Treatment for Schizophrenia and Other Severe Disorders Flashcards

Flashcards about Treatment for Schizophrenia and Other Severe Disorders

Antipsychotic drugs

Treatment outlook is superior to that of past years due to these medications.

Milieu therapy and Token economies

Two institutional approaches developed in the 1950s, based on humanistic and behavioral principles, respectively.

Milieu therapy

Institutions can help patients make progress by creating a social climate that promotes productive activity, self-respect, and individual responsibility.

Token economy

Patients are rewarded for socially acceptable behaviors and not rewarded for unacceptable behaviors, based on operant conditioning principles.

Chlorpromazine (Thorazine)

Antihistamine drug that was tested on patients with psychosis and showed a sharp symptom reduction, later approved as an antipsychotic drug.

Antipsychotic drugs

Reduce psychotic symptoms by blocking excessive activity of the neurotransmitter dopamine.

Extrapyramidal effects

Movement problems caused by older antipsychotic drugs due to their impact on the extrapyramidal areas of the brain.

Parkinsonian symptoms, Dystonia, and Akathisia

Muscle tremor and rigidity, bizarre movements, and restlessness caused by reduction of dopamine activity by First-generation Antipsychotic Drugs.

Neuroleptic malignant syndrome

A severe, potentially fatal reaction to older antipsychotic drugs with symptoms including muscle rigidity, fever, and altered consciousness.

Tardive dyskinesia

A side effect appearing up to 1 year after starting medication, involving writhing or tic-like involuntary movements.

Second-Generation Antipsychotic Drugs

Examples include Clozaril, Risperdal, Zyprexa, Seroquel, Geodon, and Abilify

Second-generation Antipsychotic Drugs strengths and weaknesses

More effective than first-generation antipsychotic drugs, especially for negative symptoms, yet carries a risk of agranulocytosis and metabolic side effects

Psychotherapy for schizophrenia treatment

Can be very helpful when used in combination with medication including cognitive-behavioral, family, and social therapies.

Cognitive remediation

Focuses on difficulties in attention, planning, and memory through increasingly complex computer tasks.

Hallucination reinterpretation and acceptance

Changes how clients view and react to their hallucinatory experiences through education, trigger identification, and reinterpretation.

Family therapy

Addresses issues, creates realistic expectations, and provides psychoeducation about the disorder to reduce family stress and relapse risk.

Coordinated Specialty Care (CSC)

Addresses social and personal difficulties through practical advice, problem-solving, social skills training, and other support services.

Community Mental Health Act

Patients should receive care within their own communities, leading to deinstitutionalization, but inadequate community care caused a "revolving door" syndrome

Features of Effective Community Care

Assertive community treatment includes coordinated services, short-term hospitalization, supervised residences, and occupational training.

Challenges to Community Treatment

Poor coordination and Shortages of services and funding