🕷️ Crawler Inspector

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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 199 (from laksa017)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa199.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://parade.com/1193702/shelby-deering/signs-of-schizophrenia/\')), getAhrefsUnparsedNoserviceFromURL(\'https://parade.com/1193702/shelby-deering/signs-of-schizophrenia/\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/parade.com\/1193702\/shelby-deering\/signs-of-schizophrenia\/","crawl_time":1773800759,"first_indexed_time":1619041305,"http_code":200,"src_unparsed":"com,parade!\/1193702\/shelby-deering\/signs-of-schizophrenia\/ s443","src_root_hash":"775817337250875599","history_drop_reason":null,"meta_title":"Signs of Schizophrenia: Early Signs to Look Out For - Parade","meta_descriptions":["Signs of schizophrenia: Here are the early signs of schizophrenia to look out for, including depression, hostility, and more, plus how to talk to a doctor."],"attrs_boilerpipe_text":"Although it might seem as if\nmental health\ndisorders come on all at once, many conditions have early warning signs that loved ones can spot before symptoms worsen. One of those disorders is schizophrenia.\nKnown for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior,\nschizophrenia\nis often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to\nJennifer Tomko, LCSW\n, psychotherapist and owner of Clarity Health Solutions in\nJupiter\n, Florida.\nDr. Shana Feibel\n, Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood.\n“It does not just suddenly develop later in life,” she says.\nThere are some things that can bring on schizophrenia. First of all, Tomko says that “there is a\ngenetic predisposition to schizophrenia\n, and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.”\n“If you have a family history [of schizophrenia] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds.\nIf your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh.\nTomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others.\nDr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.”\nBut what exactly are the early signs of schizophrenia? And\nhow can you help your loved one\narrive at a potential diagnosis? Our experts share their insights so you can support your loved one.\nRelated:\nEverything You Need to Know About Online Therapy\nAlthough schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include:\nDepression\nSocial withdrawal\nHostility\nSuspiciousness\nExtreme reactions to criticism\nPoor personal hygiene\nLack of emotional responsiveness\nSleep changes\nIrrational, bizarre, or paranoid statements\nDisorganized, hard-to-follow speech\nCognitive slowing\nAuditory hallucinations\nDelusions\nRelated:\n20 Things Not to Say to Someone with Schizophrenia\nTalking with a doctor\nIf your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist.\nTo get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months.\n“Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says.\nIf you and\/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional.\n“Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says.\nTomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps.\nRelated:\nWhat Mental Health Experts Wish People Understood About Suicidal Thoughts\n“The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.”\nAdditionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms.\nSchizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on.\nNext up,\nlearn about 30 of the best mental health apps\n.\nSources\nJennifer Tomko, LCSW, a psychotherapist and owner of\nClarity Health Solutions\nin Jupiter, Florida.\nDr. Shana Feibel, Attending Psychiatrist at\nThe Lindner Center of Hope\nand Assistant Professor of Psychiatry at the University of Cincinnati.\nAbout the author\nShelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. She specializes in wellness, mental health, home design, travel and other lifestyle topics.","attrs_markdown":"[Skip to main content](https:\/\/parade.com\/1193702\/shelby-deering\/signs-of-schizophrenia\/#main-content)\n\nAmerica's Favorite Small Towns 2026\n\n[Find out more about our 40 finalists\\!](https:\/\/americasfavoritesmalltowns.parade.com\/)\n\nGet Our Newsletter\n\n[![](https:\/\/parade.com\/.image\/ODowMDAwMDAwMDAwNTQxODg0\/parade-header-541884.svg?arena_f_auto)](https:\/\/parade.com\/)\n\n[![](https:\/\/parade.com\/.image\/ODowMDAwMDAwMDAwNTQxODg0\/parade-header-541884.svg?arena_f_auto)](https:\/\/parade.com\/)\n\n- [News](https:\/\/parade.com\/news\/)\n- [Entertainment](https:\/\/parade.com\/entertainment\/)\n  Entertainment\n  \n  [All Entertainment](https:\/\/parade.com\/entertainment\/)[Celebrities](https:\/\/parade.com\/celebrities\/)[TV](https:\/\/parade.com\/tv\/)[Movies](https:\/\/parade.com\/movies\/)\n  \n  