Schizophrenia (Part 1)
- Created by: Natalie
- Created on: 10-06-14 11:25
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- Schizophrenia (1)
- Drug Therapy
- Chlorpromazine
- Tranquilize surgical patients without sedating them so they still have cognitive function
- Led psychiatrists to discover that it has a therapeutic effect and removed positive symptoms of SZ (hallucinations etc.)
- Tranquilize surgical patients without sedating them so they still have cognitive function
- Phenothiazines
- Most effect treatment for SZ.
- Attaches itself to dopamine receptors in the brain so stops dopamine from getting to the receptors.
- Positive symptoms are contained and there are clear cognitive and behaviour improvements too
- Neuroplectics
- Effective in controlling positive symptoms and have allowed SZ's to live outside institutions.
- Continued use of drugs at a low dosage helps in preventing relapse
- Reduces symptoms within six months but they return when patients stop taking the drug
- Patients have to take the drug for it to have any effect
- Conventional drugs are good in reducing positive symptoms but not negative symptoms
- Does not take into account the individual differences
- Quick and easy to take unlike CBT which takes a lot of time and only works it the patient wants it to and is motivated
- Only the symptoms are treated
- Does not get to the root cause
- Around 30% do not respond to antipsychotic drugs
- They don't work for everybody
- Drugs can cause side effects
- Sever side effects can include tardive dyskinesia and 24% of SZ's get this
- Ethical issues
- Take away personal control
- Can lead to addiction
- Chlorpromazine
- ECT (Elective Compulsive Therapy)
- Involves the passing of a current of between 70 and 130 volts through the brain for half a second
- This is done by placing electrodes on the temples
- It was given 2-3 times a week for 3-4 weeks
- Lack of informed consent
- Patients are not in the right state of mind when they agree to have the treatment
- Protection of P's
- ECT used to be used as a punishment in the 1960's
- ECT has not been proven to be ineffective for the treatment of SZ
- Now mainly used for depression
- Involves the passing of a current of between 70 and 130 volts through the brain for half a second
- CBT (Cognitive Behavioural Therapy)
- Challenge negative thoughts and beliefs and put them to a reality test
- Therapist will ask them for evidence of delsions
- Therapist may provide the use of a distraction
- Therapist may give relaxing and breathing techniques
- Tarrier
- Found that 73% of his patients found that the strategies were successful in managing their symptoms
- This shows however, that it only treats the symptoms, not the cause
- Gould
- Conducted a meta-analysis and found that it has a significant positive effect on patients symptoms
- This shows however, that it only treats the symptoms, not the cause
- Most studies show that patients have used CBT alongside drugs
- Hard to establish cause and effect
- Has long term benefits
- Gives people more freedom and control
- Takes a long time to do and needs commitment and motivation
- Challenge negative thoughts and beliefs and put them to a reality test
- Drug Therapy
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