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
...Asse...
...causes for psychotic episode Interview indiv...
...ted Physical and Laboratory Assessments for Patie...
Treatment
...Treatment...
...ting and Housing Hospitalize patients:...
...t Plan Formulate and implement a treatm...
...ute Phase Reduce stressful environmental fact...
...hotics Initiate treatment as soon as possi...
...mmendations for Acute Phase Treatment...
...Antipsychotic Algorithm for Schizophreni...
...2a. Commonly Used MedicationsHaving trouble...
.... Commonly Used MedicationsHaving trouble vi...
...le 2c. Commonly Used MedicationsHav...
...ctable Depot FormulationsHaving trouble viewi...
...hoice of Medication in the Acute Phase of Schi...
...Stable P...
...tor Binding Profiles of Atypical Antipsy...
Sources
SourcesAmerican Psychiatric Association. Practice...