Forgive me for posting before reading through everything. Kind of overwhelming.
My barely 18-year-old (still in high school) was diagnosed yesterday with schizophrenia on the basis of a CPI assessment. Symptoms have been present throughout her childhood. I know childhood onset is very rare, and my daughter is very high-functioning, so I am curious how accurate this assessment is likely to be. We do have an MMPI assessment as well as a psychiatrist appointment scheduled but the psychologist feels very confident about this.
We sought treatment for her largely for anxiety symptoms. She does also have visual, auditory, and tactile hallucinations as well as feelings of disassociation that are bothersome, but she is also very-self aware and clearly sees symptoms for what they are and none of the voices or hallucinations are aggressive or negative according to her. (Nor positive - just neutral.)
I’ve seen no evidence of major delusions (in terms of believing any of her hallucinations are real), though I do now wonder whether her anxiety is a form of delusion/paranoia (for example, constantly throughout her life fearing her father and I will be angry with her for minor transgressions, when we are pretty much the most chill parents ever.)
She is concerned about side effects of medication, and her father and I are concerned about her getting appropriate treatment for this grey area situation: she’s being diagnosed as technically an adult, but the symptoms have been present since childhood. And she is high functioning - straight-A student, positive relationships with friends, etc. The way the psychologist put it, she is “surprised she is even functional, let alone successful, given the results of this CPI assessment.”
I’m just not sure how as a parent to process this given this combination of factors. I’m wondering how accurate these assessments are. Is this schizophrenia causing anxiety, or could it be a severe anxiety disorder causing symptoms that mimic schizophrenia?
She is in the process of applying to college, and all of her choices are out of state. Again, she is functional, and we can’t help but wonder whether treatment (or the wrong treatment) will do more harm than good at a pivotal time in her life.
I guess I’m looking for advice - what kinds of questions to ask to maximize chances of an accurate diagnosis, appropriate treatment. Also if this diagnosis is accurate, what kinds of things to look for services available to her at college away from home?