Treatment: Identification of Schizophrenic Patients
Rashmi Nemade, Ph.D. & Mark Dombeck, Ph.D., edited by Kathryn Patricelli, MAimage by John Lewis (lic)
Treatment
Identification of schizophrenic patients
Schizophrenia is a disease that affects how people think and how they experience the world around them. It affects their judgment and ability to tell what is real. Very few people with schizophrenia recognize what is happening to them and voluntarily show up at a doctor's office asking for help. At the same time, few families are prepared for the idea that their loved ones are hallucinating, experiencing delusions or losing touch with reality. Family members tend to minimize the seriousness of their loved one's odd behavior. They may choose to believe that it is caused by stress or other temporary conditions. Between of these tendencies on the part of the person and the family, the symptoms tend to get fairly severe before anyone recognizes how serious the problem is.
People are often identified as possibly having schizophrenia when they are picked up in a psychotic state by police and brought to a hospital. They will be evaluated at the hospital. This evaluation to determine the cause of symptoms may include:
- history and mental status exams - the doctor will be looking for hallucinations, headaches, recent head injury, and drug use, prescription or otherwise. This helps to see whether the symptoms are substance/medication-induced.
- physical and neurological (brain) exams - these exams will be looking for medical causes of the symptoms.
- basic lab tests - may include blood count, blood chemical screens and urinalysis. The goal here is to rule out body imbalances that could be causing the symptoms.
- psychological tests - these can be helpful in the early cases or cases where it isn't quite clear what is going on.
- lumbar puncture - in this procedure, fluid is drawn from the lower back and used to check for brain diseases or infections that could be causing the symptoms.
- EEG - since some medications used to treat schizophrenia can affect the heart, an EEG will be done to check the current heart condition.
- MRI/CT Scans - these may be used to check for brain lesions that could be causing the symptoms.
People rarely get to stay in a hospital for a long time due to insurance limitations. As soon as possible, people are examined, diagnosed, and put on medications that will reduce their symptoms. They may even be released from the hospital before symptoms have been greatly reduced when they do not appear to be a danger to themselves or others.
Outpatient or partial hospital treatment is generally coordinated prior to leaving the hospital. These treatment options pick up where hospital care ends. Also, at this time (or sooner) family members may receive education about schizophrenia, the absolute need for ongoing treatment if best outcomes are going to happen, and their role in helping that treatment becomes and remains successful.
When funding allows for it, a case manager may be assigned to assist with coordination of patient care and family support. If a patient is not taking medications or the medications are not reducing the symptoms, the person may become (or remain) acutely ill again. This may require a return trip to the hospital if the person's insurance or situation allows for it.
Schizophrenia Spectrum and Other Psychotic Disorder Diagnosis Issues
Schizophrenia Medication Treatment Options
Resources
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Articles
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What is Schizophrenia?
- An Introduction to Schizophrenia Spectrum & Other Psychotic Disorders
- What Schizophrenia Is Not
- Statistics and Course of Schizophrenia
- Outcomes and Recovery Factors of Schizophrenia
- Disability and Schizophrenia
- Symptoms of Schizophrenia
- Positive Symptoms of Schizophrenia: The Psychotic Dimension
- Positive Symptoms Continued and Negative Symptoms
- Evidence That Schizophrenia is a Brain Disease
- Schizophrenia Stigma and Violence
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Schizophrenia Symptoms and Diagnosis
- Formal DSM Schizophrenia Spectrum and Other Psychotic Disorders Diagnoses
- Symptoms of Schizoid Personality Disorder
- Symptoms of Schizotypal Personality Disoders
- Symptoms of Brief Psychotic Disorder
- Symptoms of Psychotic Disorder Due to a Medical Condition
- Symptoms of Substance/Medication-Induced Psychotic Disorder
- Symptoms of Delusional Disorder
- Symptoms of Schizophrenia
- Symptoms of Schizoaffective Disorder
- Symptoms of Schizophreniform Disorder
- Schizophrenia Diagnostic Considerations
- Catatonia Associated with Another Mental Disorder (Catatonia Specifier)
- Catatonia Due to Another Medical Condition
- Unspecified Catatonia and Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
- Schizophrenia Spectrum and Other Psychotic Disorder Diagnosis Issues
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Schizophrenia Treatment
- Treatment: Identification of Schizophrenic Patients
- Schizophrenia Medication Treatment Options
- Schizophrenia Treatment - Antipsychotic Medications
- Schizophrenia Treatment - Hospitalization
- Schizophrenia Treatment - Outpatient Options
- Schizophrenia Treatment - Housing and Self-Help Options
- Treatment - Family Support
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Schizophrenia References
- Schizophrenia References
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What is Schizophrenia?
