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Schizophrenia - disorganized type - Treatment

Alternative Names

Hebephrenic schizophrenia; Disorganized schizophrenia

Treatment:

Treatment involves anti-psychotic medications. Newer medications such as olanzapine, risperidone, and clozapine may be effective with fewer side effects.

Sometimes, people with this condition may need to go into the hospital for safety reasons and for faster relief of symptoms.

Expectations (prognosis):

This is a chronic illness, and it is common for symptoms to return. However, good management and return of function is possible. Involving your family in the treatment process can help.

At times, patients with this condition stop taking their medications. This occurs either because the side effects are unpleasant, or because patients believe they are cured and no longer need the medication. Do not stop taking medications without talking about your concerns with your treatment team.

Family members and community psychiatric services can help ensure that you take your medications correctly and manage any side effects. Newer medications are far less likely to cause disturbing side effects.

Complications:

  • Chain smoking
  • Drug and alcohol abuse
  • Loss of ability to work and function socially
  • Self-harm, suicide

Calling your health care provider:

Call your doctor if you or a loved one has symptoms of psychosis.

  • Reviewed last on: 2/6/2008
  • Christos Ballas, MD, Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

International early psychosis association writing group. International clinical practice guidelines for early psychosis. Br J Psychiatry, 2005;187:s120-s124.

Addington D, Bouchard RH, Goldberg J, Honer B, Malla A, Norman R, Tempier R. Clinical practice guidelines: treatment of schizophrenia. Can J Psychiatry, 2005;50:7s-57s.