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
...Asses...
...Evaluate causes for psychotic episode Interview...
...uggested Physical and Laboratory Assessments for P...
Treatment
...Treatm...
...ousing Hospitalize patients:...
...atment Plan Formulate and implement a tr...
...te Phase Reduce stressful environmental...
...tipsychotics Initiate treatment as so...
...ndations for Acute Phase Treatment Rapid emerg...
...1. Antipsychotic Algorithm for Schizophrenia...
...nly Used Medications Medicat...
...only Used Medications Medicatio...
...2c. Commonly Used Medications...
...ctable Depot Formulations Medication...
.... Choice of Medication in the Acute Phase of Schiz...
...Stabil...
...Stable Phase O...
...g Profiles of Atypical Antipsychotics...
Sources
...Psychiatric Association. Practice guideline for t...