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Figure 2: Relapse Prevention Protocol






Thinking/Perception

  • Thoughts are racing

  • Senses seem sharper

  • Thinking you have special powers

  • Thinking that you can read other peoples minds

  • Thinking that other people can read your mind

  • Receiving personal messages from the TV or Radio

  • Having difficulty making decisions

  • Experiencing strange sensations

  • Preoccupied about one or two things

  • Thinking you might be someone else

  • Seeing visions or things other people cannot see

  • Thinking people are talking about you

  • Thinking people are against you

  • Having more nightmares

  • Having difficulty concentrating

  • Thinking bizarre things

  • Thinking your thoughts are controlled

  • Hearing voices

  • Thinking that a part of you has changed shape

Feelings

  • Feeling helpless or useless

  • Feeling afraid of going crazy

  • Feeling sad or low

  • Feeling anxious or restless

  • Feeling increasingly religious

  • Feeling like you’re being watched

  • Feeling isolated

  • Feeling tired or lacking energy

  • Feeling confused or puzzled

  • Feeling forgetful or far away

  • Feeling in another world

  • Feeling strong or powerful

  • Feeling unable to cope with everyday tasks

  • Feeling like you are being punished

  • Feeling like you cannot trust other people

  • Feeling irritable

  • Feeling like you do not need sleep

  • Feeling guilty

Behaviours

  • Difficulty in sleeping

  • Speech comes out jumbled and filled with odd words

  • Talking or smiling to yourself

  • Acting suspiciously as if being watched

  • Behaving oddly for no reason

  • Spending time alone

  • Neglecting your appearance

  • Acting like you are someone else

  • Not seeing people

  • Not eating

  • Not leaving the house

  • Behaving like a child

  • Refusing to do simple requests

  • Drinking more

  • Smoking more

  • Movements are slow

  • Unable to sit down for long

  • Behaving aggressively

 

 

References

Birchwood M., Spencer E., McGovern D. (2000). Schizophrenia: early warning signs.Advances in Psychiatric Treatment; 6:93-101

 

 


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