PSYC 3406 Lecture Notes - Lecture 15: Tardive Dyskinesia, Transcranial Magnetic Stimulation, Psychiatric Rehabilitation

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Treatments for Schizophrenia and Other Severe Mental Disorders
Treatment Approaches
-Institutional Care
-Biological Interventions
-Psychosical Interventions
-Psychodynamic Therapy
-Learning Based Therapies
-Psychosocial Rehabilitation
-Family Interventions
Institutional Care
-Paranoid delusions, hallucinations, harm to themselves or others
-State hospitals
-Care vs. order vs. warehouse
-Social breakdown syndrome
-Milieu Therapy: does help symptoms in institiution. The more you can make the
environment appealing, less loud, bright lights you want to make environment
that promotes healing. Really important in terms of taken individuals in
institution.
-Token Economy: Beneficial, helping individuals produce appropriate behaviors
and then they get rewarded for that.
Biological Approaches
Schizophrenia-need to be a biological approach
-In the past people didnt know how to treat schizophrenia
Historical Treatments
-Insulin Shock Therapy
-Lobotomies
-ECT
Psychotropic Medications- Neuroleptics
-Phenothiazines
-Block dopamine receptors- dopamine antagonists
-Thorazine
-Mellaril
-Stelazine
-Prolixin
-Haldol
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Reduced risk of Tardive Dyskinesia
-Clorazil
-Can be lethal by effect on production of White blood cells
-Zyprexa
-Increased risk of cardiac death, weight gain, and metabolic disorders
-Transcranial Magnetic Stimulation
- Antipsychotic using Lots of risks, lots of benefits, for hallucinations
delusions
Sociocultural Factors
-Asians and Hispanics require lower doses of antipsychotics
-Asians have more side effects
-African American patients less likely to receive newer generation drug
-Asian American families more involved
Cognitive- Behavioral Therapy
-Psychoeducation
-Identification of triggers
-Challenge hallucinations
-Reattribution of hallucinations
-Coping Strategies
-Acceptance
Psychodynamic Therapy
-Freud acknowledged that psychoanalysis was not suitable for schizophrenia
-Sulivan
Interpersonal theory beneficial
Learning Based Theories
-Selective reinforcement of Behavior -they can function better in society
-Token Economy
-Social Skills Training
Psychosocial Interventions
-Help with job training, skills training, and important Daily life skills
-Large number of homeless with schizophrenia
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Document Summary

Treatments for schizophrenia and other severe mental disorders. Paranoid delusions, hallucinations, harm to themselves or others. The more you can make the environment appealing, less loud, bright lights you want to make environment that promotes healing. Really important in terms of taken individuals in institution. Token economy: beneficial, helping individuals produce appropriate behaviors and then they get rewarded for that. In the past people didnt know how to treat schizophrenia. Can be lethal by effect on production of white blood cells. Increased risk of cardiac death, weight gain, and metabolic disorders. Antipsychotic using lots of risks, lots of benefits, for hallucinations delusions. Asians and hispanics require lower doses of antipsychotics. African american patients less likely to receive newer generation drug. Freud acknowledged that psychoanalysis was not suitable for schizophrenia. Selective reinforcement of behavior -they can function better in society. Help with job training, skills training, and important daily life skills.

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