Clinical Reference Systems: Pediatric Advisor 10.0

Schizophrenia is a medical illness that causes strange thinking, strange feelings, and unusual behavior. It is an uncommon psychiatric illness in children and is hard to recognize in its early phases.

The behavior of children and adolescents with schizophrenia may differ from that of adults with this illness. Psychiatrists look for several of the following early warning signs in youngsters with schizophrenia:

• trouble telling dreams from reality
• seeing things and hearing voices that are not real
• confused thinking
• vivid and bizarre thoughts and ideas
• extreme moodiness
• odd behavior
• ideas that people are "out to get them"
• behaving like a younger child
• severe anxiety and fearfulness
• confusing television with reality
• severe problems in making and keeping friends.

The behavior of children with schizophrenia may change slowly over time. For example, children who used to enjoy relationships with others may start to become more shy or withdrawn and seem to be in their own world. Sometimes youngsters will begin talking about strange fears and ideas. They may start to cling to parents or say things that do not make sense. These early problems may first be noticed by a child's teachers at school.

Schizophrenia is a serious psychiatric illness. Early diagnosis and medical treatment are important. Children with the problems and symptoms listed above must have a complete evaluation.

Usually children who have schizophrenia need individual treatment plans involving other professionals. A combination of medication and individual therapy, family therapy, and specialized programs (school, activities, etc.) is often necessary. Psychiatric medication can be helpful for many of the symptoms and problems. These medications require careful monitoring by a child and adolescent psychiatrist.

If you think your child is showing signs of schizophrenia, discuss your concerns with your child's physician. The physician may refer you to a child and adolescent psychiatrist, who is specifically trained and skilled at evaluating, diagnosing, and treating children with schizophrenia.