title: [Prevention of psychotic disorders; is the time ripe for intervention?].
abstract: A growing number of research papers focus on the identification of young individuals meeting 'ultra-high risk criteria' for developing a first episode of psychosis. Intervention in this early phase might possibly prevent or postpone the development of a full-blown psychosis. Different detection and treatment strategies within this target group are being discussed. This is illustrated using three cases. The first is a 20-year-old female with subclinical psychotic symptoms and recent functional decline; however, as her symptoms only presented following drug abuse, she was not considered to be at ultra-high risk for developing a first episode of psychosis. The second case involves a 17-year-old student who did meet at-risk criteria; after seeking help for subclinical psychotic symptoms and increasing social withdrawal behaviour his symptoms decreased with help of CBT. The third case, an 18-year-old male, illustrates that specialized investigation into high-risk symptoms of psychosis are sometimes needed to reveal frank psychotic symptoms.
authors: AMC, afd. Psychiatrie, Amsterdam, the Netherlands. l.dehaan@amc.uva.nl
authors: Lieuwe
authors: L
authors: de Haan
authors: Eva
authors: E
authors: Velthorst
authors: Dorien H
authors: DH
authors: Nieman
authors: Hiske E
authors: HE
authors: Becker
authors: Marian A
authors: MA
authors: de Lange
authors: Mark
authors: M
authors: van der Gaag
mesh_terms: D000293:Adolescent; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000517:prevention & control*; D018570:Risk Assessment; D055815:Young Adult