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Questions and Answers
- Mentally ill Daughter
- Am I Crazy?
- I See and Hear Things, What's Wrong With Me?
- I Think I Have a Mental Illness
- How to Handle my Mothers State of Mind?
- Schizophrenia
- Schizophrenic Relapse !
- My Little Girl
- What To Do?
- Paranoid Schizophrenia Diagnosis
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23 more
- Pregnant with A Mental Illness
- Help
- Am I Schizophrenic?
- Extreme Psychopathy/sociopathy?
- voices
- Am i schizophrenic?
- What Are Some Coping Skills for Paranoia?
- hearing voices, uncertain and scared
- A very low threshold for stress tolerance
- Am I going to do this?
- Hearing Voices
- night fears
- Is this Schizophrenia?
- losing personality wholness
- Pregnant and Possibly Schizophrenic
- Medication problem
- My Schizophrenic sister refuses treatment
- My Nephew Sees Angels
- Two cases of likely paranoia ...
- i have always believed someone was watching me
- A Librarian in Illinois asks:
- Am I Schizophrenic?
- Is Paranoia A Destiny?
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Book & Media Reviews
- 10% Happier
- A Beautiful Mind
- A Beautiful Mind
- A Beautiful Mind
- A Colorful History of Popular Delusions
- Angelhead
- Beyond Madness
- Clues
- Cognitive Theories of Mental Illness
- Daddy's Girls
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38 more
- Dante's Cure
- Defeating the Voices
- Diagnosis: Schizophrenia
- Diagnosis: Schizophrenia
- How to Become a Schizophrenic
- I am Not Sick I Don't Need Help!
- I Never Promised You a Rose Garden
- Imagining Robert
- Julien Donkey-Boy
- Juvenile-Onset Schizophrenia
- Living Outside Mental Illness
- Living With Schizophrenia
- Living with Schizophrenia
- Mad in America
- No One Cares About Crazy People
- Phenomology & Lacan on Schizophrenia, After the Decade of the Brain
- Recovery from Schizophrenia
- Saints, Scholars, and Schizophrenics: Mental Illness in Rural Ireland
- Schizophrenia
- Schizophrenia
- Schizophrenia Revealed
- Schizophrenia: A Scientific Delusion?
- Social Cognition and Schizophrenia
- Street Crazy
- Surviving Schizophrenia
- Surviving Schizophrenia
- The Art of Adolf Wolfli
- The Collected Schizophrenias
- The Early Stages of Schizophrenia
- The Eden Express
- The Epidemiology of Schizophrenia
- The Invisible Plague
- The Madness of Adam and Eve
- The Outsider
- The Quiet Room
- Toxic Psychiatry
- Transforming Madness
- Wrestling with the Angel
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Links
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- [2] Associations
- [1] Government
- [12] Information
- [1] Research
- [12] Videos
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Videos
- Raquea's Story: Finding What Works
- Treating First Episode Psychosis
- What is Schizophrenia?
- Corey's Story: One Door Closes, Another Opens
- Treatment of Schizophrenia
- Tell Me About Schizophrenia
- NAMI's Ask the Doctor Calls--Successful Aging with Schizophrenia
- Implementing Early Treatment of Psychosis -- RAISE Connection
- Schizophrenia & Dissociative Disorders
- What is Schizophrenia?
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2 more
- Living With Schizophrenia
- Schizophrenia - A Quick Intro
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