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TREATING SCHIZOPHRENIA

 

In the last decade, doctors, scientists, and researchers have made substancial progress in the treatment of Schizophrenia. New medications have been developed, psychosocial programs have been enhanced, and researchers are learning more about the processes of the brain. There are also more medications being developed and tested, and scientists continue to look for more links to the cause of this illness. The traditional neuroleptic medications work pretty well at stopping the progression of Schizophrenia, as long as the patients stay on them. However, doctors are using the new medications known as the atypicals. These include clozapine, risperidone, olanzapine, quetiapine, and ziprasidone. This leaves the question as to whether or not the atypicals are better and different, and are they worth the cost? The atypicals have not proven effective for deficits in memory or problem solving, but they do look promising in their effect on mood. They seem to improve depression, and may help reduce suicide and depression or mania with psychotic symptoms. This is especially true of clozapine, which is also the only proven treatment for refractory patients. The atypicals also look very good as far as side effects, except for weight gain. Psychosocial programs are also an important part in the treatment of Schizophrenia. Earlier programs were designed to teach families about Schizophrenia and how to cope with a loved one who suffers from it. They also taught the patients how to recognize the early symptoms of a relapse so that they could prevent it. These programs were successful, but they only indirectly focused on the functional changes that occur with the illness. Cognitive Enhancement Therapy, which has only been underway for a few years, has demonstrated that it improves the patient's skills for social interaction, and can lead to successful employment. This program uses interactive software and communicating in a group setting. The objectives are to teach the patients to understand a discussion or problem, make appropriate decisions in new situations, and identify social norms. Patients like the program activities because they are useful in handling real life situations, and many of them continue to improve even after completing the therapy.
BY RICHARD SUTPHEN
 
 

 

 

BipolarConnection 2001 - 2008

 

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