Schizophrenia
Key Points
Key Points
- Consider other psychiatric disorders in making a differential diagnosis
- Form and engage in a therapeutic alliance and encourage a supportive social network in order to improve long-term outcomes
- Reassess frequently, especially if a definitive diagnosis cannot be made or if diagnosis was made in the last 12 months
- Actively monitor for and treat comorbid conditions including substance abuse
- Integrate treatments from multiple clinicians, especially for comorbid conditions
- For 1st episode schizophrenia initiate treatment with atypical antipsychotics in lower doses as appropriate
- Use conventional antipsychotics only after at least one unsuccessful trial with an atypical antipsychotic
- Strongly consider clozapine after two unsuccessful antipsychotic trials
Assessment
...ssessment...
...causes for psychotic episode Interview...
...e 1. Suggested Physical and Laboratory Assessments...
Treatment
...atment...
...Housing Hospitalize patients:...
...Plan Formulate and implement a treatment plan...
...hase Reduce stressful environmental f...
...of Antipsychotics Initiate treatment as soo...
...ns for Acute Phase Treatment Rapid eme...
...ure 1. Antipsychotic Algorithm for Schizophr...
...ommonly Used MedicationsHaving trouble vi...
.... Commonly Used MedicationsHaving trouble view...
...le 2c. Commonly Used MedicationsHaving tro...
...jectable Depot FormulationsHaving trou...
...ice of Medication in the Acute Phase of Sc...
...zation Phase...
...Phase...
...Profiles of Atypical Antipsychotics...
Sources
...merican Psychiatric Association. P...