[Applause] close your eyes and I want you to think
close your eyes and I want you to think
close your eyes and I want you to think about the image that comes to mind when
about the image that comes to mind when
about the image that comes to mind when you hear the terms psychotic
you hear the terms psychotic
you hear the terms psychotic schizophrenic schizophrenia go ahead and
schizophrenic schizophrenia go ahead and
schizophrenic schizophrenia go ahead and open your eyes
open your eyes
open your eyes perhaps the image was of Heath Ledger’s
perhaps the image was of Heath Ledger’s
perhaps the image was of Heath Ledger’s Joker in the Dark Knight perhaps if
Joker in the Dark Knight perhaps if
Joker in the Dark Knight perhaps if you’re another generation of Batman fans
you’re another generation of Batman fans
you’re another generation of Batman fans it was Jack Nicholson’s Joker in the
it was Jack Nicholson’s Joker in the
it was Jack Nicholson’s Joker in the first Batman maybe it was Jack
first Batman maybe it was Jack
first Batman maybe it was Jack Nicholson’s character and One Flew Over
Nicholson’s character and One Flew Over
Nicholson’s character and One Flew Over the Cuckoo’s Nest maybe it was an image
the Cuckoo’s Nest maybe it was an image
the Cuckoo’s Nest maybe it was an image that hits closer to home something like
that hits closer to home something like
that hits closer to home something like this one image that I bet that it wasn’t
this one image that I bet that it wasn’t
this one image that I bet that it wasn’t is this image young people hanging out
is this image young people hanging out
is this image young people hanging out maybe there at school maybe they’re
maybe there at school maybe they’re
maybe there at school maybe they’re heading off to college maybe they’re at
heading off to college maybe they’re at
heading off to college maybe they’re at a work retreat what I’m hoping by the
a work retreat what I’m hoping by the
a work retreat what I’m hoping by the end of this talk is that when you heard
end of this talk is that when you heard
end of this talk is that when you heard hear the term schizophrenia that maybe
hear the term schizophrenia that maybe
hear the term schizophrenia that maybe this image could come to mind
schizophrenia is a very complex
schizophrenia is a very complex condition it is so complex that
condition it is so complex that
condition it is so complex that researchers have argued over the past
researchers have argued over the past
researchers have argued over the past century on what causes it some say it’s
century on what causes it some say it’s
century on what causes it some say it’s biological some say it’s genetic some
biological some say it’s genetic some
biological some say it’s genetic some say it’s cultural some say it’s
say it’s cultural some say it’s
say it’s cultural some say it’s psychological some say it’s social some
psychological some say it’s social some
psychological some say it’s social some say it’s caused by trauma we’ll probably
say it’s caused by trauma we’ll probably
say it’s caused by trauma we’ll probably continue to argue that for another
continue to argue that for another
continue to argue that for another century but what we can all agree on is
century but what we can all agree on is
century but what we can all agree on is the catastrophic causes are the
the catastrophic causes are the
the catastrophic causes are the catastrophic results of schizophrenia
catastrophic results of schizophrenia
catastrophic results of schizophrenia and the terrifying symptoms that the
and the terrifying symptoms that the
and the terrifying symptoms that the individuals who suffer from this ailment
individuals who suffer from this ailment
individuals who suffer from this ailment have some of those symptoms include
have some of those symptoms include
have some of those symptoms include hearing things that aren’t really there
hearing things that aren’t really there
hearing things that aren’t really there but it feels real it’ll sound as real as
but it feels real it’ll sound as real as
but it feels real it’ll sound as real as my voice to you right now they’ll
my voice to you right now they’ll
my voice to you right now they’ll believe something that may not be in
believe something that may not be in
believe something that may not be in touch with reality maybe a paranoid
touch with reality maybe a paranoid
touch with reality maybe a paranoid thought that the government has a
thought that the government has a
thought that the government has a tracking device that’s under their skin
tracking device that’s under their skin
tracking device that’s under their skin and they will believe it so much that
and they will believe it so much that
and they will believe it so much that they’ll try to dig it out
they’ll try to dig it out
they’ll try to dig it out and how common is this condition
and how common is this condition
and how common is this condition [Applause]
[Applause]
[Applause] there are a hundred thousand new cases
there are a hundred thousand new cases
there are a hundred thousand new cases of schizophrenia each year in the United
of schizophrenia each year in the United
of schizophrenia each year in the United States one out of a hundred people will
States one out of a hundred people will
States one out of a hundred people will experience schizophrenia sometime in
experience schizophrenia sometime in
