🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 98 (from laksa044)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa098.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://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia","crawl_time":1770560514,"first_indexed_time":1586092367,"http_code":200,"src_unparsed":"com,healthline!www,\/health\/mental-health\/negative-symptoms-of-schizophrenia s443","src_root_hash":"11478817528691466898","history_drop_reason":null,"meta_title":"Negative Symptoms of Schizophrenia and How They’re Treated","meta_descriptions":["Negative symptoms of schizophrenia are those involving the absence of something common to most healthy people. This can include lack of communication, social interaction, and motivation."],"attrs_boilerpipe_text":"Negative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms.\nSchizophrenia\nis a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones.\nThe disorder is characterized by positive, negative, and cognitive\nsymptoms\n:\nPositive symptoms:\nThe presence of symptoms most people don’t have, such as exaggerated perceptions and ideas.\nHallucinations\nand\ndelusions\ncan be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.”\nNegative symptoms:\nThe absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world.\nCognitive symptoms:\nDifficulties with concentration, working memory, and decision making.\nLet’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated.\nThere are two types of negative symptoms. Differentiating between the two can be a challenge.\nPrimary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations.\nSecondary negative symptoms refer to those due to other things, such as:\nmedication\nwithdrawal from medication\nsubstance use\nhospitalization\nisolation\npersonality disorders\ndepression\nNegative symptoms can be more persistent than positive ones.\nWhen it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms.\nPeople with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree.\nNegative mental symptoms\na seeming lack of interest in the world\nnot wanting to interact with other people (social withdrawal)\nan inability to feel or express pleasure (\nanhedonia\n)\nan inability to act spontaneously\ndecreased sense of purpose\nlack of motivation (\navolition\n)\nnot talking much\ndifficulty speaking due to disorganized thinking (alogia)\nNegative physical symptoms\nan inexpressive or blank face (\nflat affect\n)\nmonotone or monosyllabic speech\nlack of gesturing when communicating\nlack of eye contact\nphysical inactivity\nNegative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave:\nspending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive)\nnot sleeping\nnot eating well\nneglecting personal hygiene\nlacking meaningful communication\nlittle to no eye contact, facial expression, or gestures\nunable to respond to questions or follow instructions\nappearing apathetic in a situation where most people would express emotion\nshowing ambivalence when asked to make a decision\nsocial withdrawal and self-imposed isolation\nSimply put,\npositive symptoms\nare those that are added. They differ from those of most people.\nPositive symptoms of schizophrenia include:\ndelusions\n, false beliefs with no basis in fact\nhallucinations\n, seeing or hearing things that don’t actually exist\npsychosis\n, a break with reality\nagitated body movements\ndisorganized and dysfunctional thinking that shows itself in strange speech patterns\nbizarre ideas and plans\ninappropriate emotions for the situation\nPositive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment.\nOn the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia.\nSchizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a\nmental health professional\nsuch as a psychiatrist or psychiatric nurse practitioner.\nPositive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones.\nNegative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat.\nSecondary negative symptoms may be easier to treat than primary ones.\nMedications\nSometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement.\nSecondary negative symptoms caused by depression can sometimes be treated with\nantidepressants\n. Some people have more success with this treatment than others.\nMore studies are needed to learn which medications can target primary negative symptoms.\nThere’s\nsome research\nto suggest that the antipsychotic drugs cariprazine (\nVraylar\n) and amisulpride may help improve primary negative symptoms.\nYour doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed.\nTherapy\nTherapy can help you manage negative symptoms of schizophrenia.\nTherapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular\ntype of therapy\nbased on your needs. Some of these are:\nindividual therapy\ngroup therapy\nfamily and marriage therapy\nWithin these frameworks, your therapist can guide you in:\nbehavioral therapy\nsocial skills training\nvocational support\nfamily education\nLifestyle\nWith any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help.\nAvoiding harmful substances is a must. Alcohol, non-prescribed drugs,\nand nicotine\ncan interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program.\nStress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as:\nmeditation\ndeep breathing\nyoga\ntai chi\nIn general, it pays to take care of your overall health by:\nmaintaining a\nhealthy, balanced diet\nasking your doctor if you should take any dietary supplements\nengaging in\nregular exercise\nmaking sure you get adequate\nsleep\ntalking to your doctor about\ncomplementary and alternative treatments\nadhering to your overall treatment plan\nreporting new or worsening symptoms\nIf you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes.\nThe only way to know for certain is to see a doctor as quickly as possible.\nMaking a diagnosis requires ruling out other causes, such as:\nmedication\nsubstance use\nmedical conditions\nother mental health disorders\nThis may include:\na physical examination\na drug and alcohol screening\nbrain imaging studies, such as\nCT scan or MRI\na psychiatric evaluation\nSchizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition.\nIf you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion.\nNegative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life.\nIf you or someone you care about has schizophrenia, it will help to learn all you can about the disorder.\nAsk your doctor where you can find educational materials and support services. Here are some additional resources:\nThe American Psychiatric Association has a\nsearchable database\nso you can find a psychiatrist in your community.\nThe National Alliance on Mental Illness (NAMI) provides a searchable database of\nlocal chapters\nand\nfamily support groups\n. You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741.\nThe Substance Abuse and Mental Health Services Association (SAMHSA) has a 24\/7\nNational Helpline\nfor individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information.\nAsk your local hospital about social services assistance.\nNegative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation.\nThough less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with.\nTreating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change.\nFollowing your treatment plan is crucial to your quality of life.","attrs_markdown":"- Health Conditions\n  ### Health Conditions\n  [All](https:\/\/www.healthline.com\/directory\/topics)\n  \n  - [Breast Cancer](https:\/\/www.healthline.com\/breast-cancer)\n  - [Cancer Care](https:\/\/www.healthline.com\/cancer-care)\n  - [Caregiving for Alzheimer's Disease](https:\/\/www.healthline.com\/alzheimers-disease)\n  - [Chronic Kidney Disease](https:\/\/www.healthline.com\/ckd)\n  - [Chronic Obstructive Pulmonary Disease (COPD)](https:\/\/www.healthline.com\/copd)\n  - [Digestive Health](https:\/\/www.healthline.com\/digestive-health)\n  - [Eye Health](https:\/\/www.healthline.com\/eye-health)\n  - [Heart Health](https:\/\/www.healthline.com\/heart-health)\n  - [Menopause](https:\/\/www.healthline.com\/menopause)\n  - [Mental Health](https:\/\/www.healthline.com\/mental-health)\n  - [Migraine](https:\/\/www.healthline.com\/migraine)\n  - 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Connect with us for all things health.\n\nSubscribe\n\n[Nutrition](https:\/\/www.healthline.com\/nutrition)\n\n- Meal Kits\n  - [Overview](https:\/\/www.healthline.com\/nutrition\/meal-kits)\n  - [Diets](https:\/\/www.healthline.com\/nutrition\/meal-kits\/diets)\n  - [Meal Kits](https:\/\/www.healthline.com\/nutrition\/meal-kits\/meal-kit-reviews)\n  - [Prepared Meals](https:\/\/www.healthline.com\/nutrition\/meal-kits\/prepared-meal-reviews)\n  - [Comparisons](https:\/\/www.healthline.com\/nutrition\/meal-kits\/comparisons)\n  - [Grocery Delivery](https:\/\/www.healthline.com\/nutrition\/meal-kits\/grocery-delivery)\n- [Special Diets](https:\/\/www.healthline.com\/nutrition\/diets)\n- [Healthy Eating](https:\/\/www.healthline.com\/nutrition\/food-and-nutrients)\n- [Food Freedom](https:\/\/www.healthline.com\/nutrition\/food-freedom)\n- [Conditions](https:\/\/www.healthline.com\/nutrition\/nutrition-for-conditions)\n- [Feel Good Food](https:\/\/www.healthline.com\/nutrition\/feel-good-food)\n- [Products](https:\/\/www.healthline.com\/reviews\/nutrition-products)\n- [Vitamins & Supplements](https:\/\/www.healthline.com\/nutrition\/vitamins-and-supplements)\n- [Sustainability](https:\/\/www.healthline.com\/program\/the-sustainable-table)\n- [Weight Management](https:\/\/www.healthline.com\/nutrition\/weight-management)\n\nExplore more in\n\n- Related Conditions\n- Types\n- Symptoms\n- Causes & Risk Factors\n- Management\n- Treatment\n- Diagnosis\n- Complications\n- Prognosis\n\nSchizophrenia\n\n#### Related Hubs\n[![Mental Well-Being](https:\/\/media.post.rvohealth.io\/wp-content\/uploads\/2025\/04\/digestive-health-crohns-disease.png)Mental