🕷️ Crawler Inspector

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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 157 (from laksa047)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa157.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.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669","crawl_time":1776256323,"first_indexed_time":1645604716,"http_code":200,"src_unparsed":"com,verywellmind!www,\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669 s443","src_root_hash":"10064058272378209957","history_drop_reason":null,"meta_title":"Schizophrenic Episodes: Symptoms, Causes, and Treatment","meta_descriptions":["Explore the symptoms, causes, and treatment of schizophrenic episodes, as well as some coping strategies that may be helpful."],"attrs_boilerpipe_text":"Key Takeaways\nSchizophrenic episodes happen when symptoms like hallucinations and delusions are very active.\nA person having a schizophrenic episode may lose touch with reality and find the world confusing.\nSchizophrenic episodes can last days, weeks, or even months.\nWhat Is a Schizophrenic Episode?\nSchizophrenia\nis a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined.\nSymptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says\nDeepak D'Souza\n, MD, a psychiatry professor at Yale School of Medicine.\nA schizophrenic episode, also known as a\npsychotic episode\nor\nacute schizophrenia\n, describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information.\nA schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases. \nSymptoms of Schizophrenic Episodes\nThe symptoms of schizophrenic episodes are broadly classified into three categories:\nPositive symptoms\n, which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia.\nNegative symptoms\n, which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and\ndepression\n. These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity.\nCognitive symptoms\n,\nwhich can include difficulty concentrating and disorganized thoughts, speech, and behavior.\nThese are some of the symptoms of schizophrenic episodes:\nHallucinations:\nThe person may see, hear, taste, smell, or feel things that are not real. The most common form of\nhallucinations\nis auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them.\nDelusions:\nDelusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza.\nDelusions\nmay appear suddenly or develop over weeks or months. They can affect the way the person behaves.\nParanoia:\nParanoia\nis an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.”\nDisorganized thoughts and behaviors:\nThe person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked.\nBehavioral changes:\nThe person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else. \nLack of interest:\nThe person may\nlose interest\nin their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others.\nSocial withdrawal:\nThe person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive.\nDepression:\nThe person may become\ndepressed\nor experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing.\nThese symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life. \nHowever, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza.\nCauses of Schizophrenic Episodes\nThese are some of the factors that can\ncause\nor exacerbate schizophrenic episodes, according to D’Souza:\nStress\nSubstances\n(such as alcohol, cannabis, or cocaine)\nLoss (such as a break-up, the death of a loved one, or the loss of a job)\nLack of sleep\nStopping one’s antipsychotic medication\nTreating Schizophrenic Episodes\nSchizophrenia cannot be permanently cured; however,\ntreatment\ncan help eliminate the symptoms and reduce the occurrence of episodes.\nA combination of therapy and\nantipsychotic medications\nare key to treating episodes of psychosis and schizophrenia in general, says D’Souza. \nTreatment may be able to:\nHelp the person distinguish between what’s real and what isn’t\nStop or reduce hallucinations\nStop or reduce delusions\nReduce feelings of confusion\nAid in clear thinking\nHelp the person resume their everyday activities \nIn some cases, a schizophrenic episode may warrant\nhospitalization\nin a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza.\nCoping With Schizophrenic Episodes\nThese are some steps that can help you\ncope\nwith a schizophrenic episode, according to D’Souza:\nBe in a safe, secure, and predictable environment\nSeek the support of family members and friends\nTake medication regularly\nAttend therapy sessions\nFind ways to limit and manage stress\nAvoid substances such as alcohol, cannabis, or cocaine\nStay engaged with work or school and your community\nBy\nSanjana Gupta\nSanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.\nWas this page helpful?\nThanks for your feedback!\nWhat is your feedback?","attrs_markdown":"[Skip to content](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#skip-to-content)\n\nMenu\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n  - [Addiction](https:\/\/www.verywellmind.com\/addiction-overview-4581803)\n  - [Depression](https:\/\/www.verywellmind.com\/depression-4157261)\n  - [ADHD](https:\/\/www.verywellmind.com\/adhd-overview-4581801)\n  - [Anxiety](https:\/\/www.verywellmind.com\/anxiety-7508391)\n  - [Bipolar Disorder](https:\/\/www.verywellmind.com\/bipolar-disorder-4157274)\n  - [PTSD](https:\/\/www.verywellmind.com\/ptsd-4157229)\n  - [View All](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Therapy](https:\/\/www.verywellmind.com\/therapy-4581775)\n  - [Therapy Center](https:\/\/www.verywellmind.com\/therapy-7092217)\n  - 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[Types of Therapy](https:\/\/www.verywellmind.com\/how-to-choose-the-best-type-of-therapy-for-you-6500320)\n  - [Best Online Therapy](https:\/\/www.verywellmind.com\/best-online-therapy-4691206)\n  - [Best Couples Therapy](https:\/\/www.verywellmind.com\/best-online-marriage-counseling-4691952)\n  - [View All](https:\/\/www.verywellmind.com\/therapy-4581775)\n- [Living Well](https:\/\/www.verywellmind.com\/living-well-7510832)\n  - [Managing Stress](https:\/\/www.verywellmind.com\/stress-management-overview-4581770)\n  - [Meditation](https:\/\/www.verywellmind.com\/meditation-and-mindfulness-4581783)\n  - [Sleep and Dreaming](https:\/\/www.verywellmind.com\/sleep-and-dreaming-4157166)\n  - [Understanding Emotions](https:\/\/www.verywellmind.com\/emotions-4157165)\n  - [Self-Improvement](https:\/\/www.verywellmind.com\/self-improvement-4157212)\n  - [View All](https:\/\/www.verywellmind.com\/living-well-7510832)\n- [Relationships](https:\/\/www.verywellmind.com\/relationships-4157190)\n  - [Healthy Relationships](https:\/\/www.verywellmind.com\/strengthening-relationships-4162997)\n  - [Dating](https:\/\/www.verywellmind.com\/dating-tips-and-strategies-7511571)\n  - [Intimacy](https:\/\/www.verywellmind.com\/sex-and-relationships-7511610)\n  - [View All](https:\/\/www.verywellmind.com\/relationships-4157190)\n- [Psychology](https:\/\/www.verywellmind.com\/psychology-4157187)\n  - [Theories](https:\/\/www.verywellmind.com\/theories-of-psychology-4157184)\n  - [Student Resources](https:\/\/www.verywellmind.com\/student-resources-overview-4581768)\n  - [Personality Types](https:\/\/www.verywellmind.com\/the-myers-briggs-type-indicator-2795583)\n  - [View All](https:\/\/www.verywellmind.com\/psychology-4157187)\n- [Trending](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n  - [Quizzes](https:\/\/www.verywellmind.com\/quizzes-8609222)\n  - [Guided Meditations](https:\/\/www.verywellmind.com\/guided-meditations-8609227)\n  - [Verywell Mind Insights](https:\/\/www.verywellmind.com\/mental-health-data-insights-5185693)\n  - [2024 Verywell Mind 25](https:\/\/www.verywellmind.com\/the-verywell-mind-25-2024-7484480)\n  - [Mental Health in the Classroom](https:\/\/www.verywellmind.com\/mental-health-in-the-classroom-survey-7569880)\n  - [View All](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n\n[More in Schizophrenia](https:\/\/www.verywellmind.com\/schizophrenia-4157221)\n\n- [Symptoms and Diagnosis](https:\/\/www.verywellmind.com\/schizophrenia-symptoms-and-diagnosis-7508393)\n- [Living With](https:\/\/www.verywellmind.com\/living-with-schizophrenia-7508398)\n- [Treatment](https:\/\/www.verywellmind.com\/schizophrenia-treatment-7508395)\n\n- [About Us](https:\/\/www.verywellmind.com\/about-us-5184564)\n- [Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n- [Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n- [Crisis Support](https:\/\/www.verywellmind.com\/crisis-support-6666353)\n\nVerywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\n# What Is a Schizophrenic Episode?\nBy\n\n[Sanjana Gupta](https:\/\/www.verywellmind.com\/sanjana-gupta-5188040)\n\n![Sanjana Gupta Bio Photo]()\n\n![Sanjana Gupta Bio Photo](https:\/\/www.verywellmind.com\/thmb\/d7c_OAQhlWkYE-A2YAlK0cSTtyA=\/200x200\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg)\n\n[Sanjana Gupta](https:\/\/www.verywellmind.com\/sanjana-gupta-5188040)\n\nSanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.\n\nLearn about our  [editorial process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n\nUpdated on December 04, 2025\n\nMedically reviewed\n\nVerywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. [Learn more](https:\/\/www.verywellmind.com\/review-board-4796494).\n\nby\n\n[Steven Gans, MD](https:\/\/www.verywellmind.com\/steven-gans-md-4779222)\n\n![Steven Gans]()\n\n![Steven Gans](https:\/\/www.verywellmind.com\/thmb\/fZ_tk7yoILxKtKtadDqryfeRKaE=\/200x200\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/steven-gans-1000-51582b7f23b6462f8713961deb74959f.jpg)\n\nMedically reviewed by [Steven Gans, MD](https:\/\/www.verywellmind.com\/steven-gans-md-4779222)\n\nSteven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.\n\nLearn about our  [Medical Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n\n![sad bipoc woman](https:\/\/www.verywellmind.com\/thmb\/6wg00Gl25fTWyX5LTC_htv7w4hk=\/1500x0\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1162079525-5f428caa8eb34a58966a42a634791c83.jpg)\n\n![sad bipoc woman](https:\/\/www.verywellmind.com\/thmb\/6wg00Gl25fTWyX5LTC_htv7w4hk=\/1500x0\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1162079525-5f428caa8eb34a58966a42a634791c83.jpg)\n\nYuri\\_Arcurs \/ Getty Images\n\nTable of Contents\n\nView All\n\nTable of Contents\n\n- [What Is a Schizophrenic Episode?](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-what-is-a-schizophrenic-episode)\n- [Symptoms](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-symptoms-of-schizophrenic-episodes)\n- [Causes](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-causes-of-schizophrenic-episodes)\n- [Treatment](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-treating-schizophrenic-episodes)\n- [Coping](https:\/\/www.verywellmind.com\/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-coping-with-schizophrenic-episodes)\n\nClose\n\n### Key Takeaways\n- Schizophrenic episodes happen when symptoms like hallucinations and delusions are very active.\n- A person having a schizophrenic episode may lose touch with reality and find the world confusing.\n- Schizophrenic episodes can last days, weeks, or even months.\n## What Is a Schizophrenic Episode?\n[Schizophrenia](https:\/\/www.verywellmind.com\/schizophrenia-4157221) is a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined.\n\nSymptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says [Deepak D'Souza](https:\/\/medicine.yale.edu\/profile\/deepak_dsouza\/), MD, a psychiatry professor at Yale School of Medicine.\n\nA schizophrenic episode, also known as a [psychotic episode](https:\/\/www.verywellmind.com\/what-is-psychosis-p2-379828) or [acute schizophrenia](https:\/\/www.verywellmind.com\/acute-schizophrenia-4797407), describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information.\n\nA schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases.\n\n## Symptoms of Schizophrenic Episodes\nThe symptoms of schizophrenic episodes are broadly classified into three categories:\n\n- [**Positive symptoms**](https:\/\/www.verywellmind.com\/positive-symptoms-in-schizophrenia-2953124), which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia.\n- [**Negative symptoms**](https:\/\/www.verywellmind.com\/negative-symptoms-in-schizophrenia-2953123), which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and [depression](https:\/\/www.verywellmind.com\/depression-facts-you-should-know-1067617). These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity.