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Posted August 27, Reviewed by Lybi Ma. When my son Bill first exhibited signs of being sick after his freshman year away at college, it was surprisingly difficult to figure out what the problem was, even given my expertise as a psychiatrist with two decades of treating patients. The onset of psychiatric illness can be insidious. In schizophrenia, for example, there may be a gradual decline from a previous level of functioning, called a prodrome —the person, usually a teenager , no longer functions the same in school and becomes less able to engage socially.
Symptoms may include increased anxiety , low mood, sleep disturbance, disorganized thoughts or confusion, feeling suspicious, and difficulties concentrating or focusing. In depression , there may be a gradual slide into lower moods with no apparent cause—or in some cases, there may be a very abrupt and distinct plunge into depression.
Again, often for no apparent reason. Where he had previously been outgoing and gregarious, he now kept to himself, intent on not saying too much. He kept reassuring me that everything was okay and that I worried too much. Was his behavior somewhere on a normal spectrum?
Was it drug-induced? Was it psychosis? As a psychiatrist, this is one of the most difficult diagnostic dilemmas, especially in cases where the person is withholding information. But this was my son, so the challenge was made even more difficult by inherent parent-child dynamics. He looked uneasy. His brothers punched him on the shoulder like they always did. He talked about how much harder the second term had been. He warned me that the 3.
