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Schizophrenia is a complex mental disorder characterized by a range of symptoms, and not all individuals with schizophrenia experience auditory hallucinations (hearing voices). Schizophrenia is typically diagnosed based on a collection of symptoms, and the presence and severity of these symptoms can vary widely among individuals.

The primary symptoms of schizophrenia are often categorized into three groups:

  1. Positive symptoms: These include experiences or behaviors that are not typically present in healthy individuals. Auditory hallucinations (hearing voices) are one example of positive symptoms. Other positive symptoms may include delusions (strongly held false beliefs that are resistant to reasoning), disorganized thinking, and disorganized speech.

  2. Negative symptoms: These refer to a decrease or loss of normal functioning or behaviors that are usually present. Negative symptoms may include social withdrawal, reduced emotional expression, and decreased motivation.

  3. Cognitive symptoms: These involve difficulties with thinking, memory, and attention. People with schizophrenia may have trouble concentrating, processing information, and making decisions.

It is possible for individuals to have schizophrenia with primarily delusions and disorganization, without experiencing prominent auditory hallucinations. The presence and combination of symptoms can vary from person to person, and the specific characteristics and severity of schizophrenia can change over time.

It is crucial to note that schizophrenia is a complex and serious mental health condition that requires professional evaluation, diagnosis, and treatment by qualified healthcare professionals. If someone is experiencing symptoms that concern them or others, it's essential to seek medical advice and support promptly. Early intervention and appropriate treatment can significantly improve outcomes for individuals with schizophrenia.

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