Psychosocial Treatment of Schizophrenia

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The early psychosocial treatments of first episode psychosis is of crucial importance in the improvement of the prognosis of the illness. When ensuring successful care, timely maintenance of treatment response is optimal in regards to better long term outcomes. The appropriate use of psychotherapeutic drugs to suit each individual can be a difficult task as the side effects of the medication can impact on adherence to treatment. Psycho-education in regard to illness and medication. The treatment of more established schizophrenia has significant differences compared to first episode psychosis. Treatment options and medications can differ as can dosages of antipsychotic medication. The aim of this essay is to discuss the differences between treatment of first episode psychosis and more established schizophrenia. The average age for onset of schizophrenia differs between the sexes. The average age for males is between 15 and 25 years with 39% of males having their first episode of psychosis before the age of 19 years. Twenty-three percent of females with schizophrenia have their first episode of psychosis before the age of 19 and the average onset is between 25 and 35 years (Gearing & Charach, 2009). Gearing and Charach (2009) state the primary reason for hospitalisation in psychiatric institutions is for psychotic disorders. The average length of stay for adolescents is between 25 to 45 days. Perkins, Gu, Boteva and Leiberman (2005) state there are at least two reasons why it is important to understand the causes and consequences of untreated psychosis. Firstly, the period of untreated psychosis is a potentially variable prognostic factor, and understanding its relation to outcome could guide the way to enhanced therapeutic strategies and public health schemes. Second, a relationship of duration of untreated psychosis to outcome may indicate a neurodegenerative process and so have significant implications for understanding the pathophysiology of schizophrenia. On...
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