing classes and became increasingly suspicious of his classmates, thinking they were talking about him."
2. Acute Phase The acute phase is when full-blown psychosis occurs. Symptoms become severe and impair daily functioning. This phase often requires immediate medical attention. Characteristics: Hallucinations: Hearing voices, seeing things, or feeling sensations that others don't. Delusions: Strongly held false beliefs that are resistant to reason or contrary evidence. Disorganized Thinking: Incoherent speech, rapid or disjointed thoughts. Impaired Insight: Lack of awareness that one's experiences or beliefs are abnormal. Example from the documentary "Living with Schizophrenia": "During the acute phase, Sarah was tormented by auditory hallucinations, hearing voices that constantly berated and threatened her. She became convinced that she was a spy working for a secret government agency, despite all evidence to the contrary."
3. Residual Phase After the acute phase subsides, individuals enter the residual phase. In this phase, some symptoms of psychosis may still be present, but they are less severe. The person might struggle with ongoing cognitive deficits and social withdrawal. Characteristics: Negative Symptoms: Loss of motivation, reduced emotional expression, social withdrawal. Cognitive Impairment: Difficulty concentrating, memory problems. Mood Instability: Fluctuating moods, depression, or anxiety may persist. Example from the documentary "A Mind That Found Itself": "In the residual phase, despite receiving treatment, Mark continued to experience social withdrawal. He found it challenging to concentrate on tasks, and his motivation to engage in activities he once enjoyed remained low."
Types of schizophrenia Paranoid Schizophrenia: This subtype is characterized by prominent delusions and hallucinations. People with paranoid schizophrenia often have false beliefs that others are plotting against them or persecuting them.
Disorganized Schizophrenia: This subtype involves disorganized speech and behavior. People with disorganized schizophrenia may have difficulty organizing their thoughts and may display unpredictable or inappropriate behavior.
Catatonic Schizophrenia: Catatonia involves disturbances in movement. People with catatonic schizophrenia may exhibit a decrease in motor activity (catatonic stupor) or excessive and peculiar motor activity without an obvious purpose (catatonic excitement).
Residual Schizophrenia: This subtype refers to individuals who have had a history of schizophrenia but are currently not displaying prominent positive symptoms (such as hallucinations or delusions). However, they may still show some mild symptoms or impairment in functioning.
Undifferentiated Schizophrenia: This category is used when a person exhibits symptoms of schizophrenia that do not clearly fit into one of the above subtypes.