Schizophrenia without hallucinations?

is it possible? can sz appears with extreme anxiety, depression, adhd, ocd symptoms not delusions not hallucinations

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DSM Version


DSM Criteria

A. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):

(1) delusions

(2) hallucinations

(3) disorganized speech (e.g., frequent derailment or incoherence)

(4) grossly disorganized or catatonic behavior

(5) negative symptoms, i.e., affective flattening, alogia, or avolition


Without hallucinations yes but without delusions also I would say no. I don’t know what criteria that is above. It doesn’t look right from my research.

The symptoms have to be present for at least 6 months for schizophrenia.

I think there are some symptoms you have to have in some combination to be considered schizophrenic from the 5th edition of the manual.

I think delusions and hallucinations are among them. That and they have to be ongoing for a period beyond two months, and not as a result of some external factor like drug use.

I had (1) delusions (2) negative symptoms. My delusions were simulation theory and parallel universes. It’s funny and sad that I might be right in the far future. The negatives sucked. They have slowly gotten better. I did have a lot of anxiety and stuff early on like fear.

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The answer is yes to the second one as well.

Same here, if doctors are to be believed. I’m late arrival to this racket, so my “delusions” (unusual beliefs) are barely a year old, and prominent among them is my own version of the simulation, more religion-based. And negatives. One of the doctors claimed I had some degree of thought disorder, but the other ones disagreed. I’m currently struggling with anxiety, but otherwise Latuda seems to be helping. I might never fully give up my simulation and solipsistic delusions but I don’t want them running my life. I almost forgot, I’ve also experienced a number of visual hallucinations.

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Its completely possible to have schizophrenia without hallucinations or delusions, but it would be very hard to diagnose because the criteria that would be left are symptoms of other mental health and physical health conditions.

Disorganized speech and word salad would be the other obvious one that would lead a treatment team to a schizophrenia diagnosis.

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In the US, you don’t qualify for a diagnosis of schizophrenia if you don’t have any actual psychotic symptoms, but in some places, they diagnose schizophrenia simplex which is negative and cognitive symptoms with less prominent or even nonexistent positive ones.

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For a schizophrenia diagnosis you need 2 symptoms out of delusions, hallucinations, disorganized speech, negative symptoms and catatonia. At lest 1 of which must be from the first 3. So yes if you have disorganized speech and either negative symptoms or catatonia you can have schizophrenia without delusions or hallucinations. (this is paraphrasing from DSM 5).

Ask another pdoc, it could very likely be something else not sz

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