Well-Being A holistic guide to care](https:\/\/www.healthline.com\/mental-health)\n#### Related Topics\n- ### Related Conditions\n  Related Conditions\n  \n  #### Related Articles\n  - [Vs. Bipolar Disorder](https:\/\/www.healthline.com\/health\/bipolar-disorder\/bipolar-vs-schizophrenia)\n  - [Vs. Borderline Personality Disorder](https:\/\/www.healthline.com\/health\/schizophrenia\/borderline-personality-disorder-and-schizophrenia)\n  - [Vs. Delusional Disorder](https:\/\/www.healthline.com\/health\/schizophrenia\/delusional-disorder-vs-schizophrenia)\n  - [Vs. Dissociative Identity Disorder (DID)](https:\/\/www.healthline.com\/health\/schizophrenia\/did-vs-schizophrenia)\n  - [Related Conditions](https:\/\/www.healthline.com\/health\/schizophrenia\/is-schizophrenia-a-personality-disorder)\n  - [Vs. Psychosis](https:\/\/www.healthline.com\/health\/schizophrenia\/psychosis-vs-schizophrenia)\n  - [Vs. Schizoaffective Disorder](https:\/\/www.healthline.com\/health\/schizophrenia\/schizoaffective-disorder-vs-schizophrenia)\n  - [Vs. Anxiety](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-and-anxiety)\n- ### Types\n  Types\n  \n  #### Related Articles\n  - [Bipolar Schizoaffective Disorder](https:\/\/www.healthline.com\/health\/bipolar-schizoaffective-disorder)\n  - [Catatonic Schizophrenia](https:\/\/www.healthline.com\/health\/catatonic-schizophrenia)\n  - [High Functioning Schizophrenia](https:\/\/www.healthline.com\/health\/high-functioning-schizophrenia)\n  - [Types](https:\/\/www.healthline.com\/health\/schizophrenia-types)\n  - [Acute Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia\/acute-schizophrenia)\n  - [Without Hallucinations](https:\/\/www.healthline.com\/health\/schizophrenia\/can-you-have-schizophrenia-without-hallucinations)\n  - [Cenesthopathic](https:\/\/www.healthline.com\/health\/schizophrenia\/cenesthopathic-schizophrenia)\n  - [Disorganized (Hebephrenic) Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia\/disorganized-hebephrenic-schizophrenia)\n  - [In Females](https:\/\/www.healthline.com\/health\/schizophrenia\/female-schizophrenia)\n  - [Paranoid Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia\/paranoid-schizophrenia)\n  - [Schizophreniform Disorder](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophreniform)\n- ### Symptoms\n  Symptoms\n  \n  #### Related Articles\n  - [Early Signs](https:\/\/www.healthline.com\/health\/early-signs-of-schizophrenia)\n  - [Hallucinations vs. Delusions](https:\/\/www.healthline.com\/health\/mental-health\/hallucinations-vs-delusions)\n  - [Hearing Voices](https:\/\/www.healthline.com\/health\/mental-health\/i-hear-voices-in-my-head)\n  - [Phases](https:\/\/www.healthline.com\/health\/mental-health\/phases-of-schizophrenia)\n  - [Hallucinations](https:\/\/www.healthline.com\/health\/schizophrenia-hallucinations)\n  - [Symptoms](https:\/\/www.healthline.com\/health\/schizophrenia\/symptoms)\n  - [Types of Delusions](https:\/\/www.healthline.com\/health\/schizophrenia\/types-of-delusions-in-schizophrenia)\n  - [Flat Affect](https:\/\/www.healthline.com\/health\/schizophrenia\/what-is-flat-affect-in-schizophrenia)\n- ### Causes & Risk Factors\n  Causes & Risk Factors\n  \n  #### Related Articles\n  - [Genetics](https:\/\/www.healthline.com\/health\/is-schizophrenia-hereditary)\n  - [Causes](https:\/\/www.healthline.com\/health\/schizophrenia-causes)\n  - [Drug-Induced Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia\/drug-induced-schizophrenia)\n  - [Alcohol Use](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-and-alcohol)\n  - [Dopamine](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-and-dopamine)\n- ### Management\n  Management\n  \n  #### Related Articles\n  - [Online Support Groups](https:\/\/www.healthline.com\/health\/mental-health\/schizophrenia-support-group)\n  - [CBD](https:\/\/www.healthline.com\/health\/cbd-for-schizophrenia)\n  - [In Relationships](https:\/\/www.healthline.com\/health\/schizophrenia-and-intimacy)\n  - [Management](https:\/\/www.healthline.com\/health\/schizophrenia\/alternative-treatments)\n  - [Supporting a Loved One](https:\/\/www.healthline.com\/health\/schizophrenia\/how-to-help-someone-with-schizophrenia)\n  - [Sleep](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-and-sleep)\n  - [Employment](https:\/\/www.healthline.com\/health\/schizophrenia\/what-is-a-good-job-for-someone-with-schizophrenia)\n- ### Treatment\n  Treatment\n  \n  #### Related Articles\n  - [Treatment](https:\/\/www.healthline.com\/health\/mental-health\/schizophrenia-treatment)\n  - [Cognitive Behavioral Therapy (CBT)](https:\/\/www.healthline.com\/health\/schizophrenia\/cognitive-behavioral-therapy-for-schizophrenia)\n  - [Electroconvulsive Therapy](https:\/\/www.healthline.com\/health\/schizophrenia\/ect-for-schizophrenia)\n  - [Art Therapy](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-art)\n  - [Injections](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-injection)\n- ### Diagnosis\n  Diagnosis\n  \n  #### Related Articles\n  - [Clock Drawing Test](https:\/\/www.healthline.com\/health\/schizophrenia\/clock-drawing-test-schizophrenia)\n  - [Diagnosis](https:\/\/www.healthline.com\/health\/schizophrenia\/how-is-schizophrenia-diagnosed)\n  - [Lab Tests](https:\/\/www.healthline.com\/health\/schizophrenia\/laboratory-tests-for-schizophrenia)\n  - [Age of Onset](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-age-of-onset)\n  - [Brain Imaging](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-brain-scan)\n- ### Complications\n  Complications\n  \n  #### Related Articles\n  - [Dementia Risk](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-and-dementia)\n  - [Eye Changes](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-eyes)\n  - [Suicide Risk](https:\/\/www.healthline.com\/health\/schizophrenia\/suicide-in-schizophrenia)\n- ### Prognosis\n  Prognosis\n  \n  #### Related Articles\n  - [Outlook](https:\/\/www.healthline.com\/health\/schizophrenia\/schizophrenia-life-expectancy)\n\n# What Are the “Negative” Symptoms of Schizophrenia?\n![](https:\/\/i0.wp.com\/post.healthline.com\/wp-content\/uploads\/2018\/09\/TimothyLegg.png?w=105&h=105)\n\n[Medically reviewed]() by [Timothy J. Legg, PhD, PsyD]() — Written by [Ann Pietrangelo]()  on March 30, 2020\n\n- [Negative symptoms](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#negative-symptoms)\n- [Examples](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#examples)\n- [Vs. positive symptoms](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#vs-positive-symptoms)\n- [Treatment](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#treatment)\n- [Seeking medical help](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#seeking-medical-help)\n- [Resources](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#resources)\n- [Summary](https:\/\/www.healthline.com\/health\/mental-health\/negative-symptoms-of-schizophrenia#summary)\n\nNegative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms.\n\n[Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia) is a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones.\n\nThe disorder is characterized by positive, negative, and cognitive [symptoms](https:\/\/www.healthline.com\/health\/schizophrenia\/symptoms):\n\n- **Positive symptoms:** The presence of symptoms most people don’t have, such as exaggerated perceptions and ideas. [Hallucinations](https:\/\/www.healthline.com\/health\/hallucinations) and [delusions](https:\/\/www.healthline.com\/health\/mental-health\/delusions-of-grandeur) can be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.”\n- **Negative symptoms:** The absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world.\n- **Cognitive symptoms:** Difficulties with concentration, working memory, and decision making.\n\nLet’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated.\n\n## [List of negative symptoms of schizophrenia]()\nThere are two types of negative symptoms. Differentiating between the two can be a challenge.\n\nPrimary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations.\n\nSecondary negative symptoms refer to those due to other things, such as:\n\n- medication\n- withdrawal from medication\n- [substance use](https:\/\/www.healthline.com\/health\/addiction\/recognizing-addiction)\n- hospitalization\n- isolation\n- [personality disorders](https:\/\/www.healthline.com\/health\/personality-disorders)\n- [depression](https:\/\/www.healthline.com\/health\/depression)\n\nNegative symptoms can be more persistent than positive ones.\n\nWhen it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms.\n\nPeople with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree.\n\n### Negative mental symptoms\n- a seeming lack of interest in the world\n- not wanting to interact with other people (social withdrawal)\n- an inability to feel or express pleasure ([anhedonia](https:\/\/www.healthline.com\/health\/depression\/anhedonia))\n- an inability to act spontaneously\n- decreased sense of purpose\n- lack of motivation ([avolition](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition))\n- not talking much\n- difficulty speaking due to disorganized thinking (alogia)\n### Negative physical symptoms\n- an inexpressive or blank face ([flat affect](https:\/\/www.healthline.com\/health\/flat-affect))\n- monotone or monosyllabic speech\n- lack of gesturing when communicating\n- lack of eye contact\n- physical inactivity\n\n## [Examples of someone exhibiting negative symptoms of schizophrenia]()\nNegative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave:\n\n- spending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive)\n- not sleeping\n- not eating well\n- neglecting personal hygiene\n- lacking meaningful communication\n- little to no eye contact, facial expression, or gestures\n- unable to respond to questions or follow instructions\n- appearing apathetic in a situation where most people would express emotion\n- showing ambivalence when asked to make a decision\n- social withdrawal and self-imposed isolation\n\n## [Positive vs. negative symptoms of schizophrenia]()\nSimply put, [positive symptoms](https:\/\/www.healthline.com\/health\/schizophrenia\/symptoms) are those that are added. They differ from those of most people.