[Dilemma of early drug intervention in prepsychotic illnesses of adolescence].
It will be largely supposed that early intervention in schizophrenia improves the outcome of the illness. The paper summarizes the up today significant knowledge about the early recognition and treatment of schizophrenic psychosis in the adolescence. It will be pointed at the diagnostic difficulties and peculiarities in this age group. A comprehensive repeated assessment is necessary if prodromal symptoms of schizophrenia respectively psychotic states have to be taken in account. It will be pleaded for a early low dosis therapy with atypical neuroleptics to prevent the "psychotic catastrophe", that means the full outbreak of the disease. The pharmacotherapy should be a part of an intensive multimodal treatment program. The longstanding continuity of the relations to one and the same treatment setting and therapist responsible for it seems to influence the outcome positively.
Branik
Emil
E
Kinder- und Jugendpsychiatrisches Zentrum Sonnenhof, CH-9608 Ganterschwil/SG. emil.branik@kjpz.ch
Meng
Heiner
H
D000293:Adolescent; D014150:Antipsychotic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D003131:Combined Modality Therapy; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D011379:Prognosis; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy*; D012565:Schizophrenic Psychology; D012569:Schizotypal Personality Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology
D014150:Antipsychotic Agents