By: James E. DelGenio MS, LCPC
Senior Staff Therapist,
The Family Institute at Northwestern University
Symptoms of severe mental illness
1. Positive Symptoms: (characterized by their presence)
a. Impaired contact with reality.
b. Hallucinations, delusions (often paranoid).
c. Thought disorders.
d. Thoughts of suicide, homicide
2. Negative Symptoms: (characterized by their absence)
a. Lack of pleasure, loss of interest and energy
b. Lack of goal-directed behavior.
c. Blunted affect.
d. Lack of insight.
e. Poverty of speech.
f. Poor judgment.
g. Poor self-care including hygiene.
h. lack of motivation.
i. Inability to structure time, poor concentration,
3. Interpersonal Relations
a. Asocial behavior, bizarre and inappropriate.
b. Withdrawal, isolation.
c. Lack of close personal ties.
d. Difficulty in getting along with people, irritable, angry.
4. Family Conflict
a. Crisis prone, police involvement.
b. Over involvement, overly intrusive family in trying to help.
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Disclaimer: This material is meant to be used in conjunction with psychiatric treatment, medication, if necessary, and supportive therapy. Always share this material and your questions about this material with your doctor and therapist.
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