Within the final of two articles on the unfavorable signs of schizophrenia, advisor psychiatrist Dr Stephen McWilliams discusses intimately the totally different remedy choices and the challenges we’d like to pay attention to. In final month’s Irish Medical Instances we examined paranoid schizophrenia, with specific reference to unfavorable signs described by Nancy Andreasen. These embrace affective flattening or blunting, alogia (poverty of expression), avolition-apathy, anhedonia-asociality, and issues with consideration. Such signs pose an actual problem within the remedy of schizophrenia as a result of they’ll persist lengthy after the optimistic signs (hallucinations, delusions, and many others.) have improved. They’re certainly accountable…