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Psychotic Disorders >> Schizophrenia (continued 4)

imageManagement of Schizophrenia

  • pharmacological
    • acute treatment and maintenance with antipsychotics ± anticonvulsants ± anxiolytics
    • management of side effects
  • psychosocial
    • psychotherapy (individual, family, group): supportive, cognitive behavioural therapy (CBT)
    • assertive community treatment (ACT)
    • social skills training, employment programs, disability benefits
    • housing (group home, boarding home, transitional home)


Prognosis

  • the majority of individuals display some type of prodromal phase
  • course is variable: some individuals have exacerbations and remissions and others remain chronically ill; accurate prediction of the long term outcome is not possible
  • early in the illness, negative symptoms may be prominent; positive symptoms appear and typically diminish with treatment; negative symptoms may become more prominent and more disabling
  • over time, 1/3 improve, 1/3 remain the same, 1/3 worsen

Clinical Pearl

Good Prognostic Factors

  1. Acute onset
  2. Precipitating factors
  3. Good cognitive functioning
  4. Good premorbid functioning
  5. No family history
  6. Presence of  affective symptoms
  7. Absence of structural brain abnormalities
  8. Good response to drugs
  9. Good support systemm

Related Links :

Schizophrenia

Schizophrenia (continued 1)
Schizophrenia (continued 3)

Schizophrenia (continued 4)

 

Psychotic Disorders >> Links :
Definition
Differential Diagnosis of Psychosis

Schizophreniform Disorder
Brief Psychotic Disorder
Postpartum Mood Disorders

Schizoaffective Disorder
Delusional Disorder
Shared Psychotic Disorder (Folie à Deux)
Psychotic Disorders >> Schizophrenia (continued 4) Psychotic Disorders >> Schizophrenia (continued 4) Reviewed by Radiology Madeeasy on April 09, 2011 Rating: 5
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