\n\nPositive symptoms of schizophrenia include:\n\n- [delusions](https:\/\/www.healthline.com\/health\/mental-health\/delusions-of-grandeur), false beliefs with no basis in fact\n- [hallucinations](https:\/\/www.healthline.com\/health\/hallucinations), seeing or hearing things that don’t actually exist\n- [psychosis](https:\/\/www.healthline.com\/health\/psychosis), a break with reality\n- [agitated body movements](https:\/\/www.healthline.com\/health\/psychomotor-agitation)\n- disorganized and dysfunctional thinking that shows itself in strange speech patterns\n- bizarre ideas and plans\n- inappropriate emotions for the situation\n\nPositive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment.\n\nOn the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia.\n\n## [How doctors treat negative symptoms]()\nSchizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a [mental health professional](https:\/\/www.healthline.com\/health\/mental-health-professionals-types) such as a psychiatrist or psychiatric nurse practitioner.\n\nPositive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones.\n\nNegative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat.\n\nSecondary negative symptoms may be easier to treat than primary ones.\n\n### Medications\nSometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement.\n\nSecondary negative symptoms caused by depression can sometimes be treated with [antidepressants](https:\/\/www.healthline.com\/health\/depression\/medication-list). Some people have more success with this treatment than others.\n\nMore studies are needed to learn which medications can target primary negative symptoms.\n\nThere’s [some research](https:\/\/doi.org\/10.2147\/NDT.S201726) to suggest that the antipsychotic drugs cariprazine ([Vraylar](https:\/\/www.healthline.com\/health\/drugs\/vraylar)) and amisulpride may help improve primary negative symptoms.\n\nYour doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed.\n\n### Therapy\nTherapy can help you manage negative symptoms of schizophrenia.\n\nTherapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular [type of therapy](https:\/\/www.healthline.com\/health\/types-of-therapy) based on your needs. Some of these are:\n\n- individual therapy\n- group therapy\n- family and marriage therapy\n\nWithin these frameworks, your therapist can guide you in:\n\n- [behavioral therapy](https:\/\/www.healthline.com\/health\/behavioral-therapy)\n- social skills training\n- vocational support\n- family education\n### Lifestyle\nWith any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help.\n\nAvoiding harmful substances is a must. Alcohol, non-prescribed drugs, [and nicotine](https:\/\/www.healthline.com\/health\/cbd-for-schizophrenia) can interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program.\n\nStress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as:\n\n- [meditation](https:\/\/www.healthline.com\/health\/mental-health\/types-of-meditation)\n- [deep breathing](https:\/\/www.healthline.com\/health\/breathing-exercise)\n- [yoga](https:\/\/www.healthline.com\/health\/fitness-exercises\/definitive-guide-to-yoga)\n- [tai chi](https:\/\/www.healthline.com\/health\/exercise-fitness\/tai-chi-moves)\n\nIn general, it pays to take care of your overall health by:\n\n- maintaining a [healthy, balanced diet](https:\/\/www.healthline.com\/nutrition\/healthy-eating-for-beginners)\n- asking your doctor if you should take any dietary supplements\n- engaging in [regular exercise](https:\/\/www.healthline.com\/nutrition\/10-benefits-of-exercise)\n- making sure you get adequate [sleep](https:\/\/www.healthline.com\/health\/natural-sleeping-remedies)\n- talking to your doctor about [complementary and alternative treatments](https:\/\/www.healthline.com\/health\/schizophrenia\/alternative-treatments)\n- adhering to your overall treatment plan\n- reporting new or worsening symptoms\n\n## [When to see a doctor]()\nIf you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes.\n\nThe only way to know for certain is to see a doctor as quickly as possible.\n\nMaking a diagnosis requires ruling out other causes, such as:\n\n- medication\n- substance use\n- medical conditions\n- other mental health disorders\n\nThis may include:\n\n- a physical examination\n- a drug and alcohol screening\n- brain imaging studies, such as [CT scan or MRI](https:\/\/www.healthline.com\/health\/ct-scan-vs-mri)\n- a psychiatric evaluation\n\nSchizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition.\n\nIf you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion.\n\nNegative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life.\n\n## [Helpful resources]()\nIf you or someone you care about has schizophrenia, it will help to learn all you can about the disorder.\n\nAsk your doctor where you can find educational materials and support services. Here are some additional resources:\n\n- The American Psychiatric Association has a [searchable database](http:\/\/finder.psychiatry.org\/) so you can find a psychiatrist in your community.\n- The National Alliance on Mental Illness (NAMI) provides a searchable database of [local chapters](https:\/\/www.nami.org\/Find-Support\/Living-with-a-Mental-Health-Condition) and [family support groups](https:\/\/www.nami.org\/Local-NAMI\/Programs?classkey=a1x36000003TN9LAAW). You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741.\n- The Substance Abuse and Mental Health Services Association (SAMHSA) has a 24\/7 [National Helpline](https:\/\/www.samhsa.gov\/find-help\/national-helpline) for individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information.\n- Ask your local hospital about social services assistance.\n\n## [Takeaway]()\nNegative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation.\n\nThough less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with.\n\nTreating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change.\n\nFollowing your treatment plan is crucial to your quality of life.\n\n### How we reviewed this article:\nSources\n\nHistory\n\nHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https:\/\/www.healthline.com\/about\/process).\n\n- Cerveri G, et al. (2019). Pharmacological treatment of negative symptoms in schizophrenia: Update and proposal of a clinical algorithm. DOI:  \n  <https:\/\/doi.org\/10.2147\/NDT.S201726>\n- Mayo Clinic Staff. (2020). Schizophrenia.  \n  <https:\/\/www.mayoclinic.org\/diseases-conditions\/schizophrenia\/symptoms-causes\/syc-20354443>\n- Mitra S, et al. (2016). Negative symptoms in schizophrenia. DOI:  \n  <http:\/\/doi.org\/10.4103\/ipj.ipj_30_15>\n- The negative symptoms of schizophrenia. (2006).  \n  <https:\/\/www.health.harvard.edu\/mental-health\/the-negative-symptoms-of-schizophrenia>\n- Sarkar S, et al. (2015). Conceptualization and treatment of negative symptoms in schizophrenia. DOI:  \n  [https:\/\/dx.doi.org\/10.5498%2Fwjp.v5.i4.352](https:\/\/dx.doi.org\/10.5498%2Fwjp.v5.i4.352)\n- Schizophrenia. (2016).  \n  <https:\/\/www.nimh.nih.gov\/health\/topics\/schizophrenia\/index.shtml>\n\nShare this article\n\n![](https:\/\/i0.wp.com\/post.healthline.com\/wp-content\/uploads\/2018\/09\/TimothyLegg.png?w=105&h=105)\n\n[Medically reviewed]() by [Timothy J. Legg, PhD, PsyD]() — Written by [Ann Pietrangelo]()  on March 30, 2020\n\n## related stories\n- [Inside Schizophrenia Podcast](https:\/\/www.healthline.com\/health\/podcast\/schizophrenia?utm_source=ReadNext)\n- [What Are the Symptoms and Warning Signs of Hepatitis C?](https:\/\/www.healthline.com\/health\/hepatitis-c\/symptoms?utm_source=ReadNext)\n- [What Is Avolition and How Is It Treated?](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition?utm_source=ReadNext)\n- [What Is Paranoid Schizophrenia?](https:\/\/www.healthline.com\/health\/schizophrenia\/paranoid-schizophrenia?utm_source=ReadNext)\n- [Talking About Schizophrenia: Why it Matters and How to Do It](https:\/\/www.healthline.com\/health\/schizophrenia\/talking-about-schizophrenia?utm_source=ReadNext)\n\n### Read this next\n- [Inside Schizophrenia Podcast](https:\/\/www.healthline.com\/health\/podcast\/schizophrenia?utm_source=ReadNext)\n  \n  [Inside Schizophrenia is a long-form monthly podcast by people with mental illness for people with mental illness. Each episode looks at life through…](https:\/\/www.healthline.com\/health\/podcast\/schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/podcast\/schizophrenia?utm_source=ReadNext)\n- [What Are the Symptoms and Warning Signs of Hepatitis C?](https:\/\/www.healthline.com\/health\/hepatitis-c\/symptoms?utm_source=ReadNext)\n  \n  [The symptoms you experience, if any, depend on whether you have acute or chronic hepatitis C. Here's what to watch for, tools for diagnosis, and…](https:\/\/www.healthline.com\/health\/hepatitis-c\/symptoms?