edith psych 11 - Treatment Medications oPhenothiazines...

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Treatment of Schizophrenia Treatment      Medications o      Phenothiazines      Chlorpromazine (thorazine), Mellaril, Serentil, Prolixin,  Stelazine o      Haldol, Navane      1 & 2 bind to dopamine receptors (D2) o      Atypical antipsychotics      Bind to different dopamine and serotonin receptors o      Approx. 50% -> near-normal functioning o      Reduces Positive symptoms o      Can be discontinued for some, not others o      Problems      Extrapyramidal symptoms: tremors, rigidity, shuffle gait      Tardive dyskinesia: Tongue, facial, and mouth  movements (can be reduced if drugs withdrawn early)      Dystonia and akathesia (ie Muscle contractions and  agitation)      D--Too tight or too lose, strength is disregualated      A--Sense of agitation, jitteriness      Noncompliance and drug refusal      Psychotherapy- “Supportive” o      Practical help with problems in living o      Family counseling to prevent relapse      Hospitalization o      Used during active phase o      Interventions:      Milieu to enhance involvement and self respect      Activities, self-governance, employment training      Token economy and level systems      Foster appropriate behaviors      Effectiveness
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