[Characteristics of the course of cyclothymia-like schizophrenia in puberty].

Slowly progressive schizophrenia with subclinical affective attacks in adolescence is characterized by undoubtful differences in the premorbid characteristics of patients, clinical picture and peculiarities of the course of the endogenic process. Different variants of the course are related to structurally and phenomenologically different variants of affective attacks. The more similar is the course of cyclothymia-like schizophrenia to protracted non-remission one, the more atypical are affective attacks (adynamic depressions and nonproductive hypomania); the more paroxysmal is the course, the more marked and diverse is the clinical picture of depression (dysphoric attacks) and the more typical are hypomanias. Patients with cyclothymia-like schizophrenia, besides therapy, are in need of the earliest possible rehabilitative treatment aimed at the continuation of education under easier conditions which expedites post-attack readaptation and improves social prognosis.