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/hepatitis-c\/symptoms?utm_source=ReadNext)\n- [What Is Avolition and How Is It Treated?](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition?utm_source=ReadNext)\n  \n  Medically reviewed by [Timothy J. Legg, PhD, PsyD](https:\/\/www.healthline.com\/medical-team)\n  \n  [In schizophrenia, symptoms are categorized as positive or negative. Avolition is considered a negative symptom. Here's what it is and what you can do.](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition?utm_source=ReadNext)\n- [What Is Paranoid Schizophrenia?](https:\/\/www.healthline.com\/health\/schizophrenia\/paranoid-schizophrenia?utm_source=ReadNext)\n  \n  Medically reviewed by [Timothy J. Legg, PhD, PsyD](https:\/\/www.healthline.com\/medical-team)\n  \n  [Paranoid schizophrenia is no longer recognized as its own condition. Rather, paranoia is a symptom of schizophrenia. Learn more about this symptom.](https:\/\/www.healthline.com\/health\/schizophrenia\/paranoid-schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/schizophrenia\/paranoid-schizophrenia?utm_source=ReadNext)\n- [Talking About Schizophrenia: Why it Matters and How to Do It](https:\/\/www.healthline.com\/health\/schizophrenia\/talking-about-schizophrenia?utm_source=ReadNext)\n  \n  [Not sure how to talk about schizophrenia? Get guidance on what to say, who to tell, and how to handle stigma while protecting your well-being.](https:\/\/www.healthline.com\/health\/schizophrenia\/talking-about-schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/schizophrenia\/talking-about-schizophrenia?utm_source=ReadNext)\n- [Why Is Vraylar So Expensive?](https:\/\/www.healthline.com\/health\/drugs\/why-is-vraylar-so-expensive?utm_source=ReadNext)\n  \n  [Your out-of-pocket costs for certain drugs, such as Vraylar, may be higher than other drugs. Learn money-saving strategies, drug alternatives, and…](https:\/\/www.healthline.com\/health\/drugs\/why-is-vraylar-so-expensive?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/drugs\/why-is-vraylar-so-expensive?utm_source=ReadNext)\n- [Can Trauma Cause Schizophrenia?](https:\/\/www.healthline.com\/health\/can-trauma-cause-schizophrenia?utm_source=ReadNext)\n  \n  [Trauma may increase the risk of schizophrenia in people with a genetic predisposition to it. Learn more.](https:\/\/www.healthline.com\/health\/can-trauma-cause-schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/can-trauma-cause-schizophrenia?utm_source=ReadNext)\n- [Do People with Schizophrenia Know They Have It?](https:\/\/www.healthline.com\/health\/do-people-with-schizophrenia-know-they-have-it?utm_source=ReadNext)\n  \n  Medically reviewed by [Nicole Washington, DO, MPH](https:\/\/www.healthline.com\/medical-team)\n  \n  [Some people with schizophrenia may not know they have it because of the symptoms they experience. Learn more.](https:\/\/www.healthline.com\/health\/do-people-with-schizophrenia-know-they-have-it?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/do-people-with-schizophrenia-know-they-have-it?utm_source=ReadNext)\n- [Living With Schizophrenia: Strategies and Support](https:\/\/www.healthline.com\/health\/living-with-schizophrenia?utm_source=ReadNext)\n  \n  Medically reviewed by [Nicole Washington, DO, MPH](https:\/\/www.healthline.com\/medical-team)\n  \n  [Medications can help improve some symptoms of schizophrenia, but therapy, stress reduction, and other daily living strategies are also needed to…](https:\/\/www.healthline.com\/health\/living-with-schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/living-with-schizophrenia?utm_source=ReadNext)\n- [Understanding Prodromal Schizophrenia: Symptoms and Treatment](https:\/\/www.healthline.com\/health\/prodromal-schizophrenia?utm_source=ReadNext)\n  \n  [The first phase of schizophrenia, before the first full episode of psychosis, is known as the prodromal period. Learn more about symptoms, causes, and…](https:\/\/www.healthline.com\/health\/prodromal-schizophrenia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.healthline.com\/health\/prodromal-schizophrenia?utm_source=ReadNext)\n\n© 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n- [About Us](https:\/\/www.healthline.com\/about)\n- [Contact Us](https:\/\/www.healthline.com\/about\/contact-us)\n- [Privacy Policy](https:\/\/www.healthline.com\/privacy-policy)\n- [Privacy Settings](https:\/\/www.healthline.com\/privacy-settings)\n- [Advertising Policy](https:\/\/www.healthline.com\/advertising-policy)\n- [Health Topics](https:\/\/www.healthline.com\/directory\/topics)\n\n- [Sitemap](https:\/\/www.healthline.com\/sitemap)\n- [Medical Affairs](https:\/\/www.healthline.com\/medical-team)\n- [Content Integrity](https:\/\/www.healthline.com\/about\/content-integrity)\n- [Newsletters](https:\/\/www.healthline.com\/newsletter-signup)\n- © 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n© 2026 Healthline Media LLC. All rights reserved. Healthline Media is an RVO Health Company. Our website services, content, and products are for informational purposes only. Healthline Media does not provide medical advice, diagnosis, or treatment. [See additional information](https:\/\/www.healthline.com\/additional-information).\n\n[About](https:\/\/www.healthlinemedia.com\/?utm_source=healthline.com&utm_medium=site&utm_campaign=footer&utm_content=about)[Careers](https:\/\/rvohealth.com\/careers)[Advertise with us](https:\/\/www.healthlinemedia.com\/advertise?utm_source=healthline.com&utm_medium=site&utm_campaign=footer&utm_content=advertise)\n\nOUR BRANDS\n\n[Healthline](https:\/\/www.healthline.com\/)[Medical News Today](https:\/\/www.medicalnewstoday.com\/)[Greatist](https:\/\/greatist.com\/)[Psych Central](https:\/\/psychcentral.com\/)[Bezzy](https:\/\/bezzy.com\/)\n\n![](http:\/\/b.scorecardresearch.com\/p?c1=2&c2=38584006&cv=3.9&cj=1&comscorekw=main)","attrs_readable_markdown":"Negative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms.\n\n[Schizophrenia](https:\/\/www.healthline.com\/health\/schizophrenia) is a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones.\n\nThe disorder is characterized by positive, negative, and cognitive [symptoms](https:\/\/www.healthline.com\/health\/schizophrenia\/symptoms):\n\n- **Positive symptoms:** The presence of symptoms most people don’t have, such as exaggerated perceptions and ideas. [Hallucinations](https:\/\/www.healthline.com\/health\/hallucinations) and [delusions](https:\/\/www.healthline.com\/health\/mental-health\/delusions-of-grandeur) can be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.”\n- **Negative symptoms:** The absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world.\n- **Cognitive symptoms:** Difficulties with concentration, working memory, and decision making.\n\nLet’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated.\n\nThere are two types of negative symptoms. Differentiating between the two can be a challenge.\n\nPrimary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations.\n\nSecondary negative symptoms refer to those due to other things, such as:\n\n- medication\n- withdrawal from medication\n- [substance use](https:\/\/www.healthline.com\/health\/addiction\/recognizing-addiction)\n- hospitalization\n- isolation\n- [personality disorders](https:\/\/www.healthline.com\/health\/personality-disorders)\n- [depression](https:\/\/www.healthline.com\/health\/depression)\n\nNegative symptoms can be more persistent than positive ones.\n\nWhen it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms.\n\nPeople with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree.\n\nNegative mental symptoms\n\n- a seeming lack of interest in the world\n- not wanting to interact with other people (social withdrawal)\n- an inability to feel or express pleasure ([anhedonia](https:\/\/www.healthline.com\/health\/depression\/anhedonia))\n- an inability to act spontaneously\n- decreased sense of purpose\n- lack of motivation ([avolition](https:\/\/www.healthline.com\/health\/schizophrenia\/avolition))\n- not talking much\n- difficulty speaking due to disorganized thinking (alogia)\n\nNegative physical symptoms\n\n- an inexpressive or blank face ([flat affect](https:\/\/www.healthline.com\/health\/flat-affect))\n- monotone or monosyllabic speech\n- lack of gesturing when communicating\n- lack of eye contact\n- physical inactivity\n\nNegative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave:\n\n- spending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive)\n- not sleeping\n- not eating well\n- neglecting personal hygiene\n- lacking meaningful communication\n- little to no eye contact, facial expression, or gestures\n- unable to respond to questions or follow instructions\n- appearing apathetic in a situation where most people would express emotion\n- showing ambivalence when asked to make a decision\n- social withdrawal and self-imposed isolation\n\nSimply put, [positive symptoms](https:\/\/www.healthline.com\/health\/schizophrenia\/symptoms) are those that are added. They differ from those of most people.\n\nPositive symptoms of schizophrenia include:\n\n- [delusions](https:\/\/www.healthline.com\/health\/mental-health\/delusions-of-grandeur), false beliefs with no basis in fact\n- [hallucinations](https:\/\/www.healthline.com\/health\/hallucinations), seeing or hearing things that don’t actually exist\n- [psychosis](https:\/\/www.healthline.com\/health\/psychosis), a break with reality\n- [agitated body movements](https:\/\/www.healthline.com\/health\/psychomotor-agitation)\n- disorganized and dysfunctional thinking that shows itself in strange speech patterns\n- bizarre ideas and plans\n- inappropriate emotions for the situation\n\nPositive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment.\n\nOn the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia.\n\nSchizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a [mental health professional](https:\/\/www.healthline.com\/health\/mental-health-professionals-types) such as a psychiatrist or psychiatric nurse practitioner.\n\nPositive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones.\n\nNegative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat.\n\nSecondary negative symptoms may be easier to treat than primary ones.\n\nMedications\n\nSometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement.\n\nSecondary negative symptoms caused by depression can sometimes be treated with [antidepressants](https:\/\/www.healthline.com\/health\/depression\/medication-list). Some people have more success with this treatment than others.\n\nMore studies are needed to learn which medications can target primary negative symptoms.\n\nThere’s [some research](https:\/\/doi.org\/10.2147\/NDT.S201726) to suggest that the antipsychotic drugs cariprazine ([Vraylar](https:\/\/www.healthline.com\/health\/drugs\/vraylar)) and amisulpride may help improve primary negative symptoms.