SchizophreniaTreatment options

Treatment for Schizophrenia• Medication

• Rehabilitation and Therapy

• Surgery

• Lifestyle Changes

• References

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

Antipsychotic, First Generation (Typical)• Chlorpromazine (Thorazine)

• Fluphenazine hydrochloride (Prolixin)

• Haloperidol (Haldol, Haldol Decanoate, Haloperidol LA, Peridol)

• Perphenazine (Trilafon)

• Thiothixene (Navane)

• Trifluoperazine (Stelazine)

Antipsychotic, Second Generation (Atypical)• Less uncontrollable shaking than the first-

generation antipsychotics.

• More costly and

• have higher rates of metabolic side effects – hypertension, – diabetes and – weight gain.

Antipsychotic, Second Generation (Atypical)

• Olanzapine (Zyprexa)

• Paliperidone (Invega)

• Quetiapine (Seroquel)

• Ziprasidone (Geodon)

• Aripiprazole (Abilify)

• Asenapine (Saphris)

• Clozapine (Clozaril)

• Iloperidone (Fanapt)

• Lurasidone (Latuda)

• Risperidone (Risperdal , Risperdal Consta, Risperdal M-Tab)

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

Surgery• Lobotomy

– No longer in widespread use

• New procedures– Antipsychotic medication delivery system implant

– Currently being tested

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

http://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

References

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#91 http://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.aspx http://www.nature.com/npp/journal/v26/n6/pdf/1395869a.pdf

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.htm Gohol, J., Schizophrenia Treatment, http://psychcentral.com/disorders/sx31t.htm http://www.webmd.com/a-to-z-guides/schizophrenia-social-skills-training-topic-overview http://www.schizophrenia.com/treatments.phphttp://www.schizophrenia.com/treatments.htm#art ECT 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 in schizophrenia. Australasian Psychiatry, 10(4), 385.Ruddy R, Milnes D. Art therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev 2005;4:CD003728.