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His patients and their families were worried that the voices might be precursors of psychosis such as schizophrenia.

At this time, after almost two decades of treatment, Cauchi had no regular psychiatrist, was not on any medications to treat his schizophrenia and had no family living nearby.

Conversely, too little identification with the self is linked to things like schizophrenia, in which people feel detached from themselves.

She said the stabbing could have been prevented if her son's paranoid schizophrenia had been taken more seriously.

He told the court prior to her arrest she was a bus driver with Arriva and looking after her 25-year-old son who had schizophrenia.