Schizophrenia is a chronic mental illness that affects a person's perception of reality. People with schizophrenia may experience hallucinations, delusions, and disordered thinking. Common symptoms include thought disorders, emotional flatness, impaired cognition, and lack of motivation. Schizophrenia can be triggered by genetic predispositions, brain abnormalities, stress, drug use, and other environmental factors. Doctors diagnose schizophrenia through psychiatric evaluations, medical history, physical exams, and lab tests to check for other potential medical causes of symptoms.