\n- [**Cognitive symptoms**](https:\/\/www.verywellmind.com\/thinking-process-abnormalities-in-schizophrenia-2953131),which can include difficulty concentrating and disorganized thoughts, speech, and behavior.\n\nIf you are having suicidal thoughts, contact the [National Suicide Prevention Lifeline](https:\/\/suicidepreventionlifeline.org\/) at **988** for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.\n\nFor more mental health resources, see our [National Helpline Database](https:\/\/www.verywellmind.com\/national-helpline-database-4799696).\n\nThese are some of the symptoms of schizophrenic episodes:\n\n- **Hallucinations:** The person may see, hear, taste, smell, or feel things that are not real. The most common form of [hallucinations](https:\/\/www.verywellmind.com\/what-are-hallucinations-378819) is auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them.\n- **Delusions:** Delusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza. [Delusions](https:\/\/www.verywellmind.com\/definition-of-delusion-4580458) may appear suddenly or develop over weeks or months. They can affect the way the person behaves.\n- **Paranoia:** [Paranoia](https:\/\/www.verywellmind.com\/what-is-paranoia-378960) is an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.”\n- **Disorganized thoughts and behaviors:** The person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked.\n- **Behavioral changes:** The person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else.\n- **Lack of interest:** The person may [lose interest](https:\/\/www.verywellmind.com\/understanding-avolition-379999) in their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others.\n- **Social withdrawal:** The person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive.\n- **Depression:** The person may become [depressed](https:\/\/www.verywellmind.com\/psychotic-depression-1066607) or experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing.\n\nThese symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life.\n\nHowever, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza.\n\n## Causes of Schizophrenic Episodes\nThese are some of the factors that can [cause](https:\/\/www.verywellmind.com\/what-causes-schizophrenia-2953136) or exacerbate schizophrenic episodes, according to D’Souza:\n\n- Stress\n- [Substances](https:\/\/www.verywellmind.com\/what-is-substance-medication-induced-anxiety-disorder-21936) (such as alcohol, cannabis, or cocaine)\n- Loss (such as a break-up, the death of a loved one, or the loss of a job)\n- Lack of sleep\n- Stopping one’s antipsychotic medication\n\n[Causes and Risk Factors of Schizophrenia](https:\/\/www.verywellmind.com\/what-causes-schizophrenia-2953136)\n\n## Treating Schizophrenic Episodes\nSchizophrenia cannot be permanently cured; however, [treatment](https:\/\/www.verywellmind.com\/schizophrenia-treatments-2330662) can help eliminate the symptoms and reduce the occurrence of episodes.\n\nA combination of therapy and [antipsychotic medications](https:\/\/www.verywellmind.com\/atypical-antipsychotics-379663) are key to treating episodes of psychosis and schizophrenia in general, says D’Souza.\n\nTreatment may be able to:\n\n- Help the person distinguish between what’s real and what isn’t\n- Stop or reduce hallucinations\n- Stop or reduce delusions\n- Reduce feelings of confusion\n- Aid in clear thinking\n- Help the person resume their everyday activities\n\nIn some cases, a schizophrenic episode may warrant [hospitalization](https:\/\/www.verywellmind.com\/what-happens-when-you-are-hospitalized-for-depression-1067262) in a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza.\n\n## Coping With Schizophrenic Episodes\nThese are some steps that can help you [cope](https:\/\/www.verywellmind.com\/coping-with-schizophrenia-2953094) with a schizophrenic episode, according to D’Souza:\n\n- Be in a safe, secure, and predictable environment\n- Seek the support of family members and friends\n- Take medication regularly\n- Attend therapy sessions\n- Find ways to limit and manage stress\n- Avoid substances such as alcohol, cannabis, or cocaine\n- Stay engaged with work or school and your community\n\n[The Internal Experience of Schizophrenia](https:\/\/www.verywellmind.com\/the-internal-experience-of-schizophrenia-2953095)\n\nRead more:\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Schizophrenia](https:\/\/www.verywellmind.com\/schizophrenia-4157221)\n- [Symptoms and Diagnosis](https:\/\/www.verywellmind.com\/schizophrenia-symptoms-and-diagnosis-7508393)\n\n2 Sources\n\nVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\n\n1. Patel KR, Cherian J, Gohil K, Atkinson D. [Schizophrenia: overview and treatment options](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4159061\/). *Pharmacy & Therapeutics.* 2014;39(9):638-645.\n2. Rajkumar RP. [Depressive symptoms during an acute schizophrenic episode: frequency and clinical correlates](https:\/\/pubmed.ncbi.nlm.nih.gov\/26664745\/). *Depress Res Treat*. 2015;2015:674641. doi:10.1155\/2015\/674641\n\nAdditional Reading\n\n- American Psychiatric Association. [What is schizophrenia?](https:\/\/www.psychiatry.org\/patients-families\/schizophrenia\/what-is-schizophrenia)\n- Cleveland Clinic. [Schizophrenia](https:\/\/my.clevelandclinic.org\/health\/diseases\/4568-schizophrenia).\n- National Alliance on Mental Illness. [Schizophrenia](https:\/\/www.nami.org\/About-Mental-Illness\/Mental-Health-Conditions\/Schizophrenia).\n- National Health Service. [Schizophrenia symptoms](https:\/\/www.nhs.uk\/mental-health\/conditions\/schizophrenia\/symptoms\/).\n\n![Sanjana Gupta Bio Photo]()\n\n![Sanjana Gupta Bio Photo](https:\/\/www.verywellmind.com\/thmb\/h2A4Dg55n_LbpYTo1GLUCusXcXI=\/144x144\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg)\n\nBy [Sanjana Gupta](https:\/\/www.verywellmind.com\/sanjana-gupta-5188040)   \n Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.\n\n[See Our Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n\n[Meet Our Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n\nShare Feedback\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?