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(p. 272) Commentary 

(p. 272) Commentary
Chapter:
(p. 272) Commentary
Author(s):

Alan S. Bellack

DOI:
10.1093/med:psych/9780199733668.003.0035
Page of

date: 22 October 2019

McIntosh and Compton have done an excellent job of describing the onset of schizophrenia in a young person. They aptly represent the subtle disease process that unfolds over time, making differential diagnosis difficult, if not impossible, at a circumscribed point in time. As is the case with many young persons, Mr. M expressed a number of vague complaints, with a common denominator of a gradual decline in functioning, especially increasing social isolation, and declining performance at school or work. The confounding and potentially exacerbating role of drugs and alcohol is also characteristic and frequently complicates the diagnostic picture....

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