Schizophrenia is a disorder in which one can experience changes in their behavior, feelings, and thoughts. The most common form of this condition is paranoid schizophrenia, where one has an altered perception of reality. Additionally, it is a chronic disorder with episodes followed by remission. Fortunately, one can find treatments and self-help strategies to manage the condition. But first, one has to recognize early signs of the condition and seek a prompt diagnosis.

Disorganized speech and thoughts
Some people with schizophrenia may experience issues in communication and concentration. This means when asked a question, one may give a completely unrelated answer. One may also form a sequence of random words that do not make sense. Additionally, schizophrenia can lead to thought disorders in which a thought can be suddenly disrupted, making one remain silent before new thoughts form. People with the condition may have episodes where they keep repeating certain words and sentences. Further, issues with associative thinking can be one of the earliest and most subtle signs of schizophrenia. Here, one can move from one thought to another without getting to the point and experience extremely disjointed thoughts. Although in such circumstances, the thoughts may seem random or disconnected, they are usually connected to each other tangentially or superficially.

Lack of motivation
One of the subtle signs that may indicate schizophrenia include a lack of motivation, also known as avolition. Here, one may observe unwillingness to complete certain tasks. While this can seem harmless, as a result of this symptom, one may find it difficult to take care of their own health or keep a job. For instance, not showing up for scheduled appointments and meetings, ignoring incoming calls and messages, and not dealing with day-to-day family responsibilities can be some of the signs. For such cases, healthcare professionals suggest a combination of treatments, including cognitive and behavioral therapy.

Disorganized behavior
Schizophrenia can disrupt goal-directed activities, making one develop an impaired ability to interact with other people and take care of oneself. Some changes that may indicate disorganized behavior are a lack of impulse and inhibition control, unpredictable emotional responses, and poor daily functioning. The disorder interferes with independent functioning, making one experience difficulty beginning a particular task, even simple ones such as cooking a meal. Further, the condition can make someone’s behavior seem bizarre or lacking purpose. This is one of the early signs that can develop when one is anywhere between 15 to 25 years of age. So, if one notices the development of this symptom, they must consult a doctor.

Lack of emotional expression
Another sign of schizophrenia is a lack of emotional expression, also called a “flat affect”. This is usually characterized by unchanging facial expressions irrespective of the circumstances. So, others may see little to no change in the voice, tone, or pitch while a person with the disorder is speaking. For example, when one feels happy, they may not show joy or even crack a smile. This may make it difficult for them to communicate with others, as the interaction could cause confusion and wrong assumption. One of the best ways to manage the issue is to undergo cognitive behavioral therapy. Here, the therapist can help one develop appropriate reactions to different situations. Additionally, therapy can help one understand ways to express feelings, ask questions, and control their body reactions, like facial expressions and tone of voice.

Extreme suspicion
When dealing with schizophrenia, one can become incredibly suspicious of other people and their motives, often leading to delusions and hallucinations. Some may stay up at night trying to protect themselves from supposed danger, whereas others may have delusions of grandeur, like believing they have certain superpowers. In most cases, this can stir trouble in personal relationships, and when pushed over the edge, one may become upset or violent. So, such behavioral changes in a person with the disorder may lead to a lack of support, which can worsen the condition.

Mood swings
Schizophrenia can lead to mood swings, where feelings of happiness can suddenly turn into sadness. Sometimes, drastic mood changes can involve feeling overwhelmed. Further, one may experience manic episodes that can be characterized by an increase in energy levels and a reduced need for sleep for several days at a time. The moodiness can seem completely out of character or unusual to others.

Social withdrawal
When dealing with depression or anxiety, one can show signs of social withdrawal. This is also a common symptom of schizophrenia. For some, the unwillingness to participate in social activities can be caused by a sense of fear or confusion. For others, a loss of interest in socialization can lead to withdrawal. Typically, this sudden loss of interest can lead to an increased sense of isolation, lack of social and emotional support, and decreased interaction and participation in all kinds of daily activities. In turn, this can make one more prone to depression or anxiety, paving the way for prolonged social withdrawal. Here, one can try to adopt management strategies like getting enough rest and finding adequate emotional support to avoid isolating for long periods. These may seem like tiny steps, but they can significantly help people with the disorder avoid distancing themselves. 

In addition to the above-mentioned subtle signs that may indicate schizophrenia, one can keep an eye out for other symptoms such as oversleeping, making irrational statements or arguments, and an extreme reaction to criticism. If one notices any of these signs, they must consult a healthcare professional at the earliest. Doctors can examine the symptoms, assess changes in thoughts and behavior, and provide a diagnosis. Based on the severity of symptoms and individual preferences, doctors can come up with a treatment plan that helps one manage the condition.