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[Health & Wellness](https:\/\/parade.com\/health\/)\n\n# Worried About a Loved One? Here are Some Early Signs of Schizophrenia and How to Talk to a Doctor\nApr 20, 2021 7:14 PM EDT\n\n![](https:\/\/parade.com\/.image\/w_128,q_auto:good,c_fill,ar_1:1\/MjEyNTgyNjEyNzc3MDUxNjU3\/shelby-deering.jpg?arena_f_auto)\n\nBy [Shelby Deering](https:\/\/parade.com\/author\/shelby-deering)\n\nHealth and Lifestyle Writer, Parade\n\n0\n\n[Add us on](https:\/\/www.google.com\/preferences\/source?q=parade.com)\n\n![concerned-woman-talks-with-therapist-2](https:\/\/parade.com\/.image\/w_2560,q_auto:good,c_fill,ar_4:3\/MTkwNTgwOTkwMjM4MzM2MTI1\/signs-of-schizophrenia-1-jpg-193503.jpg?arena_f_auto)\n\nRelated Articles\n\n[View post: '90s Actor, With Major Emmy Award, Turns 71](https:\/\/parade.com\/celebrities\/90s-actor-with-major-emmy-award-turns-71)![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1\/ODowMDAwMDAwMDAxNzc2ODQ2\/gettyimages-168597582.jpg?arena_f_auto)\n\nCelebs\n\n['90s Actor, With Major Emmy Award, Turns 71](https:\/\/parade.com\/celebrities\/90s-actor-with-major-emmy-award-turns-71)\n\nNina Derwin\n\n[View post: NYT Mini Crossword Answers, Hints for Wednesday, March 18, 2026](https:\/\/parade.com\/living\/nyt-mini-crossword-answers-hints-clues-today-march-18-2026)![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1,g_xy_center,x_659,y_381\/MjExOTc2NzM5NzI1ODQ2NTA0\/nyt-mini-crossword-answers-hints-today.png?arena_f_auto)\n\nLife\n\n[NYT Mini Crossword Answers, Hints for Wednesday, March 18, 2026](https:\/\/parade.com\/living\/nyt-mini-crossword-answers-hints-clues-today-march-18-2026)\n\nChoya Johnson\n\n[View post: Amazon's ‘Supportive’ Skechers Wedge Sandals Are ‘Great for Traveling’ and Just \\$31 Before the Big Spring Sale](https:\/\/parade.com\/shopping\/amazon-skechers-beverlee-sheer-luck-sandal-sale)![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1\/MjEyMDk0NjAxOTQ5ODgxODkx\/amazon-boxes.jpg?arena_f_auto)\n\nShopping, Deals & Freebies\n\n[Amazon's ‘Supportive’ Skechers Wedge Sandals Are ‘Great for Traveling’ and Just \\$31 Before the Big Spring Sale](https:\/\/parade.com\/shopping\/amazon-skechers-beverlee-sheer-luck-sandal-sale)\n\nAbby Dupes\n\n[View post: Carly Rae Jepsen Welcomes First Baby](https:\/\/parade.com\/news\/carly-rae-jepsen-welcomes-her-first-baby)![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1,g_xy_center,x_1620,y_480\/ODowMDAwMDAwMDAxNzc2NzQ4\/carly-rae_-jepsen.jpg?arena_f_auto)\n\nNews\n\n[Carly Rae Jepsen Welcomes First Baby](https:\/\/parade.com\/news\/carly-rae-jepsen-welcomes-her-first-baby)\n\nErica Loop\n\nAlthough it might seem as if [mental health](https:\/\/parade.com\/1038960\/kimberlyzapata\/mental-health-awareness-month\/) disorders come on all at once, many conditions have early warning signs that loved ones can spot before symptoms worsen. One of those disorders is schizophrenia.\n\nKnown for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior, [schizophrenia](https:\/\/parade.com\/1197949\/julia-savacool\/what-is-schizophrenia\/) is often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to [**Jennifer Tomko, LCSW**](https:\/\/clarityhealthfl.com\/portfolio-items\/jennifer-hoskins-tomko-lcsw-psychotherapist\/), psychotherapist and owner of Clarity Health Solutions in [Jupiter](https:\/\/parade.com\/astrology\/jupiter-meaning), Florida.\n\n[**Dr. Shana Feibel**](https:\/\/lindnercenterofhope.org\/clinicians\/shana-feibel-m-d-2\/), Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood.\n\n“It does not just suddenly develop later in life,” she says.\n\nThere are some things that can bring on schizophrenia. First of all, Tomko says that “there is a [genetic predisposition to schizophrenia](https:\/\/parade.com\/1190792\/shelby-deering\/is-schizophrenia-genetic\/), and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.”\n\n“If you have a family history \\[of schizophrenia\\] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds.\n\nIf your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh.\n\nTomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others.\n\nDr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.”\n\nBut what exactly are the early signs of schizophrenia? And [how can you help your loved one](https:\/\/parade.com\/1193685\/shelby-deering\/how-to-help-someone-with-schizophrenia) arrive at a potential diagnosis? Our experts share their insights so you can support your loved one.