Treatment of Schizophrenia Flashcards
What are the 4 types of treatments?
- hospitalization in state hospitals
- medical treatments prior to antipsychotic meds
- antipsychotic meds
- comprehensive treatment on multiple levels
What were the types of medical treatments before antipsychotic meds
hydrotherapy, insulin coma therapy, lobotomy, electroconvulsive therapy
lobotomy
cutting into the frontal lobe in order to make the patient easier to handle
electroconvulsive therapy
giving the brain brief electrical shocks while patient is under anesthesia
What do the older antipsychotics do?
They work by blocking D2 dopamine receptors and improve psychotic symptoms
What are some examples of older antipsychotics?
- thorazine
- prolixin
- haldol
What are the side affects to the older antipsychotics?
- parkinson like symptoms
- strange walking
- stiffening of neck and jaw
- decreased spontaneity
- restlessness
- dry mouth
- blurred vision
- impaired sexual functioning
- weight gain
- Tardive Dyskinesia
Tardive Dyskinesia
involuntary movements of tongue and mouth, often irreversible
What do the newer antipsychotic drugs do?
They work on D1, D2, and D4
- they also work on the seratonin system and other neurotransmitters
- action is more specific
What are the advantages of the newer over older?
- fewer side effects
- treat both positive and negative symptoms
- some mood stabilizing properties
Side effects of the newer antipsychotics
- Agranulocytosis (only with Clozapine)
- sedation (mostly with Clozapine, Zypreza, Seroquel)
- Weight gain
- higher risk of diabetes
What is the first rule of therapy?
build trust first
What should you do in family counseling?
- educate fam about schiz
- reduce self-blame
- reduce “expressed emotion” to prevent relapse
expressed emotion
critical, hostile, and overly involved attitude that family members have toward someone with a disorder
