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Short course
9.8
Psychoses

 

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MHIC 9.8-->

 

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Pharmacological treatments for psychotic disorders

Schizophrenia, schizophreniform disorder, delusional disorder
 Usually treated with a single antipsychotic drug. See short course 10 for more on managing schizophrenia.
Psychoses related to a mood disorder (eg, bipolar disorder)
 Usually treated with a mood stabilising drug (eg, lithium, carbamazepine, or sodium valproate) after initial treatment with antipsychotic drugs (in the case of mania) or antidepressant drugs in combination with either antipsychotic drugs or electroconvulsive therapy (in the case of psychotic depression).
Schizoaffective disorder
 Often treated with an antipsychotic drug plus a mood stabilising drug or an antidepressant, although evidence for the effectiveness of this approach is limited.
For more on the drug treatments, including side effects and monitoring considerations, see the full article

On to Managing schizophrenia in the community . . .