High-functioning schizophrenia is when one can hide the illness when in public but exposing their negative traits behind closed doors.

Schizophrenia is a kind of mental condition in which there is a total or partial disconnect between what a person sees and hears and what is real. Most people with schizophrenia can hear, see and feel things as in a nightmare but in real life.

Contrary to popular belief, schizophrenia is not bipolar or multiple personality disorder, and, high-functioning schizophrenia is not an actual diagnostic but a milestone some sufferers reach with conscious effort and skills developed progressively.

Let’s see how this works.

Schizophrenia. Symptoms and Causes

Schizophrenia has both positive and negative symptoms which are useful for a conclusive diagnosis. Positive symptoms include hallucinations, delusions, and racing thoughts. Having negative symptoms meaning sufferers exhibit the following: emotional apathy, nonexistent social functioning, disorganized thoughts, high difficulty concentrating, and disinterest with life.

Schizophrenia symptoms commonly occur between the ages of 15 and 30 but are not entire limited to this time frame. Despite not being well known, current statistics indicate that out of every 100 individuals 0ne has schizophrenia.

Common causes of schizophrenia are genetic especially in families that have a history of mental illness. Other causes may be congenital, viruses from the mother transmitted transplacentally and hormonal and neurotransmitter imbalances.

Types of Schizophrenia Diagnosis

There are various types of schizophrenias depending on what patients exhibit or don’t exhibit.

1. Disorganized schizophrenia is by far the most severe kind of schizophrenia

Of this type, there is an absolute manifestation of mental and physical disorganization. The patient is incoherent and most often cannot be understood. In addition, these individuals display disorganization in their life and in what they do. Because of this, they are unable to do common everyday tasks like showering.

2. Paranoid schizophrenia

This is characterized by the constant fear that people are out to harm the patient. Sufferers have auditory delusions of threats and tend to believe they are greater than they really are. This kind is more likely to occur in cities inhabitants, a recent study shows.

3. Childhood schizophrenia

The onset of this kind of schizophrenia takes place earlier than the usual adolescence. This may lead to a delay in the maturation of children affected.

4. Schizoaffective disorder

This kind combines both mental and mood disorders. This means that the patient is in a constant state of depression or sulkiness while exhibiting the signs of hallucinations and delusions.

5. Catatonic schizophrenia

This includes extremities of behavior. The individual experiences extreme excitement and hyperactivity which is then followed by extremes of stupor. Characterized by a cessation of all kinds of excitement up to and including movement.

6. Residual schizophrenia

It is a highly interesting type of schizophrenia sometimes considered a phase. The individual seems to be exhibiting slight symptoms of schizophrenia. They may be recovering or may be going into remission. There is a reduced frequency of the occurrences of the symptoms.

What Is Considered High-Functioning Schizophrenia?

An individual with high-functioning schizophrenia is someone who can conceal their dysfunctional behaviors in public settings and maintain a positive public and professional profile while exposing their negative traits to the family behind closed doors.

A look into the ordinary life of a schizophrenic shows that there are days when all is well, but then sometimes an individual may have an entire active manifestation for about a week. There are certain triggers, such as stress, that may cause one to relapse again.

The infrequency of symptoms is what cause schizophrenics to be low functioning. The fear that they can hurt themselves, or walk into a busy street or even engage in public disorder is the everyday challenge.

The Life Of A High-Functioning Schizophrenic

Over the years, there has been growing interest in the ability of individuals with schizophrenia to act normal in public settings and participate in day to day activities including work and studies.

In The Diary of a high functioning person with schizophrenia, published on the Scientific American website, Yale graduate Ellyn Saks talks about her life with high-functioning schizophrenia and how she has been able to achieve many scholarly awards including the MacArthur genius grant despite being diagnosed with schizophrenia at an early age.

Serena Clark, on the other hand, takes us through her personal struggle with schizophrenia while still in high school. The challenges she had to face peer pressure and the general perception people have when it comes to schizophrenia. She found that in the beginning, she was more than able to cope by pushing all her mental caverns in a corner.

She focused on high school and graduated with honors. After high-school she tried living off a checklist, some days she would manage but most of the time, she was barely able to get through her morning routine. This led to self-medication and eventually a downward spiral.

Ellyn states in her memoir that she had no control over how she would feel. Most often than not, waking up, to her was just a continuation of a bad nightmare. She, however, delved herself into a routine and into her work. The only thing, her disorder could not take away from her was the will to work. She was more than able to study and public two different books from the time of her diagnosis. One of which is the memoir.

How Are They Able to Do It?

There is no specific method that has been proven to improve the quality of life of someone with schizophrenia. However, a few of the following tips seem to stand in people with residual schizophrenia.

1. Focusing on things that take your mind away from the condition.

Ellyn immersed herself in her studies and her work to the point where the attacks became less frequent. Paranoid individuals are encouraged to challenge their fears. Establishing a routine is also a way that seems to reduce the depression that battles this individual.

2. Taking medication

Anti-depressants and other antipsychotics tend to reduce the frequency of attacks to the point when you can predict them. Avoid over-medicating or self-prescribing as the medication themselves have worrying side effects.

3. Avoid the agitators.

Stress acts as a trigger to most schizophrenics. It is important to avoid situations that will lead them to an attack. In the same regard, creating a coping mechanism such as counting 1-10 or lying down goes a long way in improving your life.


What is it like to live with high-functioning schizophrenia? It’s a pain in the neck, like with any other condition, but you get there, you arrive at this point with determination, asking for help even when surrounding yourself with the loving support of family and friends seems counterintuitive.

You can do it if this is what you want. Learn from relapses, challenge your thoughts, evaluate your progress little by little and you’ll find your routine and high-functionality!

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This Post Has 3 Comments

  1. Mj hagg

    Fighting stigma and not understanding what i read because of a learning disability, makes it hard for schizophrenia like me to fallow up on schizophrenia.stress and verbal abuse makes it hard to work.

  2. Tim

    So I’m curious- is it possible to be a high functional mild schizophrenic and yet be socially comfortable? Safe to say I have a lot of weird stuff going on, but I had awesome parents who trained all of us to have great self worth and be comfortable around other people.


    Hello i don’t know if i would be considered a high functioning schizophrenic — but other then going into — the proverbial — this is my life and that is what has happened to me — i was diagnosed in 2003 — and that is when i started taking — SULPIRIDE — antipsychotic medication — how i have managed to keep my mental illness in check is — and it wasnt an overnight process — and it is always a work in progress — still some bad days — but mostly good — but needless to say with so mental mental health issues — control is the pivitol piece in the puzzele — i refer to what i do as CRUNCHING THE NUMBERS — i use Cognitive Behavioural Therapy — where i look at each thought i have from a point of validity — I.E — true or false — in relation to my own thought processes — one of the problems with many different mental health issues — it literally is the own persons brain that can lead them up the garden path — hence why it is important with various mental health issues for the person to be vigilant in not accepting what they are thinking at face value — and go in for a closer look — so to speak — scrutinise — what they literally are thinking – unfortunatley it seems in relation to this illness — COGNITIVE BEHAVIOURAL THERAPY — is always looked on as an after thought in relation to the various services that are there to help us — and the Doctor always just sends someone to the psychologist / psychiatrist — —– anyway if you have read this far — thanking you for reading :)))) —- sorry for going on and on 🙂 and most importantly if you are reading this realise you are not alone in all of this there are all the rest of us — who most definatley understand what you are going through on a day to day basis — — take care —-

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