1, drug therapy
In the acute stage of the first relapse, antipsychotics chlorpromazine 300-400mg/ day, perphenazine 30-60mg/ day, or clozapine 300-400mg/ day can be used. Generally speaking, mental symptoms can be controlled within 4-6 weeks after taking the medicine. Experience shows that increasing the dosage of drugs can not improve the curative effect, but will increase the side effects of drugs. After the symptoms are controlled, drug treatment should be continued for about one month to consolidate the curative effect. On the basis of the above, maintenance treatment should be carried out at least two years with the minimum dose that can maintain the best recovery state.
2. Psychotherapy and family mental health education
Investigation data at home and abroad show that the relationship between some schizophrenics and their families is closely related, even the most fundamental reason for some patients. For example, two parents who don't communicate with each other, living in the space that still exists, may lead to personality split in the process of psychological development. In actual clinical cases, there are similar typical cases in China.
A couple of university teachers, because of face, did not announce their divorce after breaking up. They settled it through internal consultation and still live in a "family" with their parents, but in fact, their parents don't have much close psychological contact. This one was diagnosed with schizophrenia at the age of 14. Moreover, the experts involved in the diagnosis believe that it is caused by family motivation, not other factors!
Family members' incorrect attitude towards patients and all kinds of bad stimuli in life will aggravate or relapse schizophrenia, and its prognosis has the greatest relationship with family care. Mental health education, supportive psychotherapy and social skills training for patients' families can improve the interpersonal relationship between patients' families and the surrounding environment and significantly reduce their recurrence rate.
Many neuroscientists don't think that schizophrenia can be solved by psychotherapy or family therapy. But in recent decades, with the continuous exploration and practice of psychodynamics, social psychology, psychiatry and other disciplines, new concepts gradually began to appear. For example, most psychiatrists begin to believe that psychological counseling and treatment are helpful to the treatment of mental patients. Especially in the recovery period. Even some doctors in psychiatric clinics will actively invite experienced psychological counselors to participate in the whole treatment process.
Take Guangzhou as an example. Wei Zhizhong and Yu Donghui, famous psychological counselors in Guangzhou, will receive some schizophrenics who are receiving medication in their annual consultation cases, and adopt family therapy or group therapy to help them eradicate the root causes of the disease. And achieved good results and became a model in the industry.
3. Prevention
(1) Genetic counseling should be conducted. Schizophrenia patients at the age of marriage and childbearing should be advised to avoid marriage and childbearing until their symptoms disappear, especially when both sides have suffered from schizophrenia.
(2) to carry out community mental health propaganda, early detection and early treatment. The occurrence and recurrence of schizophrenia are mostly related to bad mental stimulation in the surrounding environment, so it is very important to create a friendly humanistic environment. For those who have experienced mental symptoms, we should pay special attention to care and love, and avoid giving bad mental stimulation.