[Treatment of acute and chronic psychoses in childhood and adolescence].
Treatment of schizophrenic conditions in children and adolescents comprises a range of measures such as psychopharmacotherapy, individual psychotherapy, cognitive-behavioral therapy, family therapy, psychoeducation, group therapy, therapeutic pedagogy, and creative and ergotherapy. The objectives of pharmacotherapy are three-fold: (1) elimination of acute psychotic symptoms and anxiety/agitation, (2) restoration of psychophysical harmony in the remission phase, and (3) prevention of relapses and facilitation of postpsychotic rehabilitation. Atypical antipsychotic drugs represent a major advance in the treatment of schizophrenic psychoses in childhood and adolescence. Differences in the potency of the antipsychotic effect and in undesired side effects are determined by the different receptor binding profiles of the respective substances. The use of long-term treatment with appropriate neuroleptics in combination with family therapy can significantly reduce the relapse rate.
Eggers
Ch
Ch
Arzt für Kinder-u.Jugendpsychiatrie, Rheinische Kliniken Essen. christian.eggers@uni-essen.de
D000208:Acute Disease; D000293:Adolescent; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002648:Child; D003131:Combined Modality Therapy; D003692:Delayed-Action Preparations; D005196:Family Therapy; D006801:Humans; D008134:Long-Term Care; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D055502:Secondary Prevention
D014150:Antipsychotic Agents; D003692:Delayed-Action Preparations