experience schizophrenia sometime in their lifetime there are about 100
their lifetime there are about 100
their lifetime there are about 100 people in this audience right now look
people in this audience right now look
people in this audience right now look around in Douglas County we can expect
around in Douglas County we can expect
around in Douglas County we can expect 15 to 30 new cases each year and you
15 to 30 new cases each year and you
15 to 30 new cases each year and you might say wow 1530 that’s not a huge
might say wow 1530 that’s not a huge
might say wow 1530 that’s not a huge number do we should we really pay
number do we should we really pay
number do we should we really pay attention to this let me show you a huge
attention to this let me show you a huge
attention to this let me show you a huge number a hundred and fifty five billion
number a hundred and fifty five billion
number a hundred and fifty five billion that is the annual economic impact of
that is the annual economic impact of
that is the annual economic impact of skits for schizophrenia that the United
skits for schizophrenia that the United
skits for schizophrenia that the United States suffers from each year this is a
States suffers from each year this is a
States suffers from each year this is a combination of costs this could be
combination of costs this could be
combination of costs this could be treatment costs this could be
treatment costs this could be
treatment costs this could be hospitalization costs in the state of
hospitalization costs in the state of
hospitalization costs in the state of Oregon individuals who experience a
Oregon individuals who experience a
Oregon individuals who experience a first episode of schizophrenia are
first episode of schizophrenia are
first episode of schizophrenia are hospitalized at fifty nine percent of
hospitalized at fifty nine percent of
hospitalized at fifty nine percent of the time it could be cost that’s
the time it could be cost that’s
the time it could be cost that’s associated with loss of income according
associated with loss of income according
associated with loss of income according to the World Health Organization
to the World Health Organization
to the World Health Organization schizophrenia is the eighth leading
schizophrenia is the eighth leading
schizophrenia is the eighth leading cause of disability applications between
cause of disability applications between
cause of disability applications between the ages of 15 and 44 staying on the
the ages of 15 and 44 staying on the
the ages of 15 and 44 staying on the trend of employment roughly 80% of
trend of employment roughly 80% of
trend of employment roughly 80% of individuals with schizophrenia are
individuals with schizophrenia are
individuals with schizophrenia are unemployed and one in five is homeless
it doesn’t have to be this way
it doesn’t have to be this way schizophrenia is a slow-moving condition
schizophrenia is a slow-moving condition
schizophrenia is a slow-moving condition where the symptoms develop over a period
where the symptoms develop over a period
where the symptoms develop over a period of time with that we actually have the
of time with that we actually have the
of time with that we actually have the opportunity to catch it sooner if we can
opportunity to catch it sooner if we can
opportunity to catch it sooner if we can identify those symptoms early and move
identify those symptoms early and move
identify those symptoms early and move people into treatment let me show you a
people into treatment let me show you a
people into treatment let me show you a diagram that spells this out in a little
diagram that spells this out in a little
diagram that spells this out in a little bit more detail the three phases this
bit more detail the three phases this
bit more detail the three phases this gets ofrenda the first is a premorbid
gets ofrenda the first is a premorbid
gets ofrenda the first is a premorbid phase this is a very very early and very
phase this is a very very early and very
phase this is a very very early and very subtle subtle Fage phase it’s important
subtle subtle Fage phase it’s important
subtle subtle Fage phase it’s important to know that schizophrenia strikes
to know that schizophrenia strikes
to know that schizophrenia strikes between the ages of 15 and 25 rare’s
between the ages of 15 and 25 rare’s
between the ages of 15 and 25 rare’s does it exist in childhood and rare does
does it exist in childhood and rare does
does it exist in childhood and rare does it exist in later old or starting later
it exist in later old or starting later
it exist in later old or starting later old adulthood in this premorbid stage it
old adulthood in this premorbid stage it
old adulthood in this premorbid stage it again symptoms are so subtle it may look
again symptoms are so subtle it may look
again symptoms are so subtle it may look like concentration problems maybe a
like concentration problems maybe a
like concentration problems maybe a little bit of depression we can’t catch
little bit of depression we can’t catch
little bit of depression we can’t catch it here we don’t have the science the
it here we don’t have the science the
it here we don’t have the science the next phase of schizophrenia is the
next phase of schizophrenia is the
next phase of schizophrenia is the at-risk phase this is where we can
at-risk phase this is where we can