\n\nHelpful\n\nReport an Error\n\nOther\n\nRelated Articles\n\n[![Anxious Arabic woman feel unhappy thinking at home]() ![Anxious Arabic woman feel unhappy thinking at home](https:\/\/www.verywellmind.com\/thmb\/NYcvNMlJykMyNEOYwAaYUgOO9t8=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1267716518-3054f28e0d104798a8861409c6f35596.jpg) Delusions versus Hallucinations: What Are the Differences?](https:\/\/www.verywellmind.com\/delusions-vs-hallucinations-types-causes-diagnosis-and-treatment-5270271)\n\n[![Young man sitting on bed]() ![Young man sitting on 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Disorder?](https:\/\/www.verywellmind.com\/what-is-schizoaffective-disorder-4171702)\n\n[![Portrait of older adult man lost in thought looking out a window]() ![Portrait of older adult man lost in thought looking out a window](https:\/\/www.verywellmind.com\/thmb\/55ho6lN75YoEdLVr5mjsj99jePM=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1217028009-c8665ea222514e2ebd02c60c201a3e39.jpg) What Are Persecutory Delusions?](https:\/\/www.verywellmind.com\/what-are-persecutory-delusions-4586500)\n\n[![Woman clutching her head in mental anguish]() ![Woman clutching her head in mental anguish](https:\/\/www.verywellmind.com\/thmb\/KzMPMfiloiwzWBKFvmSaIDsMVgs=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/149627809-56a833995f9b58b7d0f1808b.jpg) Signs and Symptoms of Schizophrenia](https:\/\/www.verywellmind.com\/what-are-the-symptoms-of-schizophrenia-2953120)\n\n[![A woman with schizophrenia looking scared.]() ![A woman with 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condition.](https:\/\/www.verywellmind.com\/thmb\/iXv7zDQTMYeQ9r7wo3zDBNH7xNg=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-561066039-5a295c42eb4d520036377982.jpg) Schizophrenia in Children](https:\/\/www.verywellmind.com\/identifying-schizophrenia-in-children-4155780)\n\n[![Woman looking out of the window at night]() ![Woman looking out of the window at night](https:\/\/www.verywellmind.com\/thmb\/6htockacq_Vvljju90oa8D5K_Xk=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1030906744-5c93f55646e0fb000165dfcd.jpg) Paranoia as a Symptom of Schizophrenia](https:\/\/www.verywellmind.com\/what-is-paranoid-schizophrenia-4155331)\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Therapy](https:\/\/www.verywellmind.com\/therapy-4581775)\n- [Living Well](https:\/\/www.verywellmind.com\/living-well-7510832)\n- [Relationships](https:\/\/www.verywellmind.com\/relationships-4157190)\n- [Psychology](https:\/\/www.verywellmind.com\/psychology-4157187)\n- [Trending](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n\n- [Meet Our Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n- [About Us](https:\/\/www.verywellmind.com\/about-us-5184564)\n- [Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n- [Privacy Policy](https:\/\/www.people.inc\/brands-privacy)\n- [In the News](https:\/\/www.verywellmind.com\/in-the-news-4782525)\n- [Advertise](https:\/\/www.people.inc\/advertising)\n- [Terms of Service](https:\/\/www.people.inc\/brands-termsofservice)\n- [Careers](https:\/\/www.people.inc\/careers)\n- [Contact](https:\/\/www.verywellmind.com\/about-us-5184564#toc-contact-us)\n- [Crisis Support](https:\/\/www.verywellmind.com\/crisis-support-6666353)\n\nFollow Us\n\nVerywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\nVerywell Mind is part of the [People Inc.](https:\/\/www.people.inc\/) publishing family.","attrs_readable_markdown":"### Key Takeaways\n- Schizophrenic episodes happen when symptoms like hallucinations and delusions are very active.\n- A person having a schizophrenic episode may lose touch with reality and find the world confusing.\n- Schizophrenic episodes can last days, weeks, or even months.\n## What Is a Schizophrenic Episode?\n[Schizophrenia](https:\/\/www.verywellmind.com\/schizophrenia-4157221) is a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined.\n\nSymptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says [Deepak D'Souza](https:\/\/medicine.yale.edu\/profile\/deepak_dsouza\/), MD, a psychiatry professor at Yale School of Medicine.\n\nA schizophrenic episode, also known as a [psychotic episode](https:\/\/www.verywellmind.com\/what-is-psychosis-p2-379828) or [acute schizophrenia](https:\/\/www.verywellmind.com\/acute-schizophrenia-4797407), describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information.\n\nA schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases.\n\n## Symptoms of Schizophrenic Episodes\nThe symptoms of schizophrenic episodes are broadly classified into three categories:\n\n- [**Positive symptoms**](https:\/\/www.verywellmind.com\/positive-symptoms-in-schizophrenia-2953124), which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia.\n- [**Negative symptoms**](https:\/\/www.verywellmind.com\/negative-symptoms-in-schizophrenia-2953123), which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and [depression](https:\/\/www.verywellmind.com\/depression-facts-you-should-know-1067617). These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity.\n- [**Cognitive symptoms**](https:\/\/www.verywellmind.com\/thinking-process-abnormalities-in-schizophrenia-2953131),which can include difficulty concentrating and disorganized thoughts, speech, and behavior.\n\nThese are some of the symptoms of schizophrenic episodes:\n\n- **Hallucinations:** The person may see, hear, taste, smell, or feel things that are not real. The most common form of [hallucinations](https:\/\/www.verywellmind.com\/what-are-hallucinations-378819) is auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them.\n- **Delusions:** Delusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza. [Delusions](https:\/\/www.verywellmind.com\/definition-of-delusion-4580458) may appear suddenly or develop over weeks or months. They can affect the way the person behaves.\n- **Paranoia:** [Paranoia](https:\/\/www.verywellmind.com\/what-is-paranoia-378960) is an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.”\n- **Disorganized thoughts and behaviors:** The person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked.\n- **Behavioral changes:** The person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else.