[wheelerof4te]

"Or is schizophrenia a spectrum very much alike as autism?"

It is exactly that. There are a lot of people with pcychosis-related symptoms who go about their lives without treatment.

They experience attacks once in a blue moon, but that is just about it. A few calming words or moments alone help.

[cwsx]

Adding to this, I've experienced a few psychotic episodes but am not (for now) diagnosed schizophrenic.

Even during my first episode, which was by far my worst while having the least experience, I was aware that what I was experiencing (hearing voices/feeling watched) was likely me experiencing psychosis. While I still 'went along' with the episode, I was doing everything in a way that minimised harm to myself and others. I eventually called an ambulance, thinking that either I'm going through psychosis (and need an ambulance), or what I was hearing was real (and having ambulance/police on scene would help).

Once the ambulance arrived I had 'confirmation' that I was going through psychosis, and could then 'ignore' the voices to the point that I wouldn't act on whatever I was hearing. My symptoms continued for a couple weeks, but at no point did I even consider these to be real (despite them feeling very, very real).

Going forward, I've had a couple other episodes, all of which I've noticed early on and been able to act accordingly (reaching out to friends or professionals). While some of these episodes were equivalent in intensity to my first episode, none of them had me acting on the symptoms (beyond calling my psych and saying I'm having an episode).

I was briefly on anti-psychotics, but as I'm yet undiagnosed, my psych wasn't comfortable with me being on them long term. Instead I've been able to manage it through exercise, sleep management, mindfulness, and better management of my anxiety.

That said, I'm only discussing my own experiences with psychosis/potential of having another episode. I'm not medicated but don't worry about it (potential harm to myself or others) in my day to day, though I make sure to mention it to those that could be affected (flatmates or friends/family).

[wheelerof4te]

Thanks for sharing your experience.

I remmember hearing voices a few times, but they would not last more than a day.

They were telling me to reach out to one person (that would be awkward at the time) or to harm someone close. I've felt fear but knew those voices weren't real.

The voice sounded like me talking to myself.

[cwsx]

Normally mine last 2 - 3 days, with maybe a couple days of ramp up. These ones sound very real, exactly like the voice of a friend or relative etc. The thing that makes them especially feel real, the voices always have some 'spatial' element to them, like I'm overhearing a conversation from the other room. They also get quieter (or disappear entirely) if I walk away from the source.

The other form of voices I get, which are much more frequent + longer lasting, sound like my internal monologue. They can be different voices, but always sound like I'm 'thinking' them (rather than overhearing). These tend to last 2~ weeks after an episode, and come back when my anxiety or insomnia gets worse. Luckily these are pretty ignorable, if not a helpful sign that I'm nearing an episode. I'd compare them to anxious/intrusive thoughts (though a bit more intense).

I haven't had an episode in almost a year and have learnt to easily manage the intrusive thoughts (/possible start of an episode). This hasn't even impacted my lifestyle all that much, if anything it's taught me to manage my work/life balance.