\n\n**Related:** [**Everything You Need to Know About Online Therapy**](https:\/\/parade.com\/1013285\/kimberlyzapata\/online-therapy\/)\n\n## **Early signs of schizophrenia**\nAlthough schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include:\n\n- Depression\n- Social withdrawal\n- Hostility\n- Suspiciousness\n- Extreme reactions to criticism\n- Poor personal hygiene\n- Lack of emotional responsiveness\n- Sleep changes\n- Irrational, bizarre, or paranoid statements\n- Disorganized, hard-to-follow speech\n- Cognitive slowing\n- Auditory hallucinations\n- Delusions\n\n**Related: [20 Things Not to Say to Someone with Schizophrenia](https:\/\/parade.com\/1195578\/judykoutsky\/things-not-say-someone-schizophrenia\/)**\n\n## **Talking with a doctor**\nIf your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist.\n\nTo get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months.\n\n“Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says.\n\nIf you and\/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional.\n\n“Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says.\n\nTomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps.\n\n**Related: [What Mental Health Experts Wish People Understood About Suicidal Thoughts](https:\/\/parade.com\/1178026\/leighweingus\/mental-health-experts-on-suicidal-thoughts\/)**\n\n“The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.”\n\nAdditionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms.\n\nSchizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on.\n\n**Next up,** [**learn about 30 of the best mental health apps**](https:\/\/parade.com\/1053610\/maureenmackey\/best-mental-health-apps\/)**.**\n\n**Sources**\n\n- Jennifer Tomko, LCSW, a psychotherapist and owner of [Clarity Health Solutions](https:\/\/clarityhealthfl.com\/) in Jupiter, Florida.\n- Dr. Shana Feibel, Attending Psychiatrist at [The Lindner Center of Hope](https:\/\/lindnercenterofhope.org\/) and Assistant Professor of Psychiatry at the University of Cincinnati.\n\n## About the author\n![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1\/MjEyNTgyNjEyNzc3MDUxNjU3\/shelby-deering.jpg?arena_f_auto)\n\n## [Shelby Deering](https:\/\/parade.com\/author\/shelby-deering)\nHealth and Lifestyle Writer, Parade\n\nShelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. She specializes in wellness, mental health, home design, travel and other lifestyle topics.\n\nStart the Conversation\n\nTrending Stories\n\n01\n\nHealth & Wellness\n\n[The One Thing You Should Never Do Immediately After Waking up if You Have High Blood Pressure](https:\/\/parade.com\/health\/what-to-avoid-after-waking-up-if-you-have-high-blood-pressure-according-to-cardiologists)\n\nShelby Deering\n\n02\n\nHealth & Wellness\n\n['I Tried the First FDA-Approved At-Home Cervical Cancer Screening Test—Here’s What It’s Like'](https:\/\/parade.com\/health\/at-home-pap-smear)\n\nEmily Laurence\n\n03\n\nHealth & Wellness\n\n[Farting All the Time? 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One of those disorders is schizophrenia.\n\nKnown for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior, [schizophrenia](https:\/\/parade.com\/1197949\/julia-savacool\/what-is-schizophrenia\/) is often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to [**Jennifer Tomko, LCSW**](https:\/\/clarityhealthfl.com\/portfolio-items\/jennifer-hoskins-tomko-lcsw-psychotherapist\/), psychotherapist and owner of Clarity Health Solutions in [Jupiter](https:\/\/parade.com\/astrology\/jupiter-meaning), Florida.\n\n[**Dr. Shana Feibel**](https:\/\/lindnercenterofhope.org\/clinicians\/shana-feibel-m-d-2\/), Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood.\n\n“It does not just suddenly develop later in life,” she says.\n\nThere are some things that can bring on schizophrenia. First of all, Tomko says that “there is a [genetic predisposition to schizophrenia](https:\/\/parade.com\/1190792\/shelby-deering\/is-schizophrenia-genetic\/), and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.”\n\n“If you have a family history \\[of schizophrenia\\] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds.\n\nIf your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh.\n\nTomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others.\n\nDr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.”\n\nBut what exactly are the early signs of schizophrenia? And [how can you help your loved one](https:\/\/parade.com\/1193685\/shelby-deering\/how-to-help-someone-with-schizophrenia) arrive at a potential diagnosis? Our experts share their insights so you can support your loved one.\n\n**Related:** [**Everything You Need to Know About Online Therapy**](https:\/\/parade.com\/1013285\/kimberlyzapata\/online-therapy\/)\n\nAlthough schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include:\n\n- Depression\n- Social withdrawal\n- Hostility\n- Suspiciousness\n- Extreme reactions to criticism\n- Poor personal hygiene\n- Lack of emotional responsiveness\n- Sleep changes\n- Irrational, bizarre, or paranoid statements\n- Disorganized, hard-to-follow speech\n- Cognitive slowing\n- Auditory hallucinations\n- Delusions\n\n**Related: [20 Things Not to Say to Someone with Schizophrenia](https:\/\/parade.com\/1195578\/judykoutsky\/things-not-say-someone-schizophrenia\/)**\n\n## **Talking with a doctor**\nIf your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist.