Late-onset schizophrenia refers to development of the dis-ease
after age 45; schizophrenia is not initially diagnosed in elder clients.
Psychotic symptoms that appear in later life are usually associated with
depression or dementia, not schizophrenia. People with schizophrenia do survive
into old age, with a variety of long-term outcomes. Approx-imately one fourth
of the clients experience
d dementia, resulting in a steady,
deteriorating decline in health; another 25% actually have a reduction in
positive symp-toms, somewhat like a remission; and schizophrenia remains mostly
unchanged in the remaining clients (Sakauye, 2008).