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

Assessment

...ses for psychotic episode Interv...


...able 1. Suggested Physical and Labo...


Treatment

...atment...

...and Housing Hospitalize patients:...


...t Plan Formulate and implement a treatm...


Acute Phase Reduce stressful environmenta...


...tipsychotics Initiate treatment as soon as...


...dations for Acute Phase Treatment Rapid emerge...


...sychotic Algorithm for Schizophrenia...


...Commonly Used MedicationsHaving trouble view...


...2b. Commonly Used MedicationsHaving tr...


...nly Used MedicationsHaving trouble viewing tabl...


...ble 3. Injectable Depot FormulationsHav...


...4. Choice of Medication in the Acute P...


...ation Phase...


...e Ongoin...


...Profiles of Atypical Antipsychotics...


Sources

...rcesAmerican Psychiatric Association....