\n\nTo get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months.\n\n“Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says.\n\nIf you and\/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional.\n\n“Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says.\n\nTomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps.\n\n**Related: [What Mental Health Experts Wish People Understood About Suicidal Thoughts](https:\/\/parade.com\/1178026\/leighweingus\/mental-health-experts-on-suicidal-thoughts\/)**\n\n“The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.”\n\nAdditionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms.\n\nSchizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on.\n\n**Next up,** [**learn about 30 of the best mental health apps**](https:\/\/parade.com\/1053610\/maureenmackey\/best-mental-health-apps\/)**.**\n\n**Sources**\n\n- Jennifer Tomko, LCSW, a psychotherapist and owner of [Clarity Health Solutions](https:\/\/clarityhealthfl.com\/) in Jupiter, Florida.\n- Dr. Shana Feibel, Attending Psychiatrist at [The Lindner Center of Hope](https:\/\/lindnercenterofhope.org\/) and Assistant Professor of Psychiatry at the University of Cincinnati.\n\n## About the author\n![](https:\/\/parade.com\/.image\/w_256,q_auto:good,c_fill,ar_1:1\/MjEyNTgyNjEyNzc3MDUxNjU3\/shelby-deering.jpg?arena_f_auto)\n\nShelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. She specializes in wellness, mental health, home design, travel and other lifestyle topics.","meta_canonical":null}

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Meta Title	Signs of Schizophrenia: Early Signs to Look Out For - Parade
Meta Description	Signs of schizophrenia: Here are the early signs of schizophrenia to look out for, including depression, hostility, and more, plus how to talk to a doctor.
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Boilerpipe Text	Although it might seem as if mental health disorders come on all at once, many conditions have early warning signs that loved ones can spot before symptoms worsen. One of those disorders is schizophrenia. Known for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior, schizophrenia is often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to Jennifer Tomko, LCSW , psychotherapist and owner of Clarity Health Solutions in Jupiter , Florida. Dr. Shana Feibel , Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood. “It does not just suddenly develop later in life,” she says. There are some things that can bring on schizophrenia. First of all, Tomko says that “there is a genetic predisposition to schizophrenia , and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.” “If you have a family history [of schizophrenia] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds. If your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh. Tomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others. Dr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.” But what exactly are the early signs of schizophrenia? And how can you help your loved one arrive at a potential diagnosis? Our experts share their insights so you can support your loved one. Related: Everything You Need to Know About Online Therapy Although schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include: Depression Social withdrawal Hostility Suspiciousness Extreme reactions to criticism Poor personal hygiene Lack of emotional responsiveness Sleep changes Irrational, bizarre, or paranoid statements Disorganized, hard-to-follow speech Cognitive slowing Auditory hallucinations Delusions Related: 20 Things Not to Say to Someone with Schizophrenia Talking with a doctor If your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist. To get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months. “Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says. If you and/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional. “Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says. Tomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps. Related: What Mental Health Experts Wish People Understood About Suicidal Thoughts “The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.” Additionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms. Schizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on. Next up, learn about 30 of the best mental health apps . Sources Jennifer Tomko, LCSW, a psychotherapist and owner of Clarity Health Solutions in Jupiter, Florida. Dr. Shana Feibel, Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati. About the author Shelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. She specializes in wellness, mental health, home design, travel and other lifestyle topics.
