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Schizophrenia

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  • 1. SchizophreniaTreatment options
  • 2. Treatment for Schizophrenia• Medication• Rehabilitation and Therapy• Surgery• Lifestyle Changes• References
  • 3. Antipsychotic, First Generation(Typical)• Helps patient: – think more clearly – reduce anxiety. – Many reduce desire to hurt self – Reduce desire to hurt others.• Side effects: – uncontrollable movements
  • 4. Antipsychotic, First Generation(Typical)• Chlorpromazine (Thorazine)• Fluphenazine hydrochloride (Prolixin)• Haloperidol (Haldol, Haldol Decanoate, Haloperidol LA, Peridol)• Perphenazine (Trilafon)• Thiothixene (Navane)• Trifluoperazine (Stelazine)
  • 5. Antipsychotic, SecondGeneration (Atypical)• Less uncontrollable shaking than the first- generation antipsychotics.• More costly and• have higher rates of metabolic side effects – hypertension, – diabetes and – weight gain.
  • 6. Antipsychotic, SecondGeneration (Atypical)• Aripiprazole (Abilify) • Olanzapine (Zyprexa)• Asenapine (Saphris) • Paliperidone (Invega)• Clozapine (Clozaril) • Quetiapine (Seroquel)• Iloperidone (Fanapt) • Ziprasidone (Geodon)• Lurasidone (Latuda)• Risperidone (Risperdal , Risperdal Consta, Risperdal M-Tab)
  • 7. Therapy and Rehabilitation• Psychotherapy• Individual psychotherapy, Cognitive Behavioral Therapy (CBT)• Group therapy• Family therapy• Social skills training• Vocational rehabilitation and supported employment• Community Treatment Programs• ECT (Electro-Convulsive Therapy)• Art Therapy• Self-help groups
  • 8. Surgery• Lobotomy – No longer in widespread use• New procedures – Antipsychotic medication delivery system implant – Currently being tested
  • 9. Lifestyle Changes• Nutrition – Healthy Diet – Avoid sugar, alcohol, caffeine and preservatives – Add omega3 and antioxidants• Exercise – Including yoga – Improves physical and mental health• Stress Management – Stress contributes to active symptoms – Learn to identify stressors – Develop relaxation techniques
  • 10. Referenceshttp://emedicine.medscape.com/article/288259-medication#2http://www.nimh.nih.gov/health/publications/schizophrenia/how-is-schizophrenia-treated.shtmlhttp://psychcentral.com/disorders/schizophrenia/schizo_treatment.htmhttp://www.webmd.com/schizophrenia/second-generation-antipsychotics-for-treating-schizophreniahttp://reference.medscape.com/http://www.depressionforums.org/forums/topic/8415-the-metabolic-side-effects-of-atypical-antipsychot/http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=453&pageaction=displayproducthttp://www.ncbi.nlm.nih.gov/pubmedhealth/http://reference.medscape.com/drug/geodon-ziprasidone-342985#91http://reference.medscape.com/drug/risperdal-consta-risperidone-342986#91
  • 11. http://reference.medscape.com/drug/chlorpromazine-342970#91http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000603/http://reference.medscape.com/drug/haldol-decanoate-haloperidol-342974#91http://reference.medscape.com/drug/perphenazine-342980#91http://reference.medscape.com/drug/navane-thiothixene-342988#91http://reference.medscape.com/drug/trifluoperazine-342991#91http://reference.medscape.com/drug/abilify-discmelt-aripiprazole-342983#91http://reference.medscape.com/drug/saphris-asenapine-999301#91http://reference.medscape.com/drug/clozaril-fazaclo-odt-clozapine-342972#91http://reference.medscape.com/drug/fanapt-iloperidone-999104#91http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0005189/http://reference.medscape.com/drug/zyprexa-relprevv-olanzapine-342979#91http://reference.medscape.com/drug/invega-sustenna-paliperidone-342992#91http://reference.medscape.com/drug/seroquel-xr-quetiapine-342984#91http://www.encyclopedia.com/topic/lobotomy.aspxhttp://www.nature.com/npp/journal/v26/n6/pdf/1395869a.pdf
  • 12. http://psychcentral.com/disorders/sx31t.htmhttp://www.mayoclinic.com/health/schizophrenia/DS00196/DSECTION=treatments-and-drugshttp://www.emedicinehealth.com/schizophrenia/page11_em.htmhttp://www.emedicinehealth.com/schizophrenia/page15_em.htmhttp://www.umm.edu/patiented/articles/what_psychological_therapies_schizophrenia_000047_9.htmGohol, J., SchizophreniaTreatment, http://psychcentral.com/disorders/sx31t.htmhttp://www.webmd.com/a-to-z-guides/schizophrenia-social-skills-training-topic-overviewhttp://www.schizophrenia.com/treatments.phphttp://www.schizophrenia.com/treatments.htm#artECT http://www.ncbi.nlm.nih.gov/pubmed/15846598 Group Art Therapy as an Adjunctive Treatment for People with Schizophrenia:Multicentre Pragmatic Randomized Trial in BMJ 2012;344:e846 doi:10.1136/bmj.e846 (Published 28 February 2012)Keuneman, R., Weerasundera, R., & Castle, D. (2002). The role of ECT inschizophrenia. Australasian Psychiatry, 10(4), 385.Ruddy R, Milnes D. Art therapy for schizophrenia or schizophrenia-likeillnesses. Cochrane Database Syst Rev 2005;4:CD003728.