Violence and trouble with the Law • Schizophrenia • • Impact on Families and Society • May 12 09 People who exhibit unpredictable behavior can be frightening. Likewise, patients with schizophrenia often behave in ways that are difficult to understand and sometimes scary. Although the media tends to… Homelessness - schizophrenia • Schizophrenia • • Impact on Families and Society • May 12 09 Unfortunately, some of the most severely ill schizophrenia patients leave a safe place like a hospital or private home and eventually live on the streets. One-third of all homeless people are believed to be… Stress on Families - schizophrenia • Schizophrenia • • Impact on Families and Society • May 12 09 Long before schizophrenia is diagnosed, relatives of someone with the disorder may begin to feel stressed. Prodromal, or early, signs of schizophrenia can emerge years before a diagnosis is made. Family members… Impact on Families and Society • Schizophrenia • • Impact on Families and Society • May 12 09 Kevin has been in the hospital for six weeks and has improved significantly. The voices are not bothering him anymore and he no longer believes that his coworkers dislike him. Kevin is… Schizophrenia Treatment and Outcome • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 Dr. Talbot is fairly certain that Kevin meets the diagnostic criteria for schizophrenia. His hallucinations and delusions are evidence that he is experiencing psychotic behavior. Dr. Talbot believes that his behavior change in… Schizophrenia Typical & Atypical Antipsychotic Medication • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 Typical Antipsychotic Medication The first medications designed to treat schizophrenia are now called typical antipsychotic medications, or first-generation antipsychotics. Many of these early medications are still used today, and are helpful… Schizophrenia Psychological Treatments • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 Many patients must try a variety of medications before finding one that controls their symptoms. This can be a very difficult and frustrating process. Many months or years may pass before a patient begins… Schizophrenia Social Skills Training • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 Patients with schizophrenia often have very poor interpersonal skills. Making appropriate eye contact, controlling the volume of their voice, and participating in a conversation can all be difficult for them. The goal of… Schizophrenia Family Therapy • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 Dealing with a family member with a serious mental illness can be difficult. In order to make the transition from hospital to home as smooth as possible, many schizophrenia patients attend therapy with their… Schizophrenia Preventing Relapse • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 People with schizophrenia are encouraged to follow some basic advice in order to manage their illness and avoid relapse. Some therapists suggest that patients keep records of their daily behavior so that they might… Schizophrenia Outcome • Schizophrenia • • Schizophrenia Treatment and Outcome • May 11 09 In 1994, a study by J.D. Hegarty and colleagues examined existing data to figure out just how likely patients are to recover from schizophrenia. These researchers studied outcome data from more than 100 years for… The Schizophrenia Prognosis • Schizophrenia • • The Course of Schizophrenia • May 11 09 In summary, fewer than 20 percent of patients with a first episode of schizophrenia have a good prognosis. That means that fewer than 20 out of every 100 schizophrenia patients are likely to marry,… 10 Warning signs of schizophrenia as identified by family members • Schizophrenia • • The Course of Schizophrenia • May 11 09 1. Deterioration of personal hygiene 2. Sleeping excessively or inability to sleep 3. Unexpected hostility 4. Extreme preoccupation with religion… Stages of schizophrenia • Schizophrenia • • The Course of Schizophrenia • May 11 09 Researchers have identified three stages of schizophrenia: Prodromal Stage. The first stage is called the prodromal stage and refers to the year before the illness appears. The term prodrome is derived from the Greek… The Course of Schizophrenia • Schizophrenia • • The Course of Schizophrenia • May 11 09 Kevin recently attended his first appointment at the mental health clinic. At 25 years of age, Kevin lives with his cousin Natalie and works for a radio station. Natalie is worried about Kevin… Misdiagnosis, or other disorders that may look like schizophrenia • Schizophrenia • • Schizophrenia Diagnosis • May 11 09 It is crucial to realize that schizophrenia is not the cause of all psychotic symptoms. Psychosis is a general term used to describe psychotic symptoms whereas schizophrenia is… Subtypes of Schizophrenia • Schizophrenia • • Schizophrenia Diagnosis • May 11 09 Once a patient is diagnosed with schizophrenia, a clinician considers his or her symptoms and determines a subtype diagnosis. There are four subtypes of schizophrenia. Each subtype is based upon the types of… Diagnostic Criteria • Schizophrenia • • Schizophrenia Diagnosis • May 11 09 All the behaviors you just read about may be symptoms of schizophrenia, although very few patients with schizophrenia exhibit all these symptoms. Instead, most individuals with the disease display a few of these symptoms. The… Symptom Categories • Schizophrenia • • Schizophrenia Diagnosis • May 11 09 Schizophrenia is a disease that does not discriminate based on race, culture, social status, or gender. Anywhere in the world, in every culture, one person out of every hundred suffers from schizophrenia. Signs of schizophrenia… Diagnosing Schizophrenia • Schizophrenia • • Schizophrenia Diagnosis • May 11 09 Emilio is a 40-year-old man who came to the hospital with his mother. He is dressed in a dirty coat, bedroom slippers, and a baseball cap and has several medals hanging around his neck. He… Drinking while down may signal teen suicide risk • Mental health and Psychiatry news • May 11 09 Adolescents who drink alcohol while sad or depressed have an increased risk of attempting suicide, whether or not they have previously had suicidal thoughts, a study indicates. This… Brain stimulation may ease stubborn depression • Mental health and Psychiatry news • May 11 09 Targeted electrical stimulation of a particular region of the brain can lessen symptoms of major depression that hasn’t improved with other treatments, the results of small pilot study suggest. Previous research… PTSD Can Surface up to 2 Years after Trauma • Mental health and Psychiatry news • May 07 09 While a person may not seem emotionally or psychologically troubled in the immediate aftermath of a traumatic event, symptoms of posttraumatic stress disorder (PTSD) can surface up… Schizophrenia Treatment approaches • Schizophrenia • • Child and adolescent onset schizophrenia • May 06 09 General principles While antipsychotic drugs remain the cornerstone of treatment in child and adolescent onset schizophrenia, all young patients with schizophrenia require a multimodal treatment package that includes pharmacotherapy, family and individual counselling,… Schizophrenia Course and Outcome • Schizophrenia • • Child and adolescent onset schizophrenia • May 06 09 Short-term course Child and adolescent onset schizophrenia characteristically runs a chronic course, with only a small minority of cases making a full symptomatic recovery from the first psychotic episode. 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