Schizophrenia Spectrum Disorders involve a profound disruption in thinking, perception, emotions, and behavior. Core features include hallucinations, delusions, disorganized speech, and cognitive impairment. These symptoms reflect a break from reality that can be episodic or chronic, impacting the individual’s ability to function in daily life. Early onset, typically in late adolescence or early adulthood, often leads to social and occupational dysfunction.

This section helps NPs recognize early warning signs, differentiate between positive and negative symptoms, and evaluate cognitive decline. It also provides guidance on antipsychotic selection, monitoring side effects (like extrapyramidal symptoms or metabolic issues), and integrating psychosocial interventions. The goal is to improve long-term outcomes through early identification and consistent, comprehensive treatment.