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Interventions to prevent a further episodes of psychosis (a "relapse") and strategies that encourage a return to normal vocation and social activity are a priority. There is a concept of phase specific treatment for acute, early recovery and late recovery periods in the first episode of psychosis. [12]
Coordinated Specialty Care (CSC) is a recovery-oriented treatment program designed for people with first episode psychosis (FEP). [1] CSC consists of collaborative treatment planning between the client and the client's care team, consisting of mental health clinicians, psychiatrists, and case managers.
Early intervention in psychosis is based on the observation that identifying and treating someone in the early stages of a psychosis can improve their longer term outcome. [149] This approach advocates the use of an intensive multi-disciplinary approach during what is known as the critical period , where intervention is the most effective, and ...
In McGorry’s conception, schizophrenia goes through a “prodrome” stage when symptoms gradually emerge, a “first episode” phase that covers, on average, the two years before the first break and finally a “chronic” phase when the disease causes a steady deterioration in many patients that can be difficult if not impossible to reverse.
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] These conclusions however have been questioned. [9] [10]
These may be present in any of the different psychoses and are often transient, making early diagnosis of schizophrenia problematic. Psychosis noted for the first time in a person who is later diagnosed with schizophrenia is referred to as a first-episode psychosis (FEP). [36] [37]
Brief psychotic disorder—according to the classifications of mental disorders DSM-IV-TR and DSM-5—is a psychotic condition involving the sudden onset of at least one psychotic symptom (such as disorganized thought/speech, delusions, hallucinations, or grossly disorganized or catatonic behavior) lasting 1 day to 1 month, often accompanied by emotional turmoil.
1 ⁄ 5 of all forms of psychosis of the schizophrenia spectrum; [2] 1.66:1000 among children (0–14 years) [2] Childhood schizophrenia (also known as childhood-onset schizophrenia , and very early-onset schizophrenia ) is similar in characteristics of schizophrenia that develops at a later age, but has an onset before the age of 13 years, and ...
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