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[Health & Wellness](https://parade.com/health/) # Worried About a Loved One? Here are Some Early Signs of Schizophrenia and How to Talk to a Doctor Apr 20, 2021 7:14 PM EDT ![](https://parade.com/.image/w_128,q_auto:good,c_fill,ar_1:1/MjEyNTgyNjEyNzc3MDUxNjU3/shelby-deering.jpg?arena_f_auto) By [Shelby Deering](https://parade.com/author/shelby-deering) Health and Lifestyle Writer, Parade 0 [Add us on](https://www.google.com/preferences/source?q=parade.com) ![concerned-woman-talks-with-therapist-2](https://parade.com/.image/w_2560,q_auto:good,c_fill,ar_4:3/MTkwNTgwOTkwMjM4MzM2MTI1/signs-of-schizophrenia-1-jpg-193503.jpg?arena_f_auto) Related Articles [View post: '90s Actor, With Major Emmy Award, Turns 71](https://parade.com/celebrities/90s-actor-with-major-emmy-award-turns-71)![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1/ODowMDAwMDAwMDAxNzc2ODQ2/gettyimages-168597582.jpg?arena_f_auto) Celebs ['90s Actor, With Major Emmy Award, Turns 71](https://parade.com/celebrities/90s-actor-with-major-emmy-award-turns-71) Nina Derwin [View post: NYT Mini Crossword Answers, Hints for Wednesday, March 18, 2026](https://parade.com/living/nyt-mini-crossword-answers-hints-clues-today-march-18-2026)![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1,g_xy_center,x_659,y_381/MjExOTc2NzM5NzI1ODQ2NTA0/nyt-mini-crossword-answers-hints-today.png?arena_f_auto) Life [NYT Mini Crossword Answers, Hints for Wednesday, March 18, 2026](https://parade.com/living/nyt-mini-crossword-answers-hints-clues-today-march-18-2026) Choya Johnson [View post: Amazon's ‘Supportive’ Skechers Wedge Sandals Are ‘Great for Traveling’ and Just \$31 Before the Big Spring Sale](https://parade.com/shopping/amazon-skechers-beverlee-sheer-luck-sandal-sale)![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1/MjEyMDk0NjAxOTQ5ODgxODkx/amazon-boxes.jpg?arena_f_auto) Shopping, Deals & Freebies [Amazon's ‘Supportive’ Skechers Wedge Sandals Are ‘Great for Traveling’ and Just \$31 Before the Big Spring Sale](https://parade.com/shopping/amazon-skechers-beverlee-sheer-luck-sandal-sale) Abby Dupes [View post: Carly Rae Jepsen Welcomes First Baby](https://parade.com/news/carly-rae-jepsen-welcomes-her-first-baby)![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1,g_xy_center,x_1620,y_480/ODowMDAwMDAwMDAxNzc2NzQ4/carly-rae_-jepsen.jpg?arena_f_auto) News [Carly Rae Jepsen Welcomes First Baby](https://parade.com/news/carly-rae-jepsen-welcomes-her-first-baby) Erica Loop Although it might seem as if [mental health](https://parade.com/1038960/kimberlyzapata/mental-health-awareness-month/) disorders come on all at once, many conditions have early warning signs that loved ones can spot before symptoms worsen. One of those disorders is schizophrenia. Known for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior, [schizophrenia](https://parade.com/1197949/julia-savacool/what-is-schizophrenia/) is often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to [Jennifer Tomko, LCSW](https://clarityhealthfl.com/portfolio-items/jennifer-hoskins-tomko-lcsw-psychotherapist/), psychotherapist and owner of Clarity Health Solutions in [Jupiter](https://parade.com/astrology/jupiter-meaning), Florida. [Dr. Shana Feibel](https://lindnercenterofhope.org/clinicians/shana-feibel-m-d-2/), Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood. “It does not just suddenly develop later in life,” she says. There are some things that can bring on schizophrenia. First of all, Tomko says that “there is a [genetic predisposition to schizophrenia](https://parade.com/1190792/shelby-deering/is-schizophrenia-genetic/), and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.” “If you have a family history \[of schizophrenia\] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds. If your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh. Tomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others. Dr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.” But what exactly are the early signs of schizophrenia? And [how can you help your loved one](https://parade.com/1193685/shelby-deering/how-to-help-someone-with-schizophrenia) arrive at a potential diagnosis? Our experts share their insights so you can support your loved one. Related: [Everything You Need to Know About Online