Clinical Features

• Continuous, often loud, nonsensical unconnected speech, while talking, the patients shift from one topic to another completely unrelated topic without realizing they are making no logical sense.
• Smiling and laughing to oneself without any obvious cause.
• Walking around without clothes and other forms of uninhibited behavior.
• Acute violent unprovoked behavior, tearing of one's clothes etc.
• Sitting in one position for hours, or even days on end.
• The patient stops taking baths and starts looking unkempt, haggard and disheveled.
• When the patient is alone, he feels he can hear voices talking about him.
• Patient starts speaking to himself and making conversations and gestures with imaginary voices and people.
• Visual hallucinations, such as seeing non–existent things.
• The patient becomes suspicious about relatives, neighbors and friends and feels that all have ganged up against him.
• The patient often feels that people are following him and spying upon him.
• TV, radio, video and ordinary gestures of people around him acquire special meaning for him.
• The patient feels that somebody is controlling him (via laser beams, video cameras, magnetic powers etc) or that everybody can read or “Hear” his thoughts.
• The patient may feel that he is related to God, ministers, film stars and is endowed with special status and magical powers.
• Sleep rhythm is completely disrupted with the patient often not sleeping for days on end.
• Work performance, appearance and social relationships begin to deteriorate.
• Even though the patient is mentally ill, he feels he is 100 per cent alright and denies illness altogether.

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