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A Cochrane review found limited evidence for its possible antipsychotic effects in the treatment of schizophrenia and called for more studies. [164] Another review found limited evidence for its use as an add-on therapy for the relief of symptoms but positive results were found for the treatment of sleep disorders that often accompany ...
Paranoid anxiety can be understood in terms of anxiety about imminent annihilation and derives from a sense of the destructive or death instinct of the child. In this position before the secure internalisation of a good object to protect the ego, the immature ego deals with its anxiety by splitting off bad feelings and projecting them out.
Since childhood disintegrative disorder (CDD) has a very similar set of symptoms and high comorbidity it can be misdiagnosed as childhood schizophrenia, which can lead to prescribing ineffective medications. [52] Childhood schizophrenia can be difficult to diagnosis simply because of how many disorders mimic the symptoms of CS.
The primary treatment of schizophrenia is the use of antipsychotic medications, often in combination with psychosocial interventions and social supports. [ 27 ] [ 185 ] Community support services including drop-in centers, visits by members of a community mental health team , supported employment , [ 186 ] and support groups are common.
The psychiatric assessment of a child or adolescent starts with obtaining a psychiatric history by interviewing the young person and his/her parents or caregivers. The assessment includes a detailed exploration of the current concerns about the child's emotional or behavioral problems, the child's physical health and development, history of parental care (including possible abuse and neglect ...
Arieti observed that paranoid schizophrenia is more common in children who frequently felt rejected or neglected by their parents, and in brighter schizophrenics who were able to maintain a set of inner persecutory complexes that helped avoid destructive anxiety, whereas in hebephrenics this distortion failed to alleviate anxiety, causing ...
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