Treatments for Schizoid Personality Disorder
Treatments for Schizoid Personality Disorder
The list of treatments mentioned in various sources
for Schizoid Personality Disorder
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Schizoid Personality Disorder: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Schizoid Personality Disorder may include:
Schizoid Personality Disorder: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Hospital statistics for Schizoid Personality Disorder:
These medical statistics relate to hospitals, hospitalization and Schizoid Personality Disorder:
- 0.001% (95) of hospital consultant episodes were for schizoid personality disorder in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 92% of hospital consultant episodes for schizoid personality disorder required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 35% of hospital consultant episodes for schizoid personality disorder were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 65% of hospital consultant episodes for schizoid personality disorder were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 72% of hospital consultant episodes for schizoid personality disorder required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Hospitals & Medical Clinics: Schizoid Personality Disorder
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More general information, not necessarily in relation to Schizoid Personality Disorder,
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Book Excerpts: Treatment of Schizoid Personality Disorder
Treatments of Schizoid Personality Disorder: Online Medical Books
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for more information about the treatments of Schizoid Personality Disorder.
Hallucinations:
Treatment
(In a Page: Signs and Symptoms)
-
Treat hallucinations symptomatically with antipsychotic drugs (e.g., haloperidol, risperidone, olanzapine)
-
Delirium: Treat underlying cause (e.g., hydration, proper nutrition, oxygen, thiamine, and glucose)
-
Alcohol/sedative withdrawal: Monitor and treat for seizures with benzodiazepines
- Schizophrenia: Traditional antipsychotics (e.g., haloperidol, chlorpromazine)
–Extrapyramidal side effects (parkinsonism, akathisia, dystonia) are common
–Neuroleptic malignant syndrome (hyperthermia, rigidity, hypertension, tachycardia) may rarely occur in first week of treatment and can be fatal
–Clozapine carries a 1% risk of fatal agranulocytosis
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Hallucinations:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Hallucinogens and other drugs of abuse
–May require intensive outpatient or inpatient management for successful cessation
–Cessation of the drug usually results in cessation of hallucination; however, for some hallucinogens such as LSD, flashbacks may occur for years
-
CNS insults generally require neurologic and multisystem intensive care
-
Schizophrenia is generally treated with antipsychotics; compliance is frequently problematic
-
Narcolepsy is treated with daytime stimulants and nighttime sleep aids or tricyclic antidepressants
-
Medications: Discontinue the causative drug
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Delusional disorders:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Effective treatment of delusional disorders, consisting of a combination of drug therapy and psychotherapy, must correct the behavior and mood disturbances that result from the patient’s mistaken beliefs. Treatment may also include mobilizing a support system for the isolated elderly patient.
Drug treatment with antipsychotic agents is similar to that used in schizophrenic disorders. Antipsychotics appear to work by blocking postsynaptic dopamine receptors. These drugs reduce the incidence of psychotic symptoms, such as hallucinations and delusions, and relieve anxiety and agitation. Other psychiatric drugs, such as antidepressants and anxiolytics, may be prescribed to control associated symptoms.
A patient’s history of medication response is the best guide when selecting treatment. The lowest dose should be started initially and increased slowly based on the patient’s response. If the symptoms don’t improve during a 6-week trial, other classes of antipsychotics may be tried. Haloperidol, fluphenazine decanoate, and fluphenazine enanthate are depot formulations that are implanted I.M. to release the drug gradually over a 30-day period, improving compliance. Usually, however, this type of treatment isn’t necessary. Pimozide may be particularly effective in delusional disorders.
Clozapine, which differs chemically from other antipsychotic drugs, may be prescribed for severely ill patients who fail to respond to standard treatment. This agent effectively controls a wider range of psychotic symptoms without the usual adverse effects.
However, clozapine can cause drowsiness, sedation, excessive salivation, tachycardia, dizziness, and seizures. Agranulocytosis, a potentially fatal blood disorder characterized by a low white blood cell count and pronounced neutropenia, may also occur. Routine blood monitoring is essential to detect the estimated 1% to 2% of all patients taking clozapine who develop agranulocytosis. If caught in the early stages, this disorder is reversible.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Personality disorders:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Personality disorders are difficult to treat. Successful therapy requires a trusting relationship in which the therapist can use a direct approach. The type of therapy chosen depends on the patient’s symptoms. Family and group therapies are usually effective. Cognitive and self-help groups have also been beneficial.
