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  While each person’s prodrome is unique, there are some common themes to look out for.
Early signs and symptoms can include any of the following:

Unusual Thinking

  • Confusion about what is real and what is imaginary
  • Suspiciousness or paranoid thinking
  • Feeling that your ideas are or behaviors are being controlled by outside forces
  • Unrealistic ideas of special identity or abilities
  • Preoccupation with the supernatural

Perceptual Disturbances

  • Sensitivity to sounds, easily distracted by background noises
  • Hearing things that other people don’t hear
  • Seeing things that others don’t see
  • Smelling, tasting, or feeling unusual sensations that other people don’t experience

Negative Symptoms

  • Wanting to spend more time alone
  • Not feeling motivated to do things
  • Trouble understanding conversations or written materials
  • Difficulty identifying and expressing emotions

Disorganized Symptoms

  • Trouble with attention
  • Neglect of personal hygiene
  • Odd appearance or behavior
  • Laughing at odd or inappropriate times
  • Problems with communication: vague, confused, muddled, racing or slow speech, difficulty staying on track or getting to the point

Mood Symptoms

  • Sadness, emptiness, or irritability
  • Loss of interest or pleasure
  • Physical symptoms (tiredness, weight gain/loss, aches and pains)
  • Sleep problems
  • Thoughts of death and/or suicide
  • Elevated mood: excitement, feeling high or “hyper”
  • Racing thoughts
  • Distractibility, talkativeness
  • Increased activity
  • Irritability
  • Inflated self-esteem or feelings of self-importance
  • Decreased need for sleep

Anxiety Symptoms

  • Constant fear or worry
  • Excessive social anxiety
  • Panic Attacks
  • Agoraphobia (fear of leaving home)

Impairment in Functioning

  • Decline in functioning
  • Problems in relationships with friends or family