Therapy](https://parade.com/1013285/kimberlyzapata/online-therapy/) ## Early signs of schizophrenia Although schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include: - Depression - Social withdrawal - Hostility - Suspiciousness - Extreme reactions to criticism - Poor personal hygiene - Lack of emotional responsiveness - Sleep changes - Irrational, bizarre, or paranoid statements - Disorganized, hard-to-follow speech - Cognitive slowing - Auditory hallucinations - Delusions Related: [20 Things Not to Say to Someone with Schizophrenia](https://parade.com/1195578/judykoutsky/things-not-say-someone-schizophrenia/) ## Talking with a doctor If your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist. To get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months. “Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says. If you and/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional. “Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says. Tomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps. Related: [What Mental Health Experts Wish People Understood About Suicidal Thoughts](https://parade.com/1178026/leighweingus/mental-health-experts-on-suicidal-thoughts/) “The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.” Additionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms. Schizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on. Next up, [learn about 30 of the best mental health apps](https://parade.com/1053610/maureenmackey/best-mental-health-apps/). Sources - Jennifer Tomko, LCSW, a psychotherapist and owner of [Clarity Health Solutions](https://clarityhealthfl.com/) in Jupiter, Florida. - Dr. Shana Feibel, Attending Psychiatrist at [The Lindner Center of Hope](https://lindnercenterofhope.org/) and Assistant Professor of Psychiatry at the University of Cincinnati. ## About the author ![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1/MjEyNTgyNjEyNzc3MDUxNjU3/shelby-deering.jpg?arena_f_auto) ## [Shelby Deering](https://parade.com/author/shelby-deering) Health and Lifestyle Writer, Parade Shelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. 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Readable Markdown	Although it might seem as if [mental health](https://parade.com/1038960/kimberlyzapata/mental-health-awareness-month/) disorders come on all at once, many conditions have early warning signs that loved ones can spot before symptoms worsen. One of those disorders is schizophrenia. Known for symptoms that include difficulty separating reality from imagination, hallucinations, delusions, disorganized thinking, and erratic behavior, [schizophrenia](https://parade.com/1197949/julia-savacool/what-is-schizophrenia/) is often first diagnosed in men when they’re in their teens or early twenties and women in their late twenties to early thirties, according to [Jennifer Tomko, LCSW](https://clarityhealthfl.com/portfolio-items/jennifer-hoskins-tomko-lcsw-psychotherapist/), psychotherapist and owner of Clarity Health Solutions in [Jupiter](https://parade.com/astrology/jupiter-meaning), Florida. [Dr. Shana Feibel](https://lindnercenterofhope.org/clinicians/shana-feibel-m-d-2/), Attending Psychiatrist at The Lindner Center of Hope and Assistant Professor of Psychiatry at the University of Cincinnati, further explains that schizophrenia is present at birth, but the signs and symptoms don’t arise until early adulthood. “It does not just suddenly develop later in life,” she says. There are some things that can bring on schizophrenia. First of all, Tomko says that “there is a [genetic predisposition to schizophrenia](https://parade.com/1190792/shelby-deering/is-schizophrenia-genetic/), and it can lie latent in someone for their whole lives without being triggered into being problematic.” These triggers can vary, but Tomko remarks that trauma and stress are “potential catalysts.” “If you have a family history \[of schizophrenia\] or the person has a history of odd behaviors, then the trauma can create a first psychotic break in those who are predisposed,” she adds. If your loved one hasn’t been officially diagnosed with schizophrenia, but you’re concerned that they might have the disorder, there are a couple causes for worry that you can weigh. Tomko says that if you’ve tried to rationalize with your loved one or provide a reality check, and