Although hallucinations and delusions are obvious signs of schizophrenia, the first sign of schizophrenia is typically:

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Social impairment is often the first sign of schizophrenia, manifesting as withdrawal from friends and family, difficulty in maintaining relationships, or a lack of interest in social activities, before more obvious symptoms like hallucinations and delusions appear.

Although Hallucinations and Delusions Are Obvious Signs of Schizophrenia, the First