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The management of schizophrenia usually involves many aspects including psychological, pharmacological, social, educational, and employment-related interventions directed to recovery, and reducing the impact of schizophrenia on quality of life, social functioning, and longevity.
Onset over the age of 60, which may be difficult to differentiate as schizophrenia, is known as very-late-onset schizophrenia-like psychosis. [55] Late onset has shown that a higher rate of females are affected; they have less severe symptoms and need lower doses of antipsychotics. [55]
In children, the most common cause is a stroke of the ventral pons. [9]Unlike persistent vegetative state, in which the upper portions of the brain are damaged and the lower portions are spared, locked-in syndrome is essentially the opposite, caused by damage to specific portions of the lower brain and brainstem, with no damage to the upper brain.
Most people with schizophrenia live independently with community support. [1] In people with a first episode of psychosis a good long-term outcome occurs in 42% of cases, an intermediate outcome in 35% of cases, and a poor outcome in 27% of cases. [7] Outcome for schizophrenia appear better in the developing than the developed world. [8]
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Service users would like mental health practitioners to do more for their physical health. Rethink [12] interviewed 2,998 mental health service users, over half of whom lived with a diagnosed severe mental illness. Nearly one third said regular physical health checks were in their top three priorities for improving services.
The SA program is based on the twelve-step model, [10] but includes just six steps. [6] [11] The organization describes the program's purpose of helping participants to learn about schizophrenia, "restore dignity and sense of purpose," obtain "fellowship, positive support, and companionship," improve their attitudes about their lives and their illnesses, and take "positive steps towards recovery."
The most common tactile hallucination in patients with schizophrenia is a sensation in which a patch of their skin is stretched elastically across their head. [4] They vary in intensity, range and speed at which they feel this stretching painful sensation. They are usually triggered by emotional cues such as guilt, anger, fear and depression. [4]
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