at-risk phase this is where we can actually capture schizophrenia it’s in
actually capture schizophrenia it’s in
actually capture schizophrenia it’s in this phase where the individual’s
this phase where the individual’s
this phase where the individual’s functioning starts to decrease
functioning starts to decrease
functioning starts to decrease significantly
significantly
significantly that’s that line right there and they’re
that’s that line right there and they’re
that’s that line right there and they’re experiencing mild but not fully
experiencing mild but not fully
experiencing mild but not fully psychotic symptoms now the definition of
psychotic symptoms now the definition of
psychotic symptoms now the definition of psychotic is that the person can no
psychotic is that the person can no
psychotic is that the person can no longer tell the difference between what
longer tell the difference between what
longer tell the difference between what is real and what is not the next stage
is real and what is not the next stage
is real and what is not the next stage is the active stage that is the stage
is the active stage that is the stage
is the active stage that is the stage where the individual then loses touch
where the individual then loses touch
where the individual then loses touch with reality I refer to this stage as
with reality I refer to this stage as
with reality I refer to this stage as the stage where the illness now owns the
the stage where the illness now owns the
the stage where the illness now owns the person and subsequently it owns all of
person and subsequently it owns all of
person and subsequently it owns all of us because of the amazing cost that we
us because of the amazing cost that we
us because of the amazing cost that we end up paying if we can catch it in the
end up paying if we can catch it in the
end up paying if we can catch it in the at-risk phase the person still has the
at-risk phase the person still has the
at-risk phase the person still has the opportunity to own the condition and
opportunity to own the condition and
opportunity to own the condition and give much better outcomes so another
give much better outcomes so another
give much better outcomes so another point I want you to pay attention to
point I want you to pay attention to
point I want you to pay attention to it’s this tiny white line although it
it’s this tiny white line although it
it’s this tiny white line although it looks tiny on my screen it actually
looks tiny on my screen it actually
looks tiny on my screen it actually represents
represents
represents 74 weeks we refer to that time period as
74 weeks we refer to that time period as
74 weeks we refer to that time period as the duration of untreated illness and
the duration of untreated illness and
the duration of untreated illness and that is the point where the individual
that is the point where the individual
that is the point where the individual moves from the at-risk phase where their
moves from the at-risk phase where their
moves from the at-risk phase where their symptoms are subtle and they can still
symptoms are subtle and they can still
symptoms are subtle and they can still control them and they still have insight
control them and they still have insight
control them and they still have insight into them too late active phase so the
into them too late active phase so the
into them too late active phase so the moment they hit the active phase to the
moment they hit the active phase to the
moment they hit the active phase to the moment where they first receive
moment where they first receive
moment where they first receive treatment 74 weeks this white line is
treatment 74 weeks this white line is
treatment 74 weeks this white line is essential in our field the longer the
essential in our field the longer the
essential in our field the longer the white line the worse the outcomes early
white line the worse the outcomes early
white line the worse the outcomes early identification and intervention is going
identification and intervention is going
identification and intervention is going to be most effective if we can catch in
to be most effective if we can catch in
to be most effective if we can catch in the at-risk phase or the early active
the at-risk phase or the early active
the at-risk phase or the early active phase to illustrate my point I’m gonna
phase to illustrate my point I’m gonna
phase to illustrate my point I’m gonna tell you about two of my favorite people
tell you about two of my favorite people
tell you about two of my favorite people the first person I’ll talk about is
the first person I’ll talk about is
the first person I’ll talk about is Edward Edward was a 22 year old man who
Edward Edward was a 22 year old man who
Edward Edward was a 22 year old man who I was asked to go to his home now you
I was asked to go to his home now you
I was asked to go to his home now you may say well why did you go to his home
may say well why did you go to his home
may say well why did you go to his home when you come to your office now you see
when you come to your office now you see
when you come to your office now you see I’ve been doing this work as around 1718
I’ve been doing this work as around 1718
I’ve been doing this work as around 1718 years and I have never actually had a
years and I have never actually had a
years and I have never actually had a young person come to my office who has
young person come to my office who has