they just aren’t receptive or become aggressive, they may start doing things that could endanger themselves or others. Dr. Feibel agrees with this opinion, saying, “They may become paranoid that people are trying to hurt them, which may cause them to become hostile. They need to be on medication, so they do not put themselves or others in danger.” But what exactly are the early signs of schizophrenia? And [how can you help your loved one](https://parade.com/1193685/shelby-deering/how-to-help-someone-with-schizophrenia) arrive at a potential diagnosis? Our experts share their insights so you can support your loved one. Related: [Everything You Need to Know About Online Therapy](https://parade.com/1013285/kimberlyzapata/online-therapy/) Although schizophrenia tends to have some hallmark symptoms, according to our experts, there are some early warning signs you can keep an eye out for. They include: - Depression - Social withdrawal - Hostility - Suspiciousness - Extreme reactions to criticism - Poor personal hygiene - Lack of emotional responsiveness - Sleep changes - Irrational, bizarre, or paranoid statements - Disorganized, hard-to-follow speech - Cognitive slowing - Auditory hallucinations - Delusions Related: [20 Things Not to Say to Someone with Schizophrenia](https://parade.com/1195578/judykoutsky/things-not-say-someone-schizophrenia/) ## Talking with a doctor If your loved one is displaying these symptoms, it’s likely time to encourage them to see a doctor to arrive at a diagnosis. Dr. Feibel says that the first step is making an appointment with a psychiatrist. To get a diagnosis of schizophrenia, Tomko explains that a person has to display two symptoms for a period of six consecutive months. “Also, there is additional criteria including impairment in functioning in social or occupational settings, and it is imperative to rule out substance abuse and medical problems as the cause of these symptoms,” she says. If you and/or your loved one suspect schizophrenia, keep in mind that it’s essential to have it officially diagnosed by a medical professional. “Many people with schizophrenia are unable to have insight into their illness, so it is generally not self-diagnosed,” Tomko says. Tomko believes that if someone is speaking to a doctor for the first time about a possible schizophrenia diagnosis, it’s important to take “someone you trust.” Offer to go along with your loved one so you can provide support and fill in any information gaps. Related: [What Mental Health Experts Wish People Understood About Suicidal Thoughts](https://parade.com/1178026/leighweingus/mental-health-experts-on-suicidal-thoughts/) “The struggle with determining reality from imagination may cause the patient to be a poor historian for the doctor,” Tomko says. “Having an additional person reporting on recent symptoms helps the doctor make a more accurate determination for a proper diagnosis and treatment.” Additionally, Dr. Feibel says that during the appointment, it’s beneficial to list all of the symptoms that someone is exhibiting and establish an accurate timeline of the emergence of those symptoms. Schizophrenia isn’t an easy disorder to deal with, but you can help your loved one by supporting them at appointments, and if they receive a diagnosis, you’ll be there to help them with their treatment plan and act as a shoulder to lean on. Next up, [learn about 30 of the best mental health apps](https://parade.com/1053610/maureenmackey/best-mental-health-apps/). Sources - Jennifer Tomko, LCSW, a psychotherapist and owner of [Clarity Health Solutions](https://clarityhealthfl.com/) in Jupiter, Florida. - Dr. Shana Feibel, Attending Psychiatrist at [The Lindner Center of Hope](https://lindnercenterofhope.org/) and Assistant Professor of Psychiatry at the University of Cincinnati. ## About the author ![](https://parade.com/.image/w_256,q_auto:good,c_fill,ar_1:1/MjEyNTgyNjEyNzc3MDUxNjU3/shelby-deering.jpg?arena_f_auto) Shelby Deering is a freelance health and lifestyle writer based in Madison, Wis. After working as an editor at a national magazine for over six years, she went on to freelance full-time, something she has loved doing for over a decade. She specializes in wellness, mental health, home design, travel and other lifestyle topics.
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