\n- **Lack of interest:** The person may [lose interest](https:\/\/www.verywellmind.com\/understanding-avolition-379999) in their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others.\n- **Social withdrawal:** The person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive.\n- **Depression:** The person may become [depressed](https:\/\/www.verywellmind.com\/psychotic-depression-1066607) or experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing.\n\nThese symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life.\n\nHowever, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza.\n\n## Causes of Schizophrenic Episodes\nThese are some of the factors that can [cause](https:\/\/www.verywellmind.com\/what-causes-schizophrenia-2953136) or exacerbate schizophrenic episodes, according to D’Souza:\n\n- Stress\n- [Substances](https:\/\/www.verywellmind.com\/what-is-substance-medication-induced-anxiety-disorder-21936) (such as alcohol, cannabis, or cocaine)\n- Loss (such as a break-up, the death of a loved one, or the loss of a job)\n- Lack of sleep\n- Stopping one’s antipsychotic medication\n## Treating Schizophrenic Episodes\nSchizophrenia cannot be permanently cured; however, [treatment](https:\/\/www.verywellmind.com\/schizophrenia-treatments-2330662) can help eliminate the symptoms and reduce the occurrence of episodes.\n\nA combination of therapy and [antipsychotic medications](https:\/\/www.verywellmind.com\/atypical-antipsychotics-379663) are key to treating episodes of psychosis and schizophrenia in general, says D’Souza.\n\nTreatment may be able to:\n\n- Help the person distinguish between what’s real and what isn’t\n- Stop or reduce hallucinations\n- Stop or reduce delusions\n- Reduce feelings of confusion\n- Aid in clear thinking\n- Help the person resume their everyday activities\n\nIn some cases, a schizophrenic episode may warrant [hospitalization](https:\/\/www.verywellmind.com\/what-happens-when-you-are-hospitalized-for-depression-1067262) in a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza.\n\n## Coping With Schizophrenic Episodes\nThese are some steps that can help you [cope](https:\/\/www.verywellmind.com\/coping-with-schizophrenia-2953094) with a schizophrenic episode, according to D’Souza:\n\n- Be in a safe, secure, and predictable environment\n- Seek the support of family members and friends\n- Take medication regularly\n- Attend therapy sessions\n- Find ways to limit and manage stress\n- Avoid substances such as alcohol, cannabis, or cocaine\n- Stay engaged with work or school and your community\n\n![Sanjana Gupta Bio Photo](https:\/\/www.verywellmind.com\/thmb\/h2A4Dg55n_LbpYTo1GLUCusXcXI=\/144x144\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg)\n\nBy [Sanjana Gupta](https:\/\/www.verywellmind.com\/sanjana-gupta-5188040)   \n Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?","meta_canonical":null}

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Boilerpipe Text	Key Takeaways Schizophrenic episodes happen when symptoms like hallucinations and delusions are very active. A person having a schizophrenic episode may lose touch with reality and find the world confusing. Schizophrenic episodes can last days, weeks, or even months. What Is a Schizophrenic Episode? Schizophrenia is a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined. Symptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says Deepak D'Souza , MD, a psychiatry professor at Yale School of Medicine. A schizophrenic episode, also known as a psychotic episode or acute schizophrenia , describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information. A schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases. Symptoms of Schizophrenic Episodes The symptoms of schizophrenic episodes are broadly classified into three categories: Positive symptoms , which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia. Negative symptoms , which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and depression . These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity. Cognitive symptoms , which can include difficulty concentrating and disorganized thoughts, speech, and behavior. These are some of the symptoms of schizophrenic episodes: Hallucinations: The person may see, hear, taste, smell, or feel things that are not real. The most common form of hallucinations is auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them. Delusions: Delusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza. Delusions may appear suddenly or develop over weeks or months. They can affect the way the person behaves. Paranoia: Paranoia is an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.” Disorganized thoughts and behaviors: The person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked. Behavioral changes: The person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else. Lack of interest: The person may lose interest in their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others. Social withdrawal: The person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive. Depression: The person may become depressed or experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing. These symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life. However, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza. Causes of Schizophrenic Episodes These are some of the factors that can cause or exacerbate schizophrenic episodes, according to D’Souza: Stress Substances (such as alcohol, cannabis, or cocaine) Loss (such as a break-up, the death of a loved one, or the loss of a job) Lack of sleep Stopping one’s antipsychotic medication Treating Schizophrenic Episodes Schizophrenia cannot be permanently cured; however, treatment can help eliminate the symptoms and reduce the occurrence of episodes. A combination of therapy and antipsychotic medications are key to treating episodes of psychosis and schizophrenia in general, says D’Souza. Treatment may be able to: Help the person distinguish between what’s real and what isn’t Stop or reduce hallucinations Stop or reduce delusions Reduce feelings of confusion Aid in clear thinking Help the person resume their everyday activities In some cases, a schizophrenic episode may warrant hospitalization in a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza. Coping With Schizophrenic Episodes These are some steps that can help you cope with a schizophrenic episode, according to D’Souza: Be in a safe, secure, and predictable environment Seek the support of family members and friends Take medication regularly Attend therapy sessions Find ways to limit and manage stress Avoid substances such as alcohol, cannabis, or cocaine Stay engaged with work or school and your community By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness. Was this page helpful? Thanks for your feedback! What is your feedback?