young person come to my office who has schizophrenia and said hey dr. melton I
schizophrenia and said hey dr. melton I
schizophrenia and said hey dr. melton I a schizophrenic in fact if they did they
a schizophrenic in fact if they did they
a schizophrenic in fact if they did they probably didn’t have schizophrenia so I
probably didn’t have schizophrenia so I
probably didn’t have schizophrenia so I had to go to Edward like Edward wasn’t
had to go to Edward like Edward wasn’t
had to go to Edward like Edward wasn’t even leaving his attic much says was
even leaving his attic much says was
even leaving his attic much says was gonna leave his house and only reason he
gonna leave his house and only reason he
gonna leave his house and only reason he would leave his addict was to eat and to
would leave his addict was to eat and to
would leave his addict was to eat and to draw right words on the floor of his
draw right words on the floor of his
draw right words on the floor of his kitchen and his walls and the words that
kitchen and his walls and the words that
kitchen and his walls and the words that he wrote were thief traitor and he wrote
he wrote were thief traitor and he wrote
he wrote were thief traitor and he wrote those words because that’s what he
those words because that’s what he
those words because that’s what he believed his mom was you see he believed
believed his mom was you see he believed
believed his mom was you see he believed that his mom was involved with the Mafia
that his mom was involved with the Mafia
that his mom was involved with the Mafia and they were conspiring to steal
and they were conspiring to steal
and they were conspiring to steal millions of dollars from him which he
millions of dollars from him which he
millions of dollars from him which he didn’t have prior to my visit with
didn’t have prior to my visit with
didn’t have prior to my visit with Edward I speaking with his mom and she
Edward I speaking with his mom and she
Edward I speaking with his mom and she told me about five years prior to this
told me about five years prior to this
told me about five years prior to this event that Edward was becoming quite
event that Edward was becoming quite
event that Edward was becoming quite suspicious of his friends
suspicious of his friends
suspicious of his friends he was starting to believe that they
he was starting to believe that they
he was starting to believe that they were stealing money from him and he knew
were stealing money from him and he knew
were stealing money from him and he knew that wasn’t true but it was bothering
that wasn’t true but it was bothering
that wasn’t true but it was bothering him so much he was starting to just cut
him so much he was starting to just cut
him so much he was starting to just cut off more and more of his friends to the
off more and more of his friends to the
off more and more of his friends to the point where he started isolating by time
point where he started isolating by time
point where he started isolating by time I got to Ed work he was in the full
I got to Ed work he was in the full
I got to Ed work he was in the full active phase of schizophrenia i sat down
active phase of schizophrenia i sat down
active phase of schizophrenia i sat down with that burden I knew better not to
with that burden I knew better not to
with that burden I knew better not to challenge his belief system because the
challenge his belief system because the
challenge his belief system because the moment I did he would have thrown me out
moment I did he would have thrown me out
moment I did he would have thrown me out I said Edward gosh it must be really
I said Edward gosh it must be really
I said Edward gosh it must be really hard that you believe that your mom is
hard that you believe that your mom is
hard that you believe that your mom is stealing from you and conspiring with
stealing from you and conspiring with
stealing from you and conspiring with the mafia I’m sorry about that thinking
the mafia I’m sorry about that thinking
the mafia I’m sorry about that thinking that I could engage him in that way he
that I could engage him in that way he
that I could engage him in that way he said dr. Melton it is could you put your
said dr. Melton it is could you put your
said dr. Melton it is could you put your hand on the kitchen table I did he got
hand on the kitchen table I did he got
hand on the kitchen table I did he got up he left he came back with some large
up he left he came back with some large
up he left he came back with some large garden shears and he said you dr. Melton
garden shears and he said you dr. Melton
garden shears and he said you dr. Melton are also part of the mafia and I’m gonna
are also part of the mafia and I’m gonna
are also part of the mafia and I’m gonna have to remove your hand at that point I
have to remove your hand at that point I
have to remove your hand at that point I terminated the interview I went and they
terminated the interview I went and they
terminated the interview I went and they called the police the police picked up
called the police the police picked up
called the police the police picked up Edward he was taken to an emergency room
Edward he was taken to an emergency room
Edward he was taken to an emergency room he was then taken to a psychiatric
he was then taken to a psychiatric
he was then taken to a psychiatric hospital he was then committed to the
