Friends,

I read an article by a person who has acute schizophrenia. One night he simply couldn't take the noise in his head, and "blacked out". When his mother came into his room the next morning, there was urine, blood, and parts of disassembled remote controls on his bed. He was screaming and very manic. It seemed as if this person's "break" or "episode" was very loud and intense.

Are all breaks/episodes "loud" in the sense that they are very busy, intense, manic, and frenetic? Is there such a thing as a quiet or non-manic episode? If so, what does it look like?