Treating Schizophrenia in the Prodromal Phase: Back to the by Alison Yung, Lisa Phillips, Patrick D. McGorry PDF

By Alison Yung, Lisa Phillips, Patrick D. McGorry

Early intervention in psychotic issues, fairly schizophrenia, has been more and more well-known as vital by means of clinicians and policymakers alike. the advantages to sufferers and their carers comprise well timed therapy, minimization of secondary morbidity and prevention of relapse. it sort of feels most likely that the process disease will be definitely encouraged and that interventions can be even more affordable if supplied constantly through the early years after onset. This publication will current development so far within the box of pre-psychotic intervention and learn. possibilities and pitfalls are mentioned to be able to support psychiatrists and different psychological healthiness clinicians who should be making plans related prone.

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Mednick et al (1987) modified this strategy by focusing on adolescent offspring who were entering the peak age of risk, an approach that made the high risk paradigm more practical. Researchers using this approach acknowledge that the transition rate to a psychotic disorder is not likely to be large and results may well not be generalisable beyond the genetically defined high risk group (Asarnow 1988). A study by the Bonn group examined the predictive capacity of the basic symptoms in a cohort of non-psychotic patients attending a tertiary referral psychiatric setting.

That is, the presence of the syndrome implies that the affected person is at that time more likely to develop psychosis in the near future than someone without the syndrome. However, if the symptoms resolve then that degree of increased risk remits as well. In an attempt to deal with these issues we have coined a new term, the ‘at risk mental state’ (Yung et al 1996). This terminology highlights the risk factor approach, suggesting that the syndrome is a risk factor for onset of full-blown psychosis in the near future.

7. 8. • Thought-blocking • Reduced abstraction 22 Physical symptoms • Somatic complaints • Loss of weight • Poor appetite • Sleep disturbance Attenuated or subthreshold versions of psychotic symptoms • Perceptual abnormalities • Suspiciousness • Change in sense of self, others or the world • Change in affect • Change in motility Other symptoms • Obsessive-compulsive phenomena • Dissociative phenomena • Increased interpersonal sensitivity Behavioural changes • Deterioration in role-functioning • Social withdrawal • Impulsivity • Odd behaviour • Aggressive, disruptive behaviour Huber 1996, Klosterkötter et al 1996 and the semi-structured interview schedule specifically designed to assess them, the Bonn Scale for Assessment of Basic Symptoms (BSABS: Klosterkötter et al 1997).

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