hospital he was then committed to the
hospital he was then committed to the state hospital where he spent the next
state hospital where he spent the next
state hospital where he spent the next six months being mandated to treatment
six months being mandated to treatment
six months being mandated to treatment Hicks he did okay in those six months he
Hicks he did okay in those six months he
Hicks he did okay in those six months he was in treatment after he left however
was in treatment after he left however
was in treatment after he left however and he was no longer mandated to
and he was no longer mandated to
and he was no longer mandated to treatment keeping in a very vicious
treatment keeping in a very vicious
treatment keeping in a very vicious cycle of going back to his beliefs back
cycle of going back to his beliefs back
cycle of going back to his beliefs back to the hospital sometimes back to jail
to the hospital sometimes back to jail
to the hospital sometimes back to jail on and off of homelessness and to this
on and off of homelessness and to this
on and off of homelessness and to this point today I’m not even sure his mother
point today I’m not even sure his mother
point today I’m not even sure his mother even knows where he is
even knows where he is
even knows where he is the illness owned Edward but there were
the illness owned Edward but there were
the illness owned Edward but there were opportunities early another favorite
opportunities early another favorite
opportunities early another favorite person of mine Andrew Andrew was a 16
person of mine Andrew Andrew was a 16
person of mine Andrew Andrew was a 16 year old okay student mostly B’s some C
year old okay student mostly B’s some C
year old okay student mostly B’s some C pluses and grades
pluses and grades
pluses and grades [Applause]
[Applause]
[Applause] his those average grades were starting
his those average grades were starting
his those average grades were starting to get very significantly
to get very significantly
to get very significantly they were dipping to the point where
they were dipping to the point where
they were dipping to the point where they drew attention to his teachers and
they drew attention to his teachers and
they drew attention to his teachers and his teachers then referred him to a
his teachers then referred him to a
his teachers then referred him to a school counselor the school counselor
school counselor the school counselor
school counselor the school counselor was able to have engage him in
was able to have engage him in
was able to have engage him in conversation where Ed ruse Andrew said
conversation where Ed ruse Andrew said
conversation where Ed ruse Andrew said well the big problem is I’m so
well the big problem is I’m so
well the big problem is I’m so distracted by the fact that I’m starting
distracted by the fact that I’m starting
distracted by the fact that I’m starting to believe that my teacher is inserting
to believe that my teacher is inserting
to believe that my teacher is inserting thoughts into my head and I’m so focused
thoughts into my head and I’m so focused
thoughts into my head and I’m so focused on that that I’m missing all of my
on that that I’m missing all of my
on that that I’m missing all of my assignments he even gave evidence of
assignments he even gave evidence of
assignments he even gave evidence of this he needs say no he was trying to
this he needs say no he was trying to
this he needs say no he was trying to talk himself out of it and then you’d
talk himself out of it and then you’d
talk himself out of it and then you’d see a teacher blink and he’d say no no
see a teacher blink and he’d say no no
see a teacher blink and he’d say no no they are been putting thoughts into my
they are been putting thoughts into my
they are been putting thoughts into my head the counselor rightly referred her
head the counselor rightly referred her
head the counselor rightly referred her to referred Andrew to me
to referred Andrew to me
to referred Andrew to me I met with Andrew we were able to engage
I met with Andrew we were able to engage
I met with Andrew we were able to engage him in treatment where he could talk
him in treatment where he could talk
him in treatment where he could talk about those symptoms we could do a
about those symptoms we could do a
about those symptoms we could do a therapy called cognitive behavioral
therapy called cognitive behavioral
therapy called cognitive behavioral therapy we could engage in reality
therapy we could engage in reality
therapy we could engage in reality testing with them we could challenge his
testing with them we could challenge his
testing with them we could challenge his thoughts six to eight months later his
thoughts six to eight months later his
thoughts six to eight months later his grades improved he later graduated from
grades improved he later graduated from
grades improved he later graduated from high school went on to college has a
high school went on to college has a
high school went on to college has a very good job now and living in a city
very good job now and living in a city
very good job now and living in a city he always dreamt he wanted to live in
this isn’t new the research around early
this isn’t new the research around early intervention with schizophrenia
intervention with schizophrenia
intervention with schizophrenia now expands to decades and it’s very
now expands to decades and it’s very
