title: Personalised approach in treatment of a prepsychotic adolescent.
abstract: In clinical practice with adolescents we often come across with prepsychotic and psychotic disorders. When an adolescent patient has a positive hereditary burden for psychiatric illnesses in both parents, then the qualification of adolescent's mental disorder seems closer to psychotic. We must have in mind that hereditary burden is only one of many etiological factors that contribute to mental decompensations in adolescent age, that can, but don't have to be the prodrome of psychosis in the future. Whether is characterised as psychotic or not, the treatment of an adolescent in critical situation must be personalised, considering biological, social and individual factors of a patient. We believe that clinician's experience in treating psychotic adolescent patients and personalised and integrative approach to a patient is of great importance. In this article we will present the therapeutical process of a 19-year old female adolescent, with psychotic symptoms, whose both parents are psychiatric patients. A personalised and integrative approach in treatment of this patient made possible the overcome of crisis, termination of high school education and an employment. These achievements, no matter what the future can bring to this patient, create better conditions for her functioning in life.
authors.affiliation: University Psychiatric Clinic Rijeka, Clinical Hospital Centre Rijeka, Rijeka, Croatia. mirjana.graovac@ri.t-com.hr
authors.forename: Mirjana
authors.initials: M
authors.lastname: Graovac
authors.forename: Jelena
authors.initials: J
authors.lastname: Rebić
authors.forename: Klementina
authors.initials: K
authors.lastname: Ruzić
authors.forename: Elizabeta
authors.initials: E
authors.lastname: Dadić-Hero
authors.forename: Tanja
authors.initials: T
authors.lastname: Francisković
mesh_terms: D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology*; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D010348:Patient Care Team; D057285:Precision Medicine; D011613:Psychotherapy / Q000379:methods; D011615:Psychotherapy, Group / Q000379:methods; D011618:Psychotic Disorders / Q000235:genetics* / Q000523:psychology / Q000628:therapy*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012307:Risk Factors; D012569:Schizotypal Personality Disorder / Q000235:genetics* / Q000523:psychology / Q000628:therapy*; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs