Schizophrenia

Publication Date: June 1, 2013

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

...ssessme...

...aluate causes for psychotic episode...


...1. Suggested Physical and Laboratory Assessme...


Treatment

...reatment

...g and Housing Hospitalize patients:...


...reatment Plan Formulate and impleme...


...Reduce stressful environmental fact...


...tipsychotics Initiate treatment as...


...for Acute Phase Treatment Rapid em...


...re 1. Antipsychotic Algorithm for Sc...


.... Commonly Used MedicationsHaving trouble viewi...


...monly Used MedicationsHaving trouble viewin...


...Commonly Used MedicationsHaving troubl...


.... Injectable Depot FormulationsHaving trouble v...


...ice of Medication in the Acute Phase of Schiz...


...Phase...


...able Phase...


...eptor Binding Profiles of Atypical...


Sources

...merican Psychiatric Association. Practice...