now expands to decades and it’s very very positive
very positive
very positive we have employment rates of upwards of
we have employment rates of upwards of
we have employment rates of upwards of eighty percent when people engage in
eighty percent when people engage in
eighty percent when people engage in early intervention hospitalization rates
early intervention hospitalization rates
early intervention hospitalization rates according to state of Oregon’s data
according to state of Oregon’s data
according to state of Oregon’s data dropped to six percent fifty nine
dropped to six percent fifty nine
dropped to six percent fifty nine percent of individuals do not apply for
percent of individuals do not apply for
percent of individuals do not apply for disability who receive early
disability who receive early
disability who receive early intervention for schizophrenia and then
intervention for schizophrenia and then
intervention for schizophrenia and then maybe these numbers here if you’re
maybe these numbers here if you’re
maybe these numbers here if you’re worried about cost as many of us are
worried about cost as many of us are
worried about cost as many of us are fiscally responsible three thousand four
fiscally responsible three thousand four
fiscally responsible three thousand four hundred and forty five dollars is the
hundred and forty five dollars is the
hundred and forty five dollars is the annual cost to treat somebody in an
annual cost to treat somebody in an
annual cost to treat somebody in an early intervention program if we catch
early intervention program if we catch
early intervention program if we catch it early the next number nine thousand
it early the next number nine thousand
it early the next number nine thousand five hundred and three dollars is the
five hundred and three dollars is the
five hundred and three dollars is the average annual cost to treat somebody it
average annual cost to treat somebody it
average annual cost to treat somebody it was just standard care who we caught too
was just standard care who we caught too
was just standard care who we caught too late that is the difference the top
late that is the difference the top
late that is the difference the top number represents Andrew the bottom
number represents Andrew the bottom
number represents Andrew the bottom number represents Edward greater cost
number represents Edward greater cost
number represents Edward greater cost with Edward worse outcomes a colleague
with Edward worse outcomes a colleague
with Edward worse outcomes a colleague of mine another Early’s gets a
of mine another Early’s gets a
of mine another Early’s gets a friendlier researcher said to me you
friendlier researcher said to me you
friendlier researcher said to me you know if we catch cancer in stage one
know if we catch cancer in stage one
know if we catch cancer in stage one almost everybody lives if we catch
almost everybody lives if we catch
almost everybody lives if we catch cancer in stage for almost everybody
cancer in stage for almost everybody
cancer in stage for almost everybody dies the same is true with major mental
dies the same is true with major mental
dies the same is true with major mental illness if we catch it early the
illness if we catch it early the
illness if we catch it early the outcomes are much better and the
outcomes are much better and the
outcomes are much better and the individual can own the condition and own
individual can own the condition and own
individual can own the condition and own their lives so it’s no longer a matter
their lives so it’s no longer a matter
their lives so it’s no longer a matter of should we do this that argument is
of should we do this that argument is
of should we do this that argument is passed the question now is how do we do
passed the question now is how do we do
passed the question now is how do we do this
here are the ingredients to a good early
here are the ingredients to a good early intervention program for schizophrenia
obviously there are some very advanced
obviously there are some very advanced treatment but what I want to focus on
treatment but what I want to focus on
treatment but what I want to focus on right now my call to action my more than
right now my call to action my more than
right now my call to action my more than words action plan for all of you in the
words action plan for all of you in the
words action plan for all of you in the audience right now is to become aware of
audience right now is to become aware of
audience right now is to become aware of those early warning signs and to help
those early warning signs and to help
those early warning signs and to help individuals get to treatment as soon as
individuals get to treatment as soon as
individuals get to treatment as soon as possible
possible
possible do not wait the longer the duration the
do not wait the longer the duration the
do not wait the longer the duration the worse the outcomes so you play a role by
worse the outcomes so you play a role by
worse the outcomes so you play a role by acting in that top bullet of early
acting in that top bullet of early
acting in that top bullet of early intervention awareness early
intervention awareness early
intervention awareness early intervention and treatment does not work
intervention and treatment does not work
intervention and treatment does not work unless you all are involved and can