\n\nYour doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed.\n\nTherapy\n\nTherapy can help you manage negative symptoms of schizophrenia.\n\nTherapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular [type of therapy](https:\/\/www.healthline.com\/health\/types-of-therapy) based on your needs. Some of these are:\n\n- individual therapy\n- group therapy\n- family and marriage therapy\n\nWithin these frameworks, your therapist can guide you in:\n\n- [behavioral therapy](https:\/\/www.healthline.com\/health\/behavioral-therapy)\n- social skills training\n- vocational support\n- family education\n\nLifestyle\n\nWith any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help.\n\nAvoiding harmful substances is a must. Alcohol, non-prescribed drugs, [and nicotine](https:\/\/www.healthline.com\/health\/cbd-for-schizophrenia) can interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program.\n\nStress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as:\n\n- [meditation](https:\/\/www.healthline.com\/health\/mental-health\/types-of-meditation)\n- [deep breathing](https:\/\/www.healthline.com\/health\/breathing-exercise)\n- [yoga](https:\/\/www.healthline.com\/health\/fitness-exercises\/definitive-guide-to-yoga)\n- [tai chi](https:\/\/www.healthline.com\/health\/exercise-fitness\/tai-chi-moves)\n\nIn general, it pays to take care of your overall health by:\n\n- maintaining a [healthy, balanced diet](https:\/\/www.healthline.com\/nutrition\/healthy-eating-for-beginners)\n- asking your doctor if you should take any dietary supplements\n- engaging in [regular exercise](https:\/\/www.healthline.com\/nutrition\/10-benefits-of-exercise)\n- making sure you get adequate [sleep](https:\/\/www.healthline.com\/health\/natural-sleeping-remedies)\n- talking to your doctor about [complementary and alternative treatments](https:\/\/www.healthline.com\/health\/schizophrenia\/alternative-treatments)\n- adhering to your overall treatment plan\n- reporting new or worsening symptoms\n\nIf you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes.\n\nThe only way to know for certain is to see a doctor as quickly as possible.\n\nMaking a diagnosis requires ruling out other causes, such as:\n\n- medication\n- substance use\n- medical conditions\n- other mental health disorders\n\nThis may include:\n\n- a physical examination\n- a drug and alcohol screening\n- brain imaging studies, such as [CT scan or MRI](https:\/\/www.healthline.com\/health\/ct-scan-vs-mri)\n- a psychiatric evaluation\n\nSchizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition.\n\nIf you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion.\n\nNegative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life.\n\nIf you or someone you care about has schizophrenia, it will help to learn all you can about the disorder.\n\nAsk your doctor where you can find educational materials and support services. Here are some additional resources:\n\n- The American Psychiatric Association has a [searchable database](http:\/\/finder.psychiatry.org\/) so you can find a psychiatrist in your community.\n- The National Alliance on Mental Illness (NAMI) provides a searchable database of [local chapters](https:\/\/www.nami.org\/Find-Support\/Living-with-a-Mental-Health-Condition) and [family support groups](https:\/\/www.nami.org\/Local-NAMI\/Programs?classkey=a1x36000003TN9LAAW). You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741.\n- The Substance Abuse and Mental Health Services Association (SAMHSA) has a 24\/7 [National Helpline](https:\/\/www.samhsa.gov\/find-help\/national-helpline) for individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information.\n- Ask your local hospital about social services assistance.\n\nNegative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation.\n\nThough less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with.\n\nTreating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change.\n\nFollowing your treatment plan is crucial to your quality of life.","meta_canonical":null}

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Meta Title	Negative Symptoms of Schizophrenia and How They’re Treated
Meta Description	Negative symptoms of schizophrenia are those involving the absence of something common to most healthy people. This can include lack of communication, social interaction, and motivation.
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Boilerpipe Text	Negative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms. Schizophrenia is a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones. The disorder is characterized by positive, negative, and cognitive symptoms : Positive symptoms: The presence of symptoms most people don’t have, such as exaggerated perceptions and ideas. Hallucinations and delusions can be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.” Negative symptoms: The absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world. Cognitive symptoms: Difficulties with concentration, working memory, and decision making. Let’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated. There are two types of negative symptoms. Differentiating between the two can be a challenge. Primary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations. Secondary negative symptoms refer to those due to other things, such as: medication withdrawal from medication substance use hospitalization isolation personality disorders depression Negative symptoms can be more persistent than positive ones. When it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms. People with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree. Negative mental symptoms a seeming lack of interest in the world not wanting to interact with other people (social withdrawal) an inability to feel or express pleasure ( anhedonia ) an inability to act spontaneously decreased sense of purpose lack of motivation ( avolition ) not talking much difficulty speaking due to disorganized thinking (alogia) Negative physical symptoms an inexpressive or blank face ( flat affect ) monotone or monosyllabic speech lack of gesturing when communicating lack of eye contact physical inactivity Negative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave: spending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive) not sleeping not eating well neglecting personal hygiene lacking meaningful communication little to no eye contact, facial expression, or gestures unable to respond to questions or follow instructions appearing apathetic in a situation where most people would express emotion showing ambivalence when asked to make a decision social withdrawal and self-imposed isolation Simply put, positive symptoms are those that are added. They differ from those of most people. Positive symptoms of schizophrenia include: delusions , false beliefs with no basis in fact hallucinations , seeing or hearing things that don’t actually exist psychosis , a break with reality agitated body movements disorganized and dysfunctional thinking that shows itself in strange speech patterns bizarre ideas and plans inappropriate emotions for the situation Positive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment. On the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia. Schizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a mental health professional such as a psychiatrist or psychiatric nurse practitioner. Positive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones. Negative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat. Secondary negative symptoms may be easier to treat than primary ones. Medications Sometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement. Secondary negative symptoms caused by depression can sometimes be treated with antidepressants . Some people have more success with this treatment than others. More studies are needed to learn which medications can target primary negative symptoms. There’s some research to suggest that the antipsychotic drugs cariprazine ( Vraylar ) and amisulpride may help improve primary negative symptoms. Your doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed. Therapy Therapy can help you manage negative symptoms of schizophrenia. Therapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular type of therapy based on your needs. Some of these are: individual therapy group therapy family and marriage therapy Within these frameworks, your therapist can guide you in: behavioral therapy social skills training vocational support family education Lifestyle With any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help. Avoiding harmful substances is a must. Alcohol, non-prescribed drugs, and nicotine can interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program. Stress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as: meditation deep breathing yoga tai chi In general, it pays to take care of your overall health by: maintaining a healthy, balanced diet asking your doctor if you should take any dietary supplements engaging in regular exercise making sure you get adequate sleep talking to your doctor about complementary and alternative treatments adhering to your overall treatment plan reporting new or worsening symptoms If you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes. The only way to know for certain is to see a doctor as quickly as possible. Making a diagnosis requires ruling out other causes, such as: medication substance use medical conditions other mental health disorders This may include: a physical examination a drug and alcohol screening brain imaging studies, such as CT scan or MRI a psychiatric evaluation Schizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition. If you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion. Negative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life. If you or someone you care about has schizophrenia, it will help to learn all you can about the disorder. Ask your doctor where you can find educational materials and support services. Here are some additional resources: The American Psychiatric Association has a searchable database so you can find a psychiatrist in your community. The National Alliance on Mental Illness (NAMI) provides a searchable database of local chapters and family support groups . You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741. The Substance Abuse and Mental Health Services Association (SAMHSA) has a 24/7 National Helpline for individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information. Ask your local hospital about social services assistance. Negative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation. Though less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with. Treating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change. Following your treatment plan is crucial to your quality of life.
