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    Schizophrenia Guidelines - Guidelines Summary

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    Schizophrenia Guidelines - Guidelines Summary

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    dila
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    Schizophrenia Guidelines_ Guidelines Summary

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    10 views2 pages

    Schizophrenia Guidelines - Guidelines Summary

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    dila

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    This site is intended for healthcare professionals

    Schizophrenia Guidelines
    Updated: Jul 26, 2021
    Author: Frances R Frankenburg, MD; Chief Editor: Glen L Xiong, MD  more...

    GUIDELINES

    Guidelines Summary
    American Psychiatric Association (APA)
    The American Psychiatric Association (APA) released the third edition of its Practice Guideline for
    the Treatment of Patients with Schizophrenia in 2020.
    [134] Recommendations address treatment
    planning, pharmacotherapy, and psychosocial interventions. Some of these recommendations are
    listed below. 

    Assessment and determination of treatment plan

    The APA recommends a thorough initial assessment that includes the following components:

    Reason patient is presenting

    Patient's goals/preferences for treatment

    Psychiatric symptoms

    Trauma history

    Tobacco/substance use

    Psychiatric treatment history

    Physical health

    Mental status/cognitive assessment

    Suicidality

    Aggressive behaviors

    The APA also recommends an initial psychiatric evaluation and a documented, comprehensive,
    and person-centered treatment plan.

    Pharmacotherapy

    The APA recommends treating schizophrenic patients with antipsychotic medication and
    monitoring effectiveness and side effects. If a patient's symptoms improve with antipsychotics, the
    APA recommends continuing the same medication. 

    The APA recommends that treatment-resistant patients be treated with clozapine. This
    recommendation also applies to patients at substantial risk of suicide or suicide attempts as well as
    those at substantial risk of aggressive behavior despite other treatments.
    The APA recommends that patients with acute dystonia associated with antipsychotic therapy be
    treated with an anticholinergic medication. 

    Psychosocial interventions

    The APA recommends patients with schizophrenia be treated with cognitive-behavioral therapy for
    psychosis and receive psychoeducation, supported employment services, social skills training, and
    cognitive remediation, among other services.

    Medication
     
     

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