unless you all are involved and can
unless you all are involved and can recognize those symptoms and get people
recognize those symptoms and get people
recognize those symptoms and get people to help as soon as possible
to help as soon as possible
to help as soon as possible there are 38 states in this country with
there are 38 states in this country with
there are 38 states in this country with fully running early schizophrenia
fully running early schizophrenia
fully running early schizophrenia programs and the rest of the states are
programs and the rest of the states are
programs and the rest of the states are working on it it’s that important that
working on it it’s that important that
working on it it’s that important that the states are seeing this as a priority
the states are seeing this as a priority
the states are seeing this as a priority if you’re in one of those states where
if you’re in one of those states where
if you’re in one of those states where you don’t have an early intervention
you don’t have an early intervention
you don’t have an early intervention program please get the individual to a
program please get the individual to a
program please get the individual to a mental health clinic or to their primary
mental health clinic or to their primary
mental health clinic or to their primary care doctor or another person that can
care doctor or another person that can
care doctor or another person that can be helpful I think it’s important just
be helpful I think it’s important just
be helpful I think it’s important just to review those signs so you’re
to review those signs so you’re
to review those signs so you’re absolutely aware of them those signs
absolutely aware of them those signs
absolutely aware of them those signs include increased difficulty at school
include increased difficulty at school
include increased difficulty at school and work we saw this happening with
and work we saw this happening with
and work we saw this happening with Andrew withdrawal from family or friends
Andrew withdrawal from family or friends
Andrew withdrawal from family or friends this was happening with Edward I wish we
this was happening with Edward I wish we
this was happening with Edward I wish we would have caught it then for him
would have caught it then for him
would have caught it then for him difficulty concentrating or thinking
difficulty concentrating or thinking
difficulty concentrating or thinking clearly we saw this with Andrew
clearly we saw this with Andrew
clearly we saw this with Andrew suspiciousness mistrust of others we saw
suspiciousness mistrust of others we saw
suspiciousness mistrust of others we saw this both with Edward and Andrew caught
this both with Edward and Andrew caught
this both with Edward and Andrew caught it at the right time with Andrew caught
it at the right time with Andrew caught
it at the right time with Andrew caught it too late with Edward changes in the
it too late with Edward changes in the
it too late with Edward changes in the way things look or sound odd thinking
way things look or sound odd thinking
way things look or sound odd thinking our behavior emotional outburst lack of
our behavior emotional outburst lack of
our behavior emotional outburst lack of emotion poor personal hygiene now you
emotion poor personal hygiene now you
emotion poor personal hygiene now you may look at this listening oh ho ho wait
may look at this listening oh ho ho wait
may look at this listening oh ho ho wait a minute that looks like every stinking
a minute that looks like every stinking
a minute that looks like every stinking teenager I know
teenager I know
teenager I know the difference is individuals that are
the difference is individuals that are
the difference is individuals that are suffering from early schizophrenia this
suffering from early schizophrenia this
suffering from early schizophrenia this is a big change for them it’s causing a
is a big change for them it’s causing a
is a big change for them it’s causing a significant decrease in functioning and
significant decrease in functioning and
significant decrease in functioning and they are much different than their peers
they are much different than their peers
they are much different than their peers take a close look at this list now close
take a close look at this list now close
take a close look at this list now close your eyes
is there somebody you know out there who
is there somebody you know out there who may be experiencing these symptoms is
may be experiencing these symptoms is
may be experiencing these symptoms is there somebody like Andrew is there
there somebody like Andrew is there
there somebody like Andrew is there someone like Edward five years ago if
someone like Edward five years ago if
someone like Edward five years ago if you’re a teacher it could be a member of
you’re a teacher it could be a member of
you’re a teacher it could be a member of someone in your classroom if your pastor
someone in your classroom if your pastor
someone in your classroom if your pastor could be a member of your church if
could be a member of your church if
could be a member of your church if you’re a parent it could be your friends
you’re a parent it could be your friends
you’re a parent it could be your friends child it could be your own child
child it could be your own child
child it could be your own child open your eyes
”
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