The Everything Health Guide to Schizophrenia: The latest information on treatment, medication, and coping strategies

The Everything Health Guide to Schizophrenia: The latest information on treatment, medication, and coping strategies

by Dean A Haycock, Elias K. Shaya

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Product Details

ISBN-13: 9781605507385
Publisher: Adams Media
Publication date: 07/18/2009
Series: Everything
Format: NOOK Book
Pages: 304
File size: 847 KB

About the Author

Dean Haycock, PhD (Salem, NY) is a science and medical writer with a PhD from Brown University and a fellowship from the National Institute of Mental Health to study at the Rockefeller University. Dr. Haycock’s research and feature articles have appeared in many scholarly journals as well as newspapers, websites, and magazines, including WebMD and the Annals of Internal Medicine. In addition, he has contributed articles to The Gale Encyclopedia of Mental Health.

Elias K. Shaya, MD (Baltimore, MD), is chief of psychiatry at the Good Samaritan Hospital in Baltimore, and is an instructor at the Johns Hopkins University. He earned his MD degree at the American University of Beirut School of Medicine and is certified by the American Board of Psychiatry and Neurology for General and Geriatric Psychiatry. He has been published in several medical publications, including the American Journal of Psychiatry. He is a regular lecturer, consultant, and speakers’ bureau member for several pharmaceutical companies.

Table of Contents

Introduction xiii

Chapter 1 Schizophrenia Basics 1

A Brief Overview of Schizophrenia 1

Features of the Disease 3

Schizophrenia's Effect on Relationships 5

A Brief History of Schizophrenia 7

Early Treatments and Explanations 10

What Schizophrenia Is Not 13

Chapter 2 What Causes Schizophrenia? 16

The Role of Genetics 16

A Look at the Brain 19

Altered Brain Structure in Schizophrenia 22

Normal Chemical Signals 26

Altered Brain Chemistry in Schizophrenia 27

The Role of Environment 28

What Might Cause Schizophrenia? 30

Chapter 3 What Type of Schizophrenia Are You Dealing With? 32

Diagnosing Schizophrenia 32

Paranoid Schizophrenia 33

Disorganized Schizophrenia 34

Catatonic Schizophrenia 35

Undifferentiated and Residual Schizophrenia 37

Type I and Type II 38

Chapter 4 Related Psychotic Disorders 41

Brief Psychotic Disorder 41

Shared Psychotic Disorder 42

Schizophreniform Disorder 43

Schizoaffective Disorder 44

Delusional Disorder 46

Psychotic Disorder Due to a General Medical Condition 49

Other Mental Disorders with Similarities to Schizophrenia 50

Chapter 5 Symptoms of Schizophrenia 53

Positive Symptoms 53

Negative Symptoms 57

Cognitive Problems 60

Variability of Symptoms 63

Gender Differences 64

The Threat of Suicide 65

Chapter 6 Warning Signs of Schizophrenia 67

Onset: The Early Warning Signs 67

Some Indicators in Early Childhood Behavior 71

Developing Schizophrenia Before and After Adolescence 73

Can Schizophrenia Be Prevented? 76

Psychotic Symptoms Are an Emergency 78

Early Warning Clinics 80

Chapter 7 Schizophrenia-like Symptoms in Other Medical Conditions 82

Bipolar Disease 82

Drug-InducedPsychosis 84

Alzheimer's Disease and Other Dementias 86

Psychosis Resulting from Other Medical Conditions 87

Other Psychotic Disorders 88

Chapter 8 Impressions of Schizophrenia 90

Hallucinations 90

Delusions 91

Loss of Control 93

Sense of Self and Emotions 95

Chapter 9 Treating Schizophrenia with Drugs 98

Finding the Right Medication 98

How Do Antipsychotic Medications Work? 100

Two Main Types of Antipsychotic Drugs 102

Features of Some Popular Antipsychotic Medications 108

Is There a "Right" Medicine for Everyone? 110

Realizing the Benefits 113

Side Effects of First-Generation versus Second-Generation Drugs 116

Recognizing the Side Effects 118

Effects of Conventional Antipsychotic Drugs on the Extrapyramidal System 120

Side Effects of Atypical Antipsychotic Drugs 122

Precautions 123

Combination Treatments 125

Chapter 10 Therapy for Schizophrenia 127

Why Therapy? 127

Modern Therapies versus Older Therapies 129

Supportive or Rehabilitative Therapies 131

Family Therapy and Rehabilitation 133

Cognitive Therapy 134

Finding Good Therapists 134

Chapter 11 What if Nothing Works? 137

Are Alternative Therapies Right for You? 137

Lack of Compliance or Failure of Medical Care 138

Assisted Treatment 140

What Is a Clinical Trial? 146

Finding Clinical Trials 150

Applying to Take Part in a Clinical Trial 151

Chapter 12 Other Views of Schizophrenia and Current Treatments 153

Public Perception of Schizophrenia 153

Anti-Psychiatry 156

Does Mental Illness Really Exist? 157

Do Drugs Do More Harm than Good? 158

Do Pharmaceutical Companies Control Modern Psychiatry? 159

Are Nontraditional Treatments Effective? 161

Chapter 13 Ensuring Good Psychiatric Care 165

Diagnosing a Mental Illness 165

Locating Good Care Near You 167

Researching a Doctor's Background 168

Professional Physician Background Checks 172

Working with Your Doctor 173

Encouraging Treatment in Reluctant Individuals 175

Confidentiality 177

Affordability of Mental Health Care 178

Chapter 14 Should a Person with Schizophrenia Live at Home? 180

When Living at Home Is a Good Idea! 180

When Living at Home Is Not a Good Idea 183

Full-and Part-Time Hospitalization 184

Hospitalizing Children 188

Legal Rights and Hospitalization 189

Outpatient Care 191

Chapter 15 What You Can Do to Aid Recovery 193

Attitude: Accept the Pain and Take Charge of Your Situation 193

Setting Realistic Goals of Recovery 195

Encouraging Someone to Seek Medical Treatment 197

Communication 198

Sticking to a Helpful Course of Treatment 200

Mastering the Health Care System 202

Chapter 16 Success Stories and Case Histories 206

The Difficulty of Predicting the Future 206

What Does Successful Schizophrenia Treatment Mean? 208

"Mary" 210

"John" 213

Lori Schiller 214

Ken Steele 218

Chapter 17 How to Handle a Schizophrenia Emergency 220

Preparing for an Emergency 220

Who to Call for Help 221

Dealing with Aggressive Behavior 222

What You Should Do 225

What to Avoid 226

Learning from the Experience 229

Chapter 18 Support for the Caregiver 231

Problems of the Caregiver 231

Coping with Daily Stresses 234

Coping with the Stigma of Mental Illness 237

Dealing with Prejudice and Ignorance 238

Paying for Mental Health Care 240

Chapter 19 Advocating for Better Understanding and Treatment 244

Established Advocacy Groups 244

Local Support Groups 245

Educating Your Neighbors 246

Services that Need Improvement 248

Organizing 250

Politicking 252

Chapter 20 The Promise of Future Research 255

Schizophrenia Research 255

The Need for More Basic Research 256

Need for Better Medications 258

Developing New Medications 259

The Drug Pipeline 260

Appendix A Glossary 263

Appendix B Resources 271

Appendix C Early Treatment Clinics in the United States and Canada 276

Appendix D Top Psychiatric Hospitals in the United States 281

Index 284

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