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Bipolar Disorder](https://www.healthline.com/health/bipolar-disorder/bipolar-vs-schizophrenia) - [Vs. Borderline Personality Disorder](https://www.healthline.com/health/schizophrenia/borderline-personality-disorder-and-schizophrenia) - [Vs. Delusional Disorder](https://www.healthline.com/health/schizophrenia/delusional-disorder-vs-schizophrenia) - [Vs. Dissociative Identity Disorder (DID)](https://www.healthline.com/health/schizophrenia/did-vs-schizophrenia) - [Related Conditions](https://www.healthline.com/health/schizophrenia/is-schizophrenia-a-personality-disorder) - [Vs. Psychosis](https://www.healthline.com/health/schizophrenia/psychosis-vs-schizophrenia) - [Vs. Schizoaffective Disorder](https://www.healthline.com/health/schizophrenia/schizoaffective-disorder-vs-schizophrenia) - [Vs. Anxiety](https://www.healthline.com/health/schizophrenia/schizophrenia-and-anxiety) - ### Types Types #### Related Articles - [Bipolar Schizoaffective Disorder](https://www.healthline.com/health/bipolar-schizoaffective-disorder) - [Catatonic Schizophrenia](https://www.healthline.com/health/catatonic-schizophrenia) - [High Functioning Schizophrenia](https://www.healthline.com/health/high-functioning-schizophrenia) - [Types](https://www.healthline.com/health/schizophrenia-types) - [Acute Schizophrenia](https://www.healthline.com/health/schizophrenia/acute-schizophrenia) - [Without Hallucinations](https://www.healthline.com/health/schizophrenia/can-you-have-schizophrenia-without-hallucinations) - [Cenesthopathic](https://www.healthline.com/health/schizophrenia/cenesthopathic-schizophrenia) - [Disorganized (Hebephrenic) Schizophrenia](https://www.healthline.com/health/schizophrenia/disorganized-hebephrenic-schizophrenia) - [In Females](https://www.healthline.com/health/schizophrenia/female-schizophrenia) - [Paranoid Schizophrenia](https://www.healthline.com/health/schizophrenia/paranoid-schizophrenia) - [Schizophreniform Disorder](https://www.healthline.com/health/schizophrenia/schizophreniform) - ### Symptoms Symptoms #### Related Articles - [Early Signs](https://www.healthline.com/health/early-signs-of-schizophrenia) - [Hallucinations vs. Delusions](https://www.healthline.com/health/mental-health/hallucinations-vs-delusions) - [Hearing Voices](https://www.healthline.com/health/mental-health/i-hear-voices-in-my-head) - [Phases](https://www.healthline.com/health/mental-health/phases-of-schizophrenia) - [Hallucinations](https://www.healthline.com/health/schizophrenia-hallucinations) - [Symptoms](https://www.healthline.com/health/schizophrenia/symptoms) - [Types of Delusions](https://www.healthline.com/health/schizophrenia/types-of-delusions-in-schizophrenia) - [Flat Affect](https://www.healthline.com/health/schizophrenia/what-is-flat-affect-in-schizophrenia) - ### Causes & Risk Factors Causes & Risk Factors #### Related Articles - [Genetics](https://www.healthline.com/health/is-schizophrenia-hereditary) - [Causes](https://www.healthline.com/health/schizophrenia-causes) - [Drug-Induced Schizophrenia](https://www.healthline.com/health/schizophrenia/drug-induced-schizophrenia) - [Alcohol Use](https://www.healthline.com/health/schizophrenia/schizophrenia-and-alcohol) - [Dopamine](https://www.healthline.com/health/schizophrenia/schizophrenia-and-dopamine) - ### Management Management #### Related Articles - [Online Support Groups](https://www.healthline.com/health/mental-health/schizophrenia-support-group) - [CBD](https://www.healthline.com/health/cbd-for-schizophrenia) - [In Relationships](https://www.healthline.com/health/schizophrenia-and-intimacy) - [Management](https://www.healthline.com/health/schizophrenia/alternative-treatments) - [Supporting a Loved One](https://www.healthline.com/health/schizophrenia/how-to-help-someone-with-schizophrenia) - [Sleep](https://www.healthline.com/health/schizophrenia/schizophrenia-and-sleep) - [Employment](https://www.healthline.com/health/schizophrenia/what-is-a-good-job-for-someone-with-schizophrenia) - ### Treatment Treatment #### Related Articles - [Treatment](https://www.healthline.com/health/mental-health/schizophrenia-treatment) - [Cognitive Behavioral Therapy (CBT)](https://www.healthline.com/health/schizophrenia/cognitive-behavioral-therapy-for-schizophrenia) - [Electroconvulsive Therapy](https://www.healthline.com/health/schizophrenia/ect-for-schizophrenia) - [Art Therapy](https://www.healthline.com/health/schizophrenia/schizophrenia-art) - [Injections](https://www.healthline.com/health/schizophrenia/schizophrenia-injection) - ### Diagnosis Diagnosis #### Related Articles - [Clock Drawing Test](https://www.healthline.com/health/schizophrenia/clock-drawing-test-schizophrenia) - [Diagnosis](https://www.healthline.com/health/schizophrenia/how-is-schizophrenia-diagnosed) - [Lab Tests](https://www.healthline.com/health/schizophrenia/laboratory-tests-for-schizophrenia) - [Age of Onset](https://www.healthline.com/health/schizophrenia/schizophrenia-age-of-onset) - [Brain Imaging](https://www.healthline.com/health/schizophrenia/schizophrenia-brain-scan) - ### Complications Complications #### Related Articles - [Dementia Risk](https://www.healthline.com/health/schizophrenia/schizophrenia-and-dementia) - [Eye Changes](https://www.healthline.com/health/schizophrenia/schizophrenia-eyes) - [Suicide Risk](https://www.healthline.com/health/schizophrenia/suicide-in-schizophrenia) - ### Prognosis Prognosis #### Related Articles - [Outlook](https://www.healthline.com/health/schizophrenia/schizophrenia-life-expectancy) # What Are the “Negative” Symptoms of Schizophrenia? ![](https://i0.wp.com/post.healthline.com/wp-content/uploads/2018/09/TimothyLegg.png?w=105&h=105) [Medically reviewed]() by [Timothy J. Legg, PhD, PsyD]() — Written by [Ann Pietrangelo]() on March 30, 2020 - [Negative symptoms](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#negative-symptoms) - [Examples](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#examples) - [Vs. positive symptoms](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#vs-positive-symptoms) - [Treatment](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#treatment) - [Seeking medical help](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#seeking-medical-help) - [Resources](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#resources) - [Summary](https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia#summary) Negative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms. [Schizophrenia](https://www.healthline.com/health/schizophrenia) is a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones. The disorder is characterized by positive, negative, and cognitive [symptoms](https://www.healthline.com/health/schizophrenia/symptoms): - Positive symptoms: The presence of symptoms most people don’t have, such as exaggerated perceptions and ideas. [Hallucinations](https://www.healthline.com/health/hallucinations) and [delusions](https://www.healthline.com/health/mental-health/delusions-of-grandeur) can be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.” - Negative symptoms: The absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world. - Cognitive symptoms: Difficulties with concentration, working memory, and decision making. Let’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated. ## [List of negative symptoms of schizophrenia]() There are two types of negative symptoms. Differentiating between the two can be a challenge. Primary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations. Secondary negative symptoms refer to those due to other things, such as: - medication - withdrawal from medication - [substance use](https://www.healthline.com/health/addiction/recognizing-addiction) - hospitalization - isolation - [personality disorders](https://www.healthline.com/health/personality-disorders) - [depression](https://www.healthline.com/health/depression) Negative symptoms can be more persistent than positive ones. When it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms. People with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree. ### Negative mental symptoms - a seeming lack of interest in the world - not wanting to interact with other people (social withdrawal) - an inability to feel or express pleasure ([anhedonia](https://www.healthline.com/health/depression/anhedonia)) - an inability to act spontaneously - decreased sense of purpose - lack of motivation ([avolition](https://www.healthline.com/health/schizophrenia/avolition)) - not talking much - difficulty speaking due to disorganized thinking (alogia) ### Negative physical symptoms - an inexpressive or blank face ([flat affect](https://www.healthline.com/health/flat-affect)) - monotone or monosyllabic speech - lack of gesturing when communicating - lack of eye contact - physical inactivity ## [Examples of someone exhibiting negative symptoms of schizophrenia]() Negative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave: - spending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive) - not sleeping - not eating well - neglecting personal hygiene - lacking meaningful communication - little to no eye contact, facial expression, or gestures - unable to respond to questions or follow instructions - appearing apathetic in a situation where most people would express emotion - showing ambivalence when asked to make a decision - social withdrawal and self-imposed isolation ## [Positive vs. negative symptoms of schizophrenia]() Simply put, [positive symptoms](https://www.healthline.com/health/schizophrenia/symptoms) are those that are added. They differ from those of most people. Positive symptoms of schizophrenia include: - [delusions](https://www.healthline.com/health/mental-health/delusions-of-grandeur), false beliefs with no basis in fact - [hallucinations](https://www.healthline.com/health/hallucinations), seeing or hearing things that don’t actually exist - [psychosis](https://www.healthline.com/health/psychosis), a break with reality - [agitated body movements](https://www.healthline.com/health/psychomotor-agitation) - disorganized and dysfunctional thinking that shows itself in strange speech patterns - bizarre ideas and plans - inappropriate emotions for the situation Positive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment. On the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia. ## [How doctors treat negative symptoms]() Schizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a [mental health professional](https://www.healthline.com/health/mental-health-professionals-types) such as a psychiatrist or psychiatric nurse practitioner. Positive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones. Negative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat. Secondary negative symptoms may be easier to treat than primary ones. ### Medications Sometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement. Secondary negative symptoms caused by depression can sometimes be treated with [antidepressants](https://www.healthline.com/health/depression/medication-list). Some people have more success with this treatment than others. More studies are needed to learn which medications can target primary negative symptoms. There’s [some research](https://doi.org/10.2147/NDT.S201726) to suggest that the antipsychotic drugs cariprazine ([Vraylar](https://www.healthline.com/health/drugs/vraylar)) and amisulpride may help improve primary negative symptoms. Your doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed. ### Therapy Therapy can help you manage negative symptoms of schizophrenia. Therapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular [type of therapy](https://www.healthline.com/health/types-of-therapy) based on your needs. Some of these are: - individual therapy - group therapy - family and marriage therapy Within these frameworks, your therapist can guide you in: - [behavioral therapy](https://www.healthline.com/health/behavioral-therapy) - social skills training - vocational support - family education ### Lifestyle With any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help. Avoiding harmful substances is a must. Alcohol, non-prescribed drugs, [and nicotine](https://www.healthline.com/health/cbd-for-schizophrenia) can interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program. Stress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as: - [meditation](https://www.healthline.com/health/mental-health/types-of-meditation) - [deep breathing](https://www.healthline.com/health/breathing-exercise) - [yoga](https://www.healthline.com/health/fitness-exercises/definitive-guide-to-yoga) - [tai chi](https://www.healthline.com/health/exercise-fitness/tai-chi-moves) In general, it pays to take care of your overall health by: - maintaining a [healthy, balanced diet](https://www.healthline.com/nutrition/healthy-eating-for-beginners) - asking your doctor if you should take any dietary supplements - engaging in [regular exercise](https://www.healthline.com/nutrition/10-benefits-of-exercise) - making sure you get adequate [sleep](https://www.healthline.com/health/natural-sleeping-remedies) - talking to your doctor about [complementary and alternative treatments](https://www.healthline.com/health/schizophrenia/alternative-treatments) - adhering to your overall treatment plan - reporting new or worsening symptoms ## [When to see a doctor]() If you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes. The only way to know for certain is to see a doctor as quickly as possible. Making a diagnosis requires ruling out other causes, such as: - medication - substance use - medical conditions - other mental health disorders This may include: - a physical examination - a drug and alcohol screening - brain imaging studies, such as [CT scan or MRI](https://www.healthline.com/health/ct-scan-vs-mri) - a psychiatric evaluation Schizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition. If you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion. Negative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life. ## [Helpful resources]() If you or someone you care about has schizophrenia, it will help to learn all you can about the disorder. Ask your doctor where you can find educational materials and support services. Here are some additional resources: - The American Psychiatric Association has a [searchable database](http://finder.psychiatry.org/) so you can find a psychiatrist in your community. - The National Alliance on Mental Illness (NAMI) provides a searchable database of [local chapters](https://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition) and [family support groups](https://www.nami.org/Local-NAMI/Programs?classkey=a1x36000003TN9LAAW). You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741. - The Substance Abuse and Mental Health Services Association (SAMHSA) has a 24/7 [National Helpline](https://www.samhsa.gov/find-help/national-helpline) for individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information. - Ask your local hospital about social services assistance. ## [Takeaway]() Negative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation. Though less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with. Treating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change. Following your treatment plan is crucial to your quality of life. ### How we reviewed this article: Sources History Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process). - Cerveri G, et al. (2019). Pharmacological treatment of negative symptoms in schizophrenia: Update and proposal of a clinical algorithm. DOI: <https://doi.org/10.2147/NDT.S201726> - Mayo Clinic Staff. (2020). Schizophrenia. <https://www.mayoclinic.org/diseases-conditions/schizophrenia/symptoms-causes/syc-20354443> - Mitra S, et al. (2016). Negative symptoms in schizophrenia. DOI: <http://doi.org/10.4103/ipj.ipj_30_15> - The negative symptoms of schizophrenia. (2006). <https://www.health.harvard.edu/mental-health/the-negative-symptoms-of-schizophrenia> - Sarkar S, et al. (2015). Conceptualization and treatment of negative symptoms in schizophrenia. DOI: [https://dx.doi.org/10.5498%2Fwjp.v5.i4.352](https://dx.doi.org/10.5498%2Fwjp.v5.i4.352) - Schizophrenia. (2016). <https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml> Share this article ![](https://i0.wp.com/post.healthline.com/wp-content/uploads/2018/09/TimothyLegg.png?w=105&h=105) [Medically reviewed]() by [Timothy J. Legg, PhD, PsyD]() — Written by [Ann Pietrangelo]() on March 30, 2020 ## related stories - [Inside Schizophrenia Podcast](https://www.healthline.com/health/podcast/schizophrenia?utm_source=ReadNext) - [What Are the Symptoms and Warning Signs of Hepatitis C?](https://www.healthline.com/health/hepatitis-c/symptoms?utm_source=ReadNext) - [What Is Avolition and How Is It Treated?](https://www.healthline.com/health/schizophrenia/avolition?utm_source=ReadNext) - [What Is Paranoid Schizophrenia?](https://www.healthline.com/health/schizophrenia/paranoid-schizophrenia?utm_source=ReadNext) - [Talking About Schizophrenia: Why it Matters and How to Do It](https://www.healthline.com/health/schizophrenia/talking-about-schizophrenia?utm_source=ReadNext) ### Read this next - [Inside Schizophrenia Podcast](https://www.healthline.com/health/podcast/schizophrenia?utm_source=ReadNext) [Inside Schizophrenia is a long-form monthly podcast by people with mental illness for people with mental illness. 