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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2026 People Inc. — All rights reserved # What Is a Schizophrenic Episode? By [Sanjana Gupta](https://www.verywellmind.com/sanjana-gupta-5188040) ![Sanjana Gupta Bio Photo]() ![Sanjana Gupta Bio Photo](https://www.verywellmind.com/thmb/d7c_OAQhlWkYE-A2YAlK0cSTtyA=/200x200/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg) [Sanjana Gupta](https://www.verywellmind.com/sanjana-gupta-5188040) Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness. Learn about our [editorial process](https://www.verywellmind.com/our-editorial-process-4778006) Updated on December 04, 2025 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. [Learn more](https://www.verywellmind.com/review-board-4796494). by [Steven Gans, MD](https://www.verywellmind.com/steven-gans-md-4779222) ![Steven Gans]() ![Steven Gans](https://www.verywellmind.com/thmb/fZ_tk7yoILxKtKtadDqryfeRKaE=/200x200/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/steven-gans-1000-51582b7f23b6462f8713961deb74959f.jpg) Medically reviewed by [Steven Gans, MD](https://www.verywellmind.com/steven-gans-md-4779222) Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our [Medical Review Board](https://www.verywellmind.com/review-board-4796494) ![sad bipoc woman](https://www.verywellmind.com/thmb/6wg00Gl25fTWyX5LTC_htv7w4hk=/1500x0/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/GettyImages-1162079525-5f428caa8eb34a58966a42a634791c83.jpg) ![sad bipoc woman](https://www.verywellmind.com/thmb/6wg00Gl25fTWyX5LTC_htv7w4hk=/1500x0/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/GettyImages-1162079525-5f428caa8eb34a58966a42a634791c83.jpg) Yuri\_Arcurs / Getty Images Table of Contents View All Table of Contents - [What Is a Schizophrenic Episode?](https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-what-is-a-schizophrenic-episode) - [Symptoms](https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-symptoms-of-schizophrenic-episodes) - [Causes](https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-causes-of-schizophrenic-episodes) - [Treatment](https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-treating-schizophrenic-episodes) - [Coping](https://www.verywellmind.com/schizophrenic-episodes-symptoms-causes-and-treatment-5219669#toc-coping-with-schizophrenic-episodes) Close ### Key Takeaways - Schizophrenic episodes happen when symptoms like hallucinations and delusions are very active. - A person having a schizophrenic episode may lose touch with reality and find the world confusing. - Schizophrenic episodes can last days, weeks, or even months. ## What Is a Schizophrenic Episode? [Schizophrenia](https://www.verywellmind.com/schizophrenia-4157221) is a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined. Symptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says [Deepak D'Souza](https://medicine.yale.edu/profile/deepak_dsouza/), MD, a psychiatry professor at Yale School of Medicine. A schizophrenic episode, also known as a [psychotic episode](https://www.verywellmind.com/what-is-psychosis-p2-379828) or [acute schizophrenia](https://www.verywellmind.com/acute-schizophrenia-4797407), describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information. A schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases. ## Symptoms of Schizophrenic Episodes The symptoms of schizophrenic episodes are broadly classified into three categories: - [Positive symptoms](https://www.verywellmind.com/positive-symptoms-in-schizophrenia-2953124), which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia. - [Negative symptoms](https://www.verywellmind.com/negative-symptoms-in-schizophrenia-2953123), which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and [depression](https://www.verywellmind.com/depression-facts-you-should-know-1067617). These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity. - [Cognitive symptoms](https://www.verywellmind.com/thinking-process-abnormalities-in-schizophrenia-2953131),which can include difficulty concentrating and disorganized thoughts, speech, and behavior. If you are having suicidal thoughts, contact the [National Suicide Prevention Lifeline](https://suicidepreventionlifeline.org/) at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our [National Helpline Database](https://www.verywellmind.com/national-helpline-database-4799696). These are some of the symptoms of schizophrenic episodes: - Hallucinations: The person may see, hear, taste, smell, or feel things that are not real. The most common form of [hallucinations](https://www.verywellmind.com/what-are-hallucinations-378819) is auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them. - Delusions: Delusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza. [Delusions](https://www.verywellmind.com/definition-of-delusion-4580458) may appear suddenly or develop over weeks or months. They can affect the way the person behaves. - Paranoia: [Paranoia](https://www.verywellmind.com/what-is-paranoia-378960) is an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.” - Disorganized thoughts and behaviors: The person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked. - Behavioral changes: The person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else. - Lack of interest: The person may [lose interest](https://www.verywellmind.com/understanding-avolition-379999) in their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others. - Social withdrawal: The person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive. - Depression: The person may become [depressed](https://www.verywellmind.com/psychotic-depression-1066607) or experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing. These symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life. However, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza. ## Causes of Schizophrenic Episodes These are some of the factors that can [cause](https://www.verywellmind.com/what-causes-schizophrenia-2953136) or exacerbate schizophrenic episodes, according to D’Souza: - Stress - [Substances](https://www.verywellmind.com/what-is-substance-medication-induced-anxiety-disorder-21936) (such as alcohol, cannabis, or cocaine) - Loss (such as a break-up, the death of a loved one, or the loss of a job) - Lack of sleep - Stopping one’s antipsychotic medication [Causes and Risk Factors of Schizophrenia](https://www.verywellmind.com/what-causes-schizophrenia-2953136) ## Treating Schizophrenic Episodes Schizophrenia cannot be permanently cured; however, [treatment](https://www.verywellmind.com/schizophrenia-treatments-2330662) can help eliminate the symptoms and reduce the occurrence of episodes. A combination of therapy and [antipsychotic medications](https://www.verywellmind.com/atypical-antipsychotics-379663) are key to treating episodes of psychosis and schizophrenia in general, says D’Souza. Treatment may be able to: - Help the person distinguish between what’s real and what isn’t - Stop or reduce hallucinations - Stop or reduce delusions - Reduce feelings of confusion - Aid in clear thinking - Help the person resume their everyday activities In some cases, a schizophrenic episode may warrant [hospitalization](https://www.verywellmind.com/what-happens-when-you-are-hospitalized-for-depression-1067262) in a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza. ## Coping With Schizophrenic Episodes These are some steps that can help you [cope](https://www.verywellmind.com/coping-with-schizophrenia-2953094) with a schizophrenic episode, according to D’Souza: - Be in a safe, secure, and predictable environment - Seek the support of family members and friends - Take medication regularly - Attend therapy sessions - Find ways to limit and manage stress - Avoid substances such as alcohol, cannabis, or cocaine - Stay engaged with work or school and your community [The Internal Experience of Schizophrenia](https://www.verywellmind.com/the-internal-experience-of-schizophrenia-2953095) Read more: - [Conditions A-Z](https://www.verywellmind.com/conditions-a-z-4797402) - [Schizophrenia](https://www.verywellmind.com/schizophrenia-4157221) - [Symptoms and Diagnosis](https://www.verywellmind.com/schizophrenia-symptoms-and-diagnosis-7508393) 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellmind.com/our-editorial-process-4778006) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. Patel KR, Cherian J, Gohil K, Atkinson D. [Schizophrenia: overview and treatment options](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159061/). Pharmacy & Therapeutics. 2014;39(9):638-645. 2. Rajkumar RP. [Depressive symptoms during an acute schizophrenic episode: frequency and clinical correlates](https://pubmed.ncbi.nlm.nih.gov/26664745/). Depress Res Treat. 2015;2015:674641. doi:10.1155/2015/674641 Additional Reading - American Psychiatric Association. [What is schizophrenia?](https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia) - Cleveland Clinic. [Schizophrenia](https://my.clevelandclinic.org/health/diseases/4568-schizophrenia). - National Alliance on Mental Illness. [Schizophrenia](https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Schizophrenia). - National Health Service. [Schizophrenia symptoms](https://www.nhs.uk/mental-health/conditions/schizophrenia/symptoms/). ![Sanjana Gupta Bio Photo]() ![Sanjana Gupta Bio Photo](https://www.verywellmind.com/thmb/h2A4Dg55n_LbpYTo1GLUCusXcXI=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg) By [Sanjana Gupta](https://www.verywellmind.com/sanjana-gupta-5188040) Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness. [See Our Editorial Process](https://www.verywellmind.com/our-editorial-process-4778006) [Meet Our Review Board](https://www.verywellmind.com/review-board-4796494) Share Feedback Was this page helpful? Thanks for your feedback\! What is your feedback? 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Readable Markdown	### Key Takeaways - Schizophrenic episodes happen when symptoms like hallucinations and delusions are very active. - A person having a schizophrenic episode may lose touch with reality and find the world confusing. - Schizophrenic episodes can last days, weeks, or even months. ## What Is a Schizophrenic Episode? [Schizophrenia](https://www.verywellmind.com/schizophrenia-4157221) is a chronic brain disorder. It is a mental illness characterized by psychosis, which is when people have trouble distinguishing between what is real and what is imagined. Symptoms of psychosis can include hallucinations, delusions, paranoia, and incoherence, says [Deepak D'Souza](https://medicine.yale.edu/profile/deepak_dsouza/), MD, a psychiatry professor at Yale School of Medicine. A schizophrenic episode, also known as a [psychotic episode](https://www.verywellmind.com/what-is-psychosis-p2-379828) or [acute schizophrenia](https://www.verywellmind.com/acute-schizophrenia-4797407), describes a time when the person’s symptoms are particularly active, says D’Souza. Depending on the severity of the schizophrenic episode, the person may lose touch with reality, and the world can seem like a confusing jumble of sights, sounds, and information. A schizophrenic episode can last days or weeks—in rare cases, even months, says D’Souza. Some people may experience only one or two schizophrenic episodes in their lifetime, whereas for others, the episodes may come and go in phases. ## Symptoms of Schizophrenic Episodes The symptoms of schizophrenic episodes are broadly classified into three categories: - [Positive symptoms](https://www.verywellmind.com/positive-symptoms-in-schizophrenia-2953124), which include delusions, hallucinations, paranoia, and psychotic behaviors that are not seen in those without schizophrenia. - [Negative symptoms](https://www.verywellmind.com/negative-symptoms-in-schizophrenia-2953123), which are emotional and behavioral symptoms, such as