Overview
Your (or your loved one’s) healthcare provider can diagnose schizophrenia or its related disorders based on a combination of questions they ask, the symptoms you describe or by observing your actions. They’ll also ask questions to rule out other potential causes of your symptoms. They then compare what they find to the criteria required for a schizophrenia diagnosis.
According to the DSM-5, a schizophrenia diagnosis requires the following:
- At least two of the five main symptoms.
- You’ve had symptoms for at least one month.
- Your symptoms impact your ability to work or your relationships (friendly, romantic, professional or otherwise).
What tests will be done to diagnose this condition?
There aren’t any diagnostic tests for schizophrenia. But healthcare providers may run tests to rule out other conditions before diagnosing schizophrenia. The most likely types of tests include:
- Imaging tests. Healthcare providers will often use computerized tomography (CT), magnetic resonance imaging (MRI) and other imaging tests to rule out problems like stroke, brain injuries, tumors and other changes to your brain structure.
- Blood, urine and cerebrospinal fluid (spinal tap) tests. These tests look for chemical changes in bodily fluids that might explain changes in your behavior. They can rule out heavy metal toxicity or other causes of poisoning, infections and more.
- Brain activity testing. An electroencephalogram (EEG) detects and records the electrical activity in your brain. This test can help rule out conditions like epilepsy.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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