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Readable Markdown	Negative symptoms refer to the absence of a behavior, ability, or characteristic. In schizophrenia, lack of motivation, difficulty experiencing pleasure, limited range of emotions, and speech challenges are common negative symptoms. [Schizophrenia](https://www.healthline.com/health/schizophrenia) is a severe mental illness that affects how you think, feel, and act. It’s a chronic condition that can also have a powerful effect on loved ones. The disorder is characterized by positive, negative, and cognitive [symptoms](https://www.healthline.com/health/schizophrenia/symptoms): - Positive symptoms: The presence of symptoms most people don’t have, such as exaggerated perceptions and ideas. [Hallucinations](https://www.healthline.com/health/hallucinations) and [delusions](https://www.healthline.com/health/mental-health/delusions-of-grandeur) can be so vivid that they impair a person’s ability to know what’s real and what’s not, negatively impacting their ability to care for themselves. This is sometimes called a “psychotic break.” - Negative symptoms: The absence of things present in most people. This includes things such as facial expressions, emotional response, and interest in the world. - Cognitive symptoms: Difficulties with concentration, working memory, and decision making. Let’s take a closer look at the negative symptoms of schizophrenia, how to spot them, and how they’re treated. There are two types of negative symptoms. Differentiating between the two can be a challenge. Primary negative symptoms refer to those that are part of the disorder itself. These can occur during or between exacerbations. Secondary negative symptoms refer to those due to other things, such as: - medication - withdrawal from medication - [substance use](https://www.healthline.com/health/addiction/recognizing-addiction) - hospitalization - isolation - [personality disorders](https://www.healthline.com/health/personality-disorders) - [depression](https://www.healthline.com/health/depression) Negative symptoms can be more persistent than positive ones. When it comes to negative symptoms of schizophrenia, there’s often more than meets the eye. For example, lack of facial or verbal expression doesn’t always mean lack of feeling. True emotional state may be masked by negative symptoms. People with schizophrenia tend to have bouts of severe symptoms followed by remissions. But some symptoms may always be present to a certain degree. Negative mental symptoms - a seeming lack of interest in the world - not wanting to interact with other people (social withdrawal) - an inability to feel or express pleasure ([anhedonia](https://www.healthline.com/health/depression/anhedonia)) - an inability to act spontaneously - decreased sense of purpose - lack of motivation ([avolition](https://www.healthline.com/health/schizophrenia/avolition)) - not talking much - difficulty speaking due to disorganized thinking (alogia) Negative physical symptoms - an inexpressive or blank face ([flat affect](https://www.healthline.com/health/flat-affect)) - monotone or monosyllabic speech - lack of gesturing when communicating - lack of eye contact - physical inactivity Negative symptoms can be hard to recognize as symptoms of schizophrenia. Here are some examples of how a person with negative symptoms might behave: - spending the day sitting or lying around (may have a hard time coming up with something to do and will be fairly unproductive) - not sleeping - not eating well - neglecting personal hygiene - lacking meaningful communication - little to no eye contact, facial expression, or gestures - unable to respond to questions or follow instructions - appearing apathetic in a situation where most people would express emotion - showing ambivalence when asked to make a decision - social withdrawal and self-imposed isolation Simply put, [positive symptoms](https://www.healthline.com/health/schizophrenia/symptoms) are those that are added. They differ from those of most people. Positive symptoms of schizophrenia include: - [delusions](https://www.healthline.com/health/mental-health/delusions-of-grandeur), false beliefs with no basis in fact - [hallucinations](https://www.healthline.com/health/hallucinations), seeing or hearing things that don’t actually exist - [psychosis](https://www.healthline.com/health/psychosis), a break with reality - [agitated body movements](https://www.healthline.com/health/psychomotor-agitation) - disorganized and dysfunctional thinking that shows itself in strange speech patterns - bizarre ideas and plans - inappropriate emotions for the situation Positive symptoms are more apparent, so they’re likely to prompt diagnosis and treatment. On the other end of the spectrum, negative symptoms mean something is missing. That makes them easier to overlook as being linked to schizophrenia. Schizophrenia means you’ll always need mental healthcare. Treatment is typically managed by a [mental health professional](https://www.healthline.com/health/mental-health-professionals-types) such as a psychiatrist or psychiatric nurse practitioner. Positive symptoms are treated with antipsychotic drugs. These medications can effectively address positive symptoms. Most have little effect on negative ones. Negative symptoms can have a profound effect on quality of life. They can also affect your ability to live independently. In this respect, they may have greater impact than positive symptoms. They’re also more difficult to treat. Secondary negative symptoms may be easier to treat than primary ones. Medications Sometimes, secondary negative symptoms are a side effect of certain medications. In that case, a doctor can change the dosage or prescribe an alternative drug. You’ll be monitored to make sure positive symptoms aren’t getting worse. It may take a few adjustments before you see improvement. Secondary negative symptoms caused by depression can sometimes be treated with [antidepressants](https://www.healthline.com/health/depression/medication-list). Some people have more success with this treatment than others. More studies are needed to learn which medications can target primary negative symptoms. There’s [some research](https://doi.org/10.2147/NDT.S201726) to suggest that the antipsychotic drugs cariprazine ([Vraylar](https://www.healthline.com/health/drugs/vraylar)) and amisulpride may help improve primary negative symptoms. Your doctor will take all your symptoms into account when choosing medication to manage schizophrenia. Periodic adjustments will likely be needed. Therapy Therapy can help you manage negative symptoms of schizophrenia. Therapy will probably be in addition to drug treatment for positive symptoms. Your doctor will recommend a particular [type of therapy](https://www.healthline.com/health/types-of-therapy) based on your needs. Some of these are: - individual therapy - group therapy - family and marriage therapy Within these frameworks, your therapist can guide you in: - [behavioral therapy](https://www.healthline.com/health/behavioral-therapy) - social skills training - vocational support - family education Lifestyle With any treatment plan, it’s important to focus on your goals. Certain lifestyle choices can also help. Avoiding harmful substances is a must. Alcohol, non-prescribed drugs, [and nicotine](https://www.healthline.com/health/cbd-for-schizophrenia) can interfere with treatment. If you have trouble quitting, your doctor can recommend a cessation program. Stress can aggravate symptoms. You can’t completely eliminate stress, but you can learn to manage it. Try some relaxation and stress management techniques such as: - [meditation](https://www.healthline.com/health/mental-health/types-of-meditation) - [deep breathing](https://www.healthline.com/health/breathing-exercise) - [yoga](https://www.healthline.com/health/fitness-exercises/definitive-guide-to-yoga) - [tai chi](https://www.healthline.com/health/exercise-fitness/tai-chi-moves) In general, it pays to take care of your overall health by: - maintaining a [healthy, balanced diet](https://www.healthline.com/nutrition/healthy-eating-for-beginners) - asking your doctor if you should take any dietary supplements - engaging in [regular exercise](https://www.healthline.com/nutrition/10-benefits-of-exercise) - making sure you get adequate [sleep](https://www.healthline.com/health/natural-sleeping-remedies) - talking to your doctor about [complementary and alternative treatments](https://www.healthline.com/health/schizophrenia/alternative-treatments) - adhering to your overall treatment plan - reporting new or worsening symptoms If you have some of the negative symptoms described, it doesn’t necessarily mean that you have schizophrenia. These symptoms could be due to a variety of other causes. The only way to know for certain is to see a doctor as quickly as possible. Making a diagnosis requires ruling out other causes, such as: - medication - substance use - medical conditions - other mental health disorders This may include: - a physical examination - a drug and alcohol screening - brain imaging studies, such as [CT scan or MRI](https://www.healthline.com/health/ct-scan-vs-mri) - a psychiatric evaluation Schizophrenia is a serious illness. Negative symptoms can affect every aspect of your life. Without treatment, symptoms will likely worsen and make it difficult to live independently. But there are ways to help manage the condition. If you’re already being treated for schizophrenia and your symptoms aren’t getting better, talk to your doctor or seek a second opinion. Negative symptoms can be difficult to spot in a doctor’s visit. That’s why it’s so important to discuss all your symptoms. It might help to describe a typical day in your life. If you or someone you care about has schizophrenia, it will help to learn all you can about the disorder. Ask your doctor where you can find educational materials and support services. Here are some additional resources: - The American Psychiatric Association has a [searchable database](http://finder.psychiatry.org/) so you can find a psychiatrist in your community. - The National Alliance on Mental Illness (NAMI) provides a searchable database of [local chapters](https://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition) and [family support groups](https://www.nami.org/Local-NAMI/Programs?classkey=a1x36000003TN9LAAW). You can also call the Helpline at 800-950-NAMI or text “NAMI” to 741741. - The Substance Abuse and Mental Health Services Association (SAMHSA) has a 24/7 [National Helpline](https://www.samhsa.gov/find-help/national-helpline) for individuals and families dealing with mental or substance use disorders. Call 1-800-662-4357 for information. - Ask your local hospital about social services assistance. Negative symptoms of schizophrenia are those involving the absence of something common to most people. This can include lack of communication, social interaction, and motivation. Though less obvious than positive symptoms like hallucination and delusions, negative symptoms can be just as hard to cope with. Treating negative symptoms is a challenge. But with a combination of drug therapy and psychotherapy, schizophrenia can be managed. It’s important to keep your doctor updated as symptoms change. Following your treatment plan is crucial to your quality of life.
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