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
...essment...
...uses for psychotic episode Interview ind...
...sted Physical and Laboratory Assessm...
Treatment
...eatment
...nd Housing Hospitalize patients: Who po...
Treatment Plan Formulate and implement a...
...Phase Reduce stressful environmental...
...psychotics Initiate treatment as soon as p...
Recommendations for Acute Phase Tr...
...ntipsychotic Algorithm for Schizophr...
...a. Commonly Used MedicationsHaving troubl...
...able 2b. Commonly Used Medications...
...mmonly Used MedicationsHaving troub...
Table 3. Injectable Depot FormulationsHavi...
...4. Choice of Medication in the Acut...
...hase...
...ble Phase...
...ptor Binding Profiles of Atypical Antipsychot...
Sources
...n Psychiatric Association. Practice gu...