Drug therapy is effective in some types of personality disorders; for example, pimozide has been successfully used to reduce paranoia ideation in some patients with paranoid personality disorder. Antipsychotic drugs (olanzapine or risperidone) may be used to treat severe agitation or delusional thinking. Selective serotonin reuptake inhibitors, such as fluoxetine, may be used to treat irritability, anger, and obsessional thinking. Antianxiety drugs may be used to treat severe anxiety that interferes with normal thinking.
Hospital inpatient milieu therapy can be effective in crisis situations and possibly for long-term treatment of some disorders. Inpatient treatment is controversial, however, because most patients with personality disorders don’t comply with extended therapeutic regimens; for such patients, outpatient therapy may be more helpful.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Delusional disorders:
Treatment
(Handbook of Diseases)
Effective treatment of delusional disorders, consisting of a combination of drug therapy and psychotherapy, must correct the behavior and mood disturbances that result from the patient’s mistaken belief system. Treatment may also include mobilizing a support system for the isolated elderly patient.
Antipsychotic drug therapy
Drug treatment with antipsychotic agents is similar to that used in schizophrenic disorders. Antipsychotics appear to work by blocking postsynaptic dopamine receptors. These drugs reduce the incidence of psychotic symptoms, such as hallucinations and delusions, and relieve anxiety and agitation.
Other psychiatric drugs, such as antidepressants and anxiolytics, may be prescribed to control associated symptoms.
High-potency antipsychotics include fluphenazine, haloperidol, thiothixene, and trifluoperazine. Loxapine, molindone, and perphenazine are intermediate in potency, and chlorpromazine and thioridazine are low-potency agents.
Haloperidol, fluphenazine , and fluphenazine are depot formulations that are implanted I.M. They release the drug gradually over a 30-day period, improving compliance.
Clozapine, which differs chemically from other antipsychotic drugs, may be prescribed for severely ill patients who fail to respond to standard treatment. This agent effectively controls a wider range of psychotic symptoms without the usual adverse effects.
However, clozapine can cause drowsiness, sedation, excessive salivation, tachycardia, dizziness, and seizures as well as agranulocytosis, a potentially fatal blood disorder characterized by a low white blood cell count and pronounced neutropenia.
Routine blood monitoring is essential to detect the estimated 1%to 2% of all patients taking clozapine who develop agranulocytosis. If caught in the early stages, this disorder is reversible.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Personality disorders:
Treatment
(Handbook of Diseases)
Personality disorders are difficult to treat. Successful therapy requires a trusting relationship in which the therapist can use a direct approach. The type of therapy chosen depends on the patient’s symptoms.
Drug therapy is ineffective but may be used to relieve acute anxiety and depression. Family and group therapy usually are effective.
Hospital inpatient milieu therapy can be effective in crisis situations and possibly for long-term treatment for borderline personality disorders. Inpatient treatment is controversial, however, because most patients with personality disorders don’t comply with extended therapeutic regimens; for such patients, outpatient therapy may be more useful.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Psychotic behavior:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Encourage the patient to become involved in structured activities. However, if he’s nonverbal or incoherent, make sure to spend time with him. For example, sit or walk with him, or talk about the day, the season, the weather, or other concrete topics. Avoid making time commitments that you can’t keep: This will only upset the patient and cause him to withdraw more.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Psychotic behavior:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Frequently evaluate the patient's orientation to reality.
▪ Help him develop a conception of reality by calling him by his preferred name, telling him your name, describing where he is, and using clocks and calendars. (See Controlling psychotic behavior, page 493.)
▪ Encourage the patient to become involved in structured activities; however, if he's nonverbal or incoherent, be sure to spend time with him.
▪ Refer the patient for psychiatric evaluation.
▪ Administer an antipsychotic or other drugs, as needed, and prepare him for transfer to a mental health center, if necessary.
▪ Monitor the patient's eating and elimination habits.
▪ Ensure patient and health care worker safety.
Patient teaching
▪ Explain the importance of structured activities.
▪ Discuss the patient's medications and how to take them correctly.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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