Schizophrenia Home > Childhood Schizophrenia

In children, schizophrenia tends to be harder to treat than adult-onset schizophrenia; it also has a worse prognosis. However, researchers are finding that many individuals with this condition in childhood can be helped by the new generation of antipsychotic medications.

An Introduction to Childhood Schizophrenia

A child's stage of development must be taken into account when considering a diagnosis of mental illness. Behaviors that are normal at one age may not be at another. Rarely, a healthy young child may report strange experiences -- such as hearing voices -- that would be considered abnormal at a later age. Clinicians look for a more persistent pattern of such behaviors before making a diagnosis. Parents may have reason for concern if a child over seven years of age often:
 
  • Hears voices saying derogatory things about him or her
  • Hears voices conversing with one another
  • Talks to himself or herself
  • Stares at scary things -- snakes, spiders, shadows -- that are not really there
  • Shows no interest in friendships.
     
Such behaviors could be signs of schizophrenia, a chronic and disabling form of mental illness.
 
Fortunately, childhood schizophrenia is rare, affecting only about 1 in 40,000 children, compared to 1 in 100 in adults. The average age of onset is 18 in men and 25 in women. Ranking among the top 10 causes of disability worldwide, schizophrenia, at any age, exacts a heavy toll on patients and their families.
 
Children with schizophrenia experience difficulty in managing everyday life. Like their adult counterparts, children with schizophrenia experience:
 
  • Psychotic symptoms (hallucinations, delusions)
  • Social withdrawal
  • Subdued emotions
  • Increased risk of suicide
  • Loss of social and personal care skills.
     
They may also share some symptoms with -- and be mistaken for -- children who suffer from autism or other pervasive developmental disabilities, which affect about 1 in 500 children.
 
Children with schizophrenia tend to be harder to treat and have a worse prognosis than adult-onset schizophrenia patients. However, researchers are finding that many children with the disorder can be helped by the new generation of antipsychotic medications.
 
Written by/reviewed by:
Last reviewed by: Arthur Schoenstadt, MD
Last updated/reviewed:
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