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Short course
10.3
Managing
schizophrenia

 

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Principles of treatment

Collaborative care between the general practitioner and community psychiatric services offers the most effective management for many people with schizophrenia.
 People with schizophrenia need continuity of care, which the general practitioner may be best placed to provide because of a long-term commitment to the patient.
 Newer antipsychotic drugs are associated with better clinical outcomes, especially in relation to negative symptoms (ie, apathy, underactivity, slowness, social withdrawal). (See 10.5, 10.6)
 Treat side effects of medication vigorously and expediently to enhance compliance with treatment.
 Treat secondary symptoms of dysphoria and depression to prevent suicide.
 Use psychological therapies to minimise disabilities and strengthen the person's ability to cope in the community. (See 10.9, 10.10)
 Involve the family (education, support and a collaborative approach in monitoring and supporting the patient's well-being).
On to section 10.4, medication to reduce symptoms . . .