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Though the schizophrenic person may have been hearing criticizing voices and experiencing delusions for some time, these symptoms may not have been overwhelming or frightening enough to have caused them to break down and act in a bizarre manner.Patients experiencing these symptoms for the first time may be able to hide them for a while, but this becomes more difficult as the psychotic process sets in and their outer actions begin to reflect their inner perceptual distortions.The full onset of schizophrenia is typically preceded by a gradual 'prodromal' (pre-cursor) period where odd behaviors and experiences, such as anxiety, restlessness and hallucinations begin to occur, but not yet with their fullest force. Many schizophrenic sufferers describe the onset of odd feelings, thoughts and perceptions a few months before anyone else can see visible evidence of them.

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Schizophrenia is not a terribly common disease but it can be a serious and chronic one.