social withdrawal, lack of interest or motivation, and [depression](https://www.verywellmind.com/depression-facts-you-should-know-1067617). These symptoms may appear years before the person has their first schizophrenic episode and gradually get worse over time. They can be harder to diagnose than positive symptoms, but are associated with higher rates of suicidal behavior and morbidity. - [Cognitive symptoms](https://www.verywellmind.com/thinking-process-abnormalities-in-schizophrenia-2953131),which can include difficulty concentrating and disorganized thoughts, speech, and behavior. These are some of the symptoms of schizophrenic episodes: - Hallucinations: The person may see, hear, taste, smell, or feel things that are not real. The most common form of [hallucinations](https://www.verywellmind.com/what-are-hallucinations-378819) is auditory, and they include hearing voices that nobody else can hear, even when no one is around, says D’Souza. The voices may be friendly, threatening, abusive, critical, or annoying. They may talk to the person, have discussions with them, or give them instructions. Hallucinations can be very real to the person experiencing them. - Delusions: Delusions are false beliefs that are not based on real facts, but the person may believe them with absolute conviction, despite being shown evidence to the contrary. For instance, the person may believe that their thoughts are being controlled by space aliens, that they are on a special mission, or that they have special powers, says D’Souza. [Delusions](https://www.verywellmind.com/definition-of-delusion-4580458) may appear suddenly or develop over weeks or months. They can affect the way the person behaves. - Paranoia: [Paranoia](https://www.verywellmind.com/what-is-paranoia-378960) is an irrational feeling of suspicion and mistrust. The person may believe they are being followed and watched when that is not the case, says D’Souza. “Sometimes paranoia can cause the person to feel very unsafe.” - Disorganized thoughts and behaviors: The person’s speech may be incoherent and their behaviors may not make sense, says D’Souza. Their thoughts may be jumbled and confused. They may struggle to hold on to a thought or make sense of their surroundings. They may also feel like their thoughts are blocked. - Behavioral changes: The person’s behavior may change in unpredictable ways and they may behave in a manner that is inappropriate to the situation. They may feel like their body has been taken over and their thoughts and actions are being controlled by someone else. - Lack of interest: The person may [lose interest](https://www.verywellmind.com/understanding-avolition-379999) in their work, studies, relationships, and other activities. They may not have the motivation to pursue any interests or to initiate conversations or connections with others. - Social withdrawal: The person may become socially withdrawn and cut themselves off from friends, family, work, and their community. They may not be able to function at work or school and may not want to leave their house. The may struggle with chores or other activities and become very inactive. - Depression: The person may become [depressed](https://www.verywellmind.com/psychotic-depression-1066607) or experience mood swings. Their emotions may feel dulled or they may have difficulty empathizing. These symptoms can make it difficult for a person to function on a daily basis. People with mild episodes may be able to understand some parts of reality and lead a somewhat normal life. However, severe episodes can cause the person to disconnect from reality and compromise their ability to eat, maintain personal hygiene, work, and get around. The person may not be able to take care of their basic needs during these episodes, says D’Souza. ## Causes of Schizophrenic Episodes These are some of the factors that can [cause](https://www.verywellmind.com/what-causes-schizophrenia-2953136) or exacerbate schizophrenic episodes, according to D’Souza: - Stress - [Substances](https://www.verywellmind.com/what-is-substance-medication-induced-anxiety-disorder-21936) (such as alcohol, cannabis, or cocaine) - Loss (such as a break-up, the death of a loved one, or the loss of a job) - Lack of sleep - Stopping one’s antipsychotic medication ## Treating Schizophrenic Episodes Schizophrenia cannot be permanently cured; however, [treatment](https://www.verywellmind.com/schizophrenia-treatments-2330662) can help eliminate the symptoms and reduce the occurrence of episodes. A combination of therapy and [antipsychotic medications](https://www.verywellmind.com/atypical-antipsychotics-379663) are key to treating episodes of psychosis and schizophrenia in general, says D’Souza. Treatment may be able to: - Help the person distinguish between what’s real and what isn’t - Stop or reduce hallucinations - Stop or reduce delusions - Reduce feelings of confusion - Aid in clear thinking - Help the person resume their everyday activities In some cases, a schizophrenic episode may warrant [hospitalization](https://www.verywellmind.com/what-happens-when-you-are-hospitalized-for-depression-1067262) in a safe, secure, and predictable environment if the person is unable to care for themselves or has become a danger to themselves or others, says D’Souza. ## Coping With Schizophrenic Episodes These are some steps that can help you [cope](https://www.verywellmind.com/coping-with-schizophrenia-2953094) with a schizophrenic episode, according to D’Souza: - Be in a safe, secure, and predictable environment - Seek the support of family members and friends - Take medication regularly - Attend therapy sessions - Find ways to limit and manage stress - Avoid substances such as alcohol, cannabis, or cocaine - Stay engaged with work or school and your community ![Sanjana Gupta Bio Photo](https://www.verywellmind.com/thmb/h2A4Dg55n_LbpYTo1GLUCusXcXI=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/SanjanaGupta-d217a6bfa3094955b3361e021f77fcca.jpg) By [Sanjana Gupta](https://www.verywellmind.com/sanjana-gupta-5188040) Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness. Was this page helpful? Thanks for your feedback\! What is your feedback?
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