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In those on antipsychotics, continued use decreases the risk of relapse. [10] [11] There is little evidence regarding consistent benefits from their use beyond two or three years. [11] Treatment of schizophrenia changed dramatically in the mid-1950s with the development and introduction of the first antipsychotic chlorpromazine. [12]
It forms part of a new prevention paradigm for psychiatry [1] [2] and is leading to reform of mental health services, [3] especially in the United Kingdom [4] [5] and Australia. This approach centers on the early detection and treatment of early symptoms of psychosis during the formative years of the psychotic condition.
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.
Continual drug treatment is common for older adults with schizophrenia and the dose may increase with age. [25] There seem to be gender differences regarding the impact of aging on schizophrenia. Men with schizophrenia tend to have more severe symptoms in the initial stage of the disorder, but gradually improve as they age.
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.
In the period leading up to the first episode of schizophrenia, uncharacteristic basic symptoms first appear and are followed by the onset of more characteristic basic symptoms and, finally, psychosis. [9] Basic symptoms often appear several years before the onset of psychosis, but are often preceded by the onset of self-disorders. [10]
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