Medical Treatment of Schizophrenia Development of antipsychotic neuroleptic

Medical treatment of schizophrenia development of

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Medical Treatment of Schizophrenia Development of antipsychotic (neuroleptic) medications Often the first line treatment for schizophrenia Most reduce or eliminate positive symptoms (delusions, hallucinations, and agitation) Primarily affect dopamine system, but also affect serotonergic and glutamate Acute and permanent side effects are common with first-generation medications Parkinson’s-like side effects Tardive dyskinesia Compliance with medication is often a problem - Aversion to side effects - Financial cost Psychosocial Treatment of Schizophrenia Psychosocial approaches Behavioral (i.e., token economies) on inpatient units: reward adaptive behavior Community care programs Social and living skills training Behavioral family therapy Vocational rehabilitation
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Illness management and recovery Engages patient as an active participant in care Continuous goal setting and tracking Modules include: social skills training, stress management, substance Psychosocial Treatment of Schizophrenia Cultural considerations Take into account cultural factors that influence individuals’ understanding of their own illness (e.g., supernatural beliefs) Involve family and community if possible Prevention Identify at-risk children - Relatives of individuals with schizophrenia Foster supportive, stable environments Offer additional treatment at prodromal stages, including social skills training Summary of Schizophrenia and Psychotic Disorders Psychotic disorders: Break from reality resulting in a spectrum of dysfunctions Affecting cognitive, emotional, and behavioral domains Schizophrenia involves positive, negative, and disorganized symptom clusters Medication is somewhat effective for positive symptoms, but much room for improvement in treatme Concept Check Part A 1. Disorganized symptoms 2. Schizophreniform disorder 3. Delusional disorder 4. Catatonic Symptoms 5. Attenuated psychosis 6. Delusional disorder 7. Schizoaffective disorder 8. Schizophreniform disorder 9. Shared psychotic disorder Part B 1. Identical twin, fraternal twin, higher 2. Higher, higher 3. Severity, general Part C 1. Token economy
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2. Social skills training 3. Family intervention, vocational rehabilitation 4. Extrapyramidal symptoms 5. Olanzapine Chapter 14: Neurodevelopmental Disorders Neurodevelopmental Disorders Diagnosed first in infancy, childhood, or adolescence Include the following: Attention deficit hyperactivity disorder (ADHD) Specific learning disorder Autism spectrum disorder Intellectual Disability Communication and Motor Disorders Student Question “For a child who is constantly hyperactive and running how can someone distinguish between it being actual ADHD and not just a normal thing every child does? I ask this because I know children always have a lot of energy and I have heard of teachers who just don’t want to deal with these kinds of children sometimes signaling them out when truly all they need is for their
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