It must include not onlyexpert clinical assessment of mental status and life history of the patient, but also a comprehensive study of the nervous system and other organs and body systems. It is important to use all the possibilities of modern medicine, including laboratory analysis of biochemical and instrumental methods of research.
Significant place in the process of recognitionschizophrenia or exclusion takes psychological diagnosis: neuropsychological, patopsihologicheskih, such as diagnosis and the patient's personality structure.
It is also necessary to remember that the risk with regard to this disease are those with family history and schizoid personality type.
Professional help patients with schizophreniashould be provided as early as possible - to be timely and quality, as in the case of delay the start of treatment, the symptoms of schizophrenia become more pronounced and persistent.
The main reason is relapse of schizophreniapoor cooperation of the doctor and the patient and, as a consequence of failure to comply with the recommended treatment regimen to patients. Therefore, the formation of co-operation is a priority task of the psychiatrist.
Union doctor and the patient must be based on the relationship of trust, professionalism and a sincere desire to understand his patient's physician. very important for the development of co-operation:
Medical personnel providing aid to the patient with schizophrenia should respect the patient, to form the atmosphere in which there is no room for fear or tension.
You must know which biological methodstherapy, certain medications, psychotherapy techniques can be used, and which will cause harm to the body of the patient. A comprehensive study of the various systems, which was discussed above, is also necessary for the prediction of occurrence of certain side effects, which should be kept to a minimum. Periodic monitoring of the safety of treatment should be a common occurrence in the treatment of schizophrenia.
Preferably, use of methods and medicaments that were previously shown to be effective in patients with schizophrenia.
It is important to carry out regular psychological andneurophysiological studies (EEG, evoked potentials, duplex scanning of vessels of the brain, and others.), to assess the activities of the cardiovascular system, observe the dynamics of the hormonal and immunological parameters, the results of blood and urine tests, biochemical liver tests, protein, carbohydrate and fat metabolism.
Thus, the correction of the autonomic nervous system or immune elimination significantly increases the effectiveness of therapy.
During maintenance therapy with schizophrenia should periodically be seen by a neurologist, endocrinologist, cardiologist and gastroenterologist (at least once every six months).
Each new exacerbation of schizophrenia worsens the prognosis of the disease and produces a tendency to the appearance of resistant to treatment conditions.
Relapse of mental disorders contribute to:
treatment of non-compliance
exacerbation of concomitant diseases of other organs
reduction of social and labor status
significant side-effects of therapy.
It is necessary to carefully analyze the causesrelapse of schizophrenia in order to effectively arrest the worsening of the disease and to predict its further course. For relief of recurrence is necessary to increase the dose most of the drug, which has proved its effectiveness early.
Sociotherapy and family therapy should becompulsory component of the rehabilitation of schizophrenia patients as significantly increase the level of cooperation between the psychiatrist, the patient and his relatives.