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American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders 2004 | TREATING SCHIZOPHRENIA: A Quick Reference Guide > | TREATING SCHIZOPHRENIA: A Quick Reference Guide Sections: A. Psychiatric Management, 1. Assess symptoms and establish a diagnosis., 2. Formulate and implement a treatment plan., 3. Develop a therapeutic alliance and promote treatment
adherence. , 4. Provide patient and family education and therapies. , 5. Treat comorbid conditions, especially major depression,
substance use disorders, and posttraumatic stress disorder., 6. Attend to the patient's social circumstances
and functioning., 7. Integrate treatments from multiple clinicians., 8. Carefully document the treatment, since patients
may have different practitioners over their course of illness., B. Acute Phase, 1. Assessment in the Acute Phase, 2. Psychiatric Management in the Acute Phase, 3. Use of Antipsychotic Medications in the Acute
Phase, 4. Use of Adjunctive Medications in the Acute Phase, 5. Use of ECT and Other Somatic Therapies in the
Acute Phase, 6. Special Issues in Treatment of First-Episode Patients, C. Stabilization Phase, D. Stable Phase, 1. Assessment in the Stable Phase, 2. Psychosocial Treatments in the Stable Phase, 3. Use of Antipsychotic Medications in the Stable
Phase, 4. Use of Adjunctive Medications in the Stable Phase, 5. Use of ECT in the Stable Phase, 6. Encourage the Patient and Family to Use Self-Help
Treatment Organizations, E. Special Issues in Caring for Patients With Treatment-Resistant
Illness, F. Treatment of Deficit Symptoms, G. Choice of Treatment Setting or Housing. Topics Discussed: antipsychotic agents; electroconvulsive therapy; schizophrenia; social work, psychiatric; support groups.
Excerpt:
"Based on Practice Guideline for the Treatment of Patients
With Schizophrenia, Second Edition, originally published in February
2004. A guideline watch, summarizing significant developments in the scientific literature since publication of this guideline, may be available.Establish an accurate diagnosis, considering other psychotic
disorders in the differential diagnosis because of the major implications
for short- and long-term treatment planning. If a definitive diagnosis
cannot be made but the patient appears prodromally symptomatic and
at risk for psychosis, reevaluate the patient frequently...."
DOI: 10.1176/appi.books.9780890423370.109113
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