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
...sessment...
...uate causes for psychotic episode Interview...
...e 1. Suggested Physical and Laborato...
Treatment
...eatment
...ting and Housing Hospitalize patien...
...ent Plan Formulate and implement...
...te Phase Reduce stressful environmental f...
...ipsychotics Initiate treatment as...
...tions for Acute Phase Treatment Rapid emergency...
...ychotic Algorithm for Schizophrenia...
...2a. Commonly Used MedicationsHaving...
...ommonly Used MedicationsHaving trouble...
...c. Commonly Used MedicationsHaving trou...
...able 3. Injectable Depot FormulationsH...
...e of Medication in the Acute Phase of Schizophr...
...lization Phase...
...ase...
...r Binding Profiles of Atypical Antipsychotics...
Sources
...an Psychiatric Association. Practice...