It is really important for both the patient and his relatives to understand the basic principles of schizophrenia treatment. First of all, because being well informed largely removes the anxiety that loving people develop in connection with such a diagnosis. You also need to be aware so that when alarming "bells" appear, consult a doctor in time to correct the treatment.
So, there are several directions and stages in the treatment of schizophrenia.
Treatment of the initial schizophrenia in non-manifest stages of the process
This implies the treatment of personality disorders even before the apparent onset of schizophrenia. Disorders of this circle are very diverse: signs of a violation of the organization of the thought process, impaired perception, disorders of the emotional sphere, isolation from society, a strange appearance, increased susceptibility to everyday situations. If the family has not previously encountered the manifestations of schizophrenia, these disorders can be perceived as features of adolescence - it is with this period of life that they often coincide. And even if a school psychologist recommends a psychiatric consultation, it is rarely heard. Also, this symptomatology can be perceived as manifestations of neurosis. Such an underestimation of the situation leads to insufficient treatment - psychotherapeutic, while the patient needs to prescribe atypical antipsychotics.
If psychopharmacotherapy is started in this period, it allows to delay the manifestation of schizophrenia, and in case of manifestation, it contributes to more successful relief of a psychotic state.
Treatment of the first psychotic episode
At this stage, the doctor solves the following tasks: eliminate hallucinatory-delusional symptoms, stop depressive experiences, restore indicators social functioning and quality of life of patients. If the family seeks help in a timely manner, this period lasts from 4 to 12 weeks.
Therapy for depression in schizophrenia
This condition is very typical for patients with schizophrenia. and it can occur before an attack, after stopping psychosis or in the interictal period. Depression in schizophrenia is as much a reason to see a psychiatrist as hallucinations or personality disorders. Both the patient and relatives must understand that in order to ensure a good quality of life for the whole family, depression must be treated with drugs, and not by persuading the patient to “pull himself together.”
This implies that the patient is constantly taking the drugs that the doctor has prescribed to prevent the progression of the disease. The good condition of the patient cannot be regarded by the family as an excuse to stop taking medications on their own.
The issue of family planning while taking anti-relapse therapy deserves special attention.If the patient wants to conceive a child, and the woman is a patient and carry him, it is necessary to consult a doctor with this question. In this case, a council is appointed, at which several experienced doctors discuss the need to change the drug intake regimen or the possibility of canceling them for the period of pregravid preparation and pregnancy. It is categorically impossible to resolve this issue independently - the reactions of a pregnant patient suffering from schizophrenia can be dangerous for her and the unborn child.
Overcoming resistance to therapy
the effects of drugs or the appearance of new symptoms while taking a treatment regimen that used to help is not a reason to refuse therapy. This is just an excuse to see your doctor to change your medication regimen, change a drug, or add a new medication. If the patient becomes so resistant (unresponsive) to therapy that treatment adjustments are unsuccessful, electroconvulsive therapy may be appropriate.
Another factor that family members need to be aware of. The use of modern drugs for schizophrenia can give such a good result that the patient is completely restored to his social functions, he literally returns to the real world. And such an apparent recovery leads to an increase in the demands that relatives place on the patient's personality. If it is difficult for him, an unconscious "flight into illness" may occur, that is, a resumption of the symptoms of the disease. Therefore, it is important to be careful and tactful in relation to the person suffering from schizophrenia.
This is the state of the patient's trust in his attending physician, the willingness to follow his recommendations and discuss with him the features of the course of the disease. Compliance is often violated under the influence of outside opinion during the period of remission or due to the occurrence of side effects. In turn, having lost contact with the attending physician, the patient is left alone with the disease, which inevitably progresses in the absence of adequate assistance. If a patient or family has problems with trusting a doctor, it is necessary to find a specialist whose opinion will not be in doubt.
It is possible not to recover, but to achieve long-term remission. Sometimes remission lasts until the patient's death. The thing is that schizophrenia is very different, sometimes it hides behind other mental disorders, it has a lot of types. There are sluggish forms, there are progressive, nuclear, etc.
Very often schizophrenia opens at the first love: the brain is not able to cope with the amount of hormones produced in the body after a strong emotional uplift, and reacts to this with psychosis. Often an exacerbation of the disease occurs against a background of stress.
The problem is that society presents schizophrenics as completely inadequate people, unable to interact with society, strange, even depressed. However, in my opinion, these people differ in a different way of thinking, they are very often intellectually developed and it is interesting to maintain a dialogue with them.
The question of remission depends on the emotional state of the patient and the correctly selected course of antidepressants, neuroleptics, normotirs. Rehabilitation is also supported by creativity and self-expression. With the right approach, remission can last a very long time, and the illness will not cause a person suffering.
Schizophrenia can be cured in the same way people are cured of diabetes, bronchial asthma, AIDS, Alzheimer's disease, Parkinson's disease - that is, NONE.
You can only smooth out its symptoms, slow down development, enter remission.
TheQuestion: we will find those who will answer your questions.
I have not heard that schizophrenia is curable. Among schizophrenics, there are people who realize that they are sick, but there are few of them. Among schizophrenics there are also Nobel laureates.