You can hear voices and have negative symptoms, but may not have delusional ideas.
Some people with delusional ideas seem to have very few negative symptoms.
If you have schizophrenia for the first time, there is a roughly 50-50 chance that you will feel depressed, often before you get more obvious symptoms.
Can someone have schizophrenia without hallucinations?
The schizophrenic spectrum
Schizophrenia-like conditions can occur without hallucinations and delusions — that is, with only negative and cognitive symptoms. Schizophrenia in its earliest stages, before the first psychotic break, sometimes looks exactly like schizotypal personality.
Can you be schizophrenic and not know it?
When the disease is in full swing and symptoms are severe, the person with schizophrenia can’t tell when certain ideas and perceptions they have are real or not. This happens less often as they get older. People with the condition usually aren’t aware that they have it until a doctor or counselor tells them.
What triggers schizophrenia?
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
Can a person with schizophrenia live independently?
While many people with schizophrenia are able to lead full, independent lives, for others it can be completely disabling.