Fast Five Quiz: Schizophrenia Presentation and Diagnosis

Stephen Soreff, MD


April 13, 2021

The symptoms of schizophrenia are divided into four domains: positive, negative, cognitive, and mood.

Negative symptoms include a decrease in emotional range, poverty of speech, and loss of interests and drive. Patients with schizophrenia present with tremendous inertia.

Hallucinations (false sensations) in people with schizophrenia are usually auditory. These fall into the positive symptom domain. Other positive symptoms include delusions (fixed false belief) and disorganized speech, loose associations, disconnected words, and "word salads." In addition, behavior appears to be disorganized, random, and disconnected.

People with schizophrenia frequently present with cognitive symptoms that affect their ability to function. They may have difficulty focusing and concentrating on subjects.

A typical mood domain symptom is flat affect. People with schizophrenia often talk in a monotone about seemingly highly emotional topics.

Learn more about the initial clinical presentation of schizophrenia.


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