Treatment of Schizophrenia
Treatment of Schizophrenia – Community oriented treatment facilities appear to be conducting two parallel programs. First concerns newly admitted, acutely disturbed schizophrenics whose family and community ties and intact. Most of these patients respond favorably to treatment and can be discharged within 20 to 60 days provided they receive adequate after care.
The second program is devoted for more severe and chronic cases involving the patients whose family and community ties have been disrupted. They respond more slowly to the treatment and usually their complete recovery is not possible. However their hallucinations and delusions can be reduced to a point that they are no longer threatening.
Drug Treatment –
The invention of tranquilizers has truly revolutionized the treatment of schizophrenic’s patients. Major tranquilizers are given to control excitement and thought disturbances whereas minor ones are used to decrease apprehension and promote sleep. Antidepressants to alleviate mood and to increase alertness is also used. But sole reliance on tranquilizers is not recommended as these are number of side effects and also the risk of dependence.
The aim of psychotherapy is to reestablish the bonds of human relatedness and correct attitudes remove specific psychotic symptoms and develop interpersonal competencies for coping with the stresses of life. Group psychotherapy has given better results than individual psychotherapy.
Among behavior therapy techniques, taken economy has been found to be useful. CBTs which emphasize on cognitive restructuring are also used as schizophrenia is primarily a thought disorder. Milieu Therapy where the emphasis is given on the development of meaningful and constructive environment has also been found to be effective.
Socio therapy is effective in schizophrenia as it is directed towards working out family crises and alleviating pathogenic family conditions and helping the patient make adequate adjustments in the community. Because the relapse rate is very high therefore special care is needed for the patient after he has received psychotherapeutic treatment. After care progress therefore assumes importance in any therapeutic treatment.