Schizophrenia Treatment Options

Some prognostic factors that tell us whether or not a patient with schizophrenia is going to do really well or not, so well are things such as the onset of the illness. Okay, if somebody is presenting with an illness a little bit old, they’re going to have a better prognosis than if they’re presenting at a very young tender age, also having good social supports from family, friends, psychiatrists, primary care providers, all of these things are going to lead towards a better prognosis. And when it comes to symptomatology, we know that having positive symptoms, so things like paranoia. Hallucinations, delusions, thought disorder, these things actually all trend towards a better prognosis. We think of them as a little bit easier to treat than somebody who has negative symptoms that leads to a little bit of a worse prognosis. Somebody who has mood symptoms is also going to have a better prognosis than somebody without mood symptoms. Mood disorder can be treated, and therefore. If that’s targeted, a person can have a good outcome, and usually females tend to do a little bit better than males in terms of prognosis and any patient who is diagnosed with schizophrenia will probably experience and hopefully experienced remissions from their disorder. However, relapses are possible, but for those patients who have very few and far between relapses, they’re going to do much better in the long run than a patient who’s having very frequent relapses of their disorder, and another key variable is what the pre morbid functioning was for a patient. So somebody say Mr Bee who was doing really well before their symptoms in college, engaged with their family. Having hobbies, et cetera, that person’s going to be more likely to do really well and have a good prognosis overall, here’s an important question for you are patients with schizophrenia more likely to be violent, actually, no individuals with schizophrenia are more likely to be victims of violence than perpetrators. A very important point to remember. So when you think about Mr B, what is your prognosis for him, this young college student who has found himself diagnosed with schizophrenia uh. Well, he actually shows some really good prognostic factors, and these are very important to emphasize to both him and his family. Some of the factors supporting a favorable outcome for him include being enrolled at college. This indicates he has a high intelligence and a good premorbid. Functioning. Beyond that, there’s the presence of his supportive family, which is very hopeful, and this appears to be Mr. Bee’s first episode of psychosis, and with the right treatment and compliance, he might not have many future episodes and can actually do very well despite his illness. Let’s talk about the behavioral therapy treatment in schizophrenia. This is aimed to improve a patient’s ability to do well and actually function within society, and so therapy is aimed at developing social skills, self sufficiency and also an ability to act appropriately in public, and this is all the aim of behavioral therapy. There can be cognitive problems associated with schizophrenia. Can you think of what any of those are well deficits and processing of complex information can occur, maintaining a steady focus of attention, working memory can be impaired, distinguishing between relative and irrelevant stimuli can also happen, and abstract thinking can also be disrupted when it comes to social skills training. What limitations are there in training persons with schizophrenia, um? Well, there is a difficulty in generating information learned. Sorry, there is a difficulty in generalizing information learned into real life settings for some patience, the best approach in terms of being a therapist and working with a patient who has schizophrenia is to be direct and straightforward. Taken, active and assertive posture to provide structure, and when it comes to group therapy. Note that it’s not very well tolerated in individuals with psychosis because of the overstimulation. Only very high functioning and stable persons can tolerate insight oriented groups, some other syndromes that are important to be aware of are as follows capgras syndrome. This is the delusion that impostors have replaced familiar people for goalie syndrome is a delusion that a persecutor is taking on a variety of faces like an actor. L acanthrocyte is the delusion of being aware of hudis copy is a false belief that one has a double Qatar syndrome. This is the delusional belief that an individual has lost everything, including their body organs. And a folio due is a shared psychotic disorder or a shared delusion between more than one person. This summarizes schizophrenia and some other related psychotic disorders very important to note the history. Background epidemiology, the causes of schizophrenia, and the treatment head. 

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