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It is the loss of dreams and hopes as much as the tangible loss that affects the person.Some examples may include miscarriage, loss of an important relationship, having to move from your home, or receiving a diagnosis of a mental illness.

A person experiences a loss that is private or not easy to define.

A small earthquake or tremor that follows a major earthquake.

Aftershocks usually originate at or near the focus of the main earthquakes they follow and can continue for days or months. When behavioral responses to antecedents are linked to desired consequences, these antecedents can serve as a signal to the person to engage in certain types of behavior (called discriminative antecedents).

It can be mistaken for agitation caused by the treatment of psychosis. The disease usually begins after age 60, and risk goes up with age.

Caution must be taken not to over medicate the person as a response. It can be a side effect of antipsychotic medication. There is some indication that people with certain disabilities, Down Syndrome being one of them, are at increased risk for onset at an earlier age.