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Thursday, October 23, 2008 Sugeetha asks

Q: Is it possible for a child as young as four to exhibit symptoms of schizophrenia? What are they?

My sister-in-law was a schizophrenic and died two years ago. We are concerned that my two nephews who were also brought up by her mother, herself not a very stable person, might inherit this illness. Especially the younger one who ,apart from throwing tantrums , seems to miimc some of his mother's actions, though she died when he was less than two. We are really nervous that he might inherit this illness ,my very old parents having to take care of him and my brother without any help. My brother himself is not at all an ideal father, though he is not otherwise disabled . My older nephew is fifteen years older than the kid, and he himself has some of his mother's qualities like the " flat affect " and seeming inability to understand or accept any rational thoughts. He just listens without any reaction or emotion or discussion - it is like talking to a zombie .She was the same before she got really worse and violent. We do not want the child to go down the same way. I am an experienced woman of 53 and my brother is 56 . Having seen my sister-in-law for 20 years, I am worried . Should my brother refer the child to a doctor  and will the doctor be able to diagnose anything ? The child is now being taken care of very well, which was not the case when his mother was alive. He has also been in play- school for more than a year now but  at 4, shouldn't he be growing out of tantrums and weird actions like hitting his father and grandparents, pulling his own hair and hitting himself? Some of these things he might have picked up from his mother's mother . But he has been away from her for the past 6 months now.

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Christina Bruni, Health Guide
10/27/08 4:57pm

Hello Sugeetha,

 

I want to put you at ease as best I can.

 

Is it possible the four-year old is mimicking his mother's actions because he saw her doing them?  The other possibility is that he has a tendency that his mother had towards schizophrenia.  Childhood schizophrenia isn't as common as the SZ that usually develops in the late teens and early twenties.

 

I would monitor this carefully, talk to your nephew, try to get him to talk to you.  I've heard SZ can develop early.  My concern is the older nephew as well right now.  The negative symptoms of schizophrenia, such as lack of motivation and a flat affect, are harder to treat because none of the SZ medications alleviate the negative symptoms.

 

Is the older nephew engaged in life, in activities such as movies, sports, painting or other things?  I would try to see to it that he gets out in the world, finds a part-time job, maybe, or does volunteer work.  That is the best foundation for doing well should it turn out down the road he has a psychotic episode.

 

Lastly, the four-year old: he also needs to be active as much as a four-year old can.

 

I have a nephew who is seven years old, and about the time he was four he would get agitated yet he seems to be doing fine now.


If I were you, I would monitor the situation carefully, and research the names of good child therapists in case the day comes your younger nephew needs to see a professional.  Like I said, very young children could develop schizophrenia, it's been known to happen.

 

Regards,

Christina

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By Sugeetha— Last Modified: 11/17/10, First Published: 10/23/08