To schizophrenic spectrum disorders include mental illness, their symptoms are similar to schizophrenia but by the severity is not equal her. Sometimes they have such a blurred picture that they don’t only relatives of the patient, but sometimes and health workers “look through” symptoms, such as schizotypal personality disorder, in the power of which help is not turns on time. Thats same may apply to acute transient endogenous disorders of the schizophrenic spectrum when symptoms (for example, delusional and hallucinatory ) lasts a short time, and then disappears. However, being not treated on time, she can return again, leaving her negative consequences.
Probably in Based on the origin of all such disorders, a common basic genetic vulnerability has been established. And usually in schizophrenia, and with schizophrenic spectrum diseases in prodromal period (n and dosymptomatic stage) already marked the special features of a person. So, teachers in school may point to some features of the memory, thinking of the child, his communicative features and emotional reactions, “weirdness” in behavior.
To Unfortunately, the opinion of the average man and on Today it remains such that all mental disorders are commonly referred to as schizophrenia which is considered a little whether or not contagious disease. This leads to stigmatizing disorder so much so that patients and their Relatives sometimes even when doctors are embarrassed to make a diagnosis, replacing its wording with the phrase: I’m sick on the letter Sh . None less with adequate treatment of schizophrenia and diseases of the schizophrenic spectrum, the prognosis can be very favorable. BUT speaking of the latter, it can be noted that sometimes their the symptoms are so erased (for example, in schizotypal disorder) that certain moment not attracted to attention, since pronounced social maladjustment can and not be as well with successful and timely treatment of a person remains workable and socially adapted to throughout life.
The very prevalence of schizophrenia is sometimes greatly exaggerated (by according to statistics, it is 1% of population in any region of the world). However, this number may vary, but not at all by the cause of the beginning of the “epidemic” of schizophrenia and disorders of this spectrum, and at mind overdiagnosis of this group of diseases.
Since the etiology of this group of disorders is not yet before the end is understandable only terminological confusion (for example, there are certain differences in two large medical classifiers of diseases – ICD adopted in Russia and European countries, and DSM used in countries of America).
However , if the origin of this group of disorders causes controversy, and mankind is still looking for the causes of these diseases, there are statistics that can disprove the myths about total severity of schizophrenic spectrum disorders. In worldwide treatment Is a way of qualitatively stopping the acute condition of patients, and subsequent socio-pedagogical, cognitive, labor rehabilitation and psychotherapy, in including family, give opportunity recovery, in including full, for a certain percentage of patients.
Thus, schizophrenic spectrum disorders, including schizotypal personality disorder, and schizoaffective disorders are amenable to correction and treatment, especially in In cases where the disorder is diagnosed on time, the diagnosis is established correctly, and treatment is prescribed adequately.
Although often we hear the question: if symptoms of schizotypal disorders do not so pronounced then worth do worry at all and “Pull” a person along to doctors? The answer can be only one: worth it. At a minimum, differential diagnosis and accurate diagnosis. In the study of schizophrenic spectrum disorders it is always very important to separate from schizophrenia itself. Only then will it be possible to assign adequate treatment, and therefore, the possibility of high-quality rehabilitation, significant assistance to the patient’s family and guarantees that his life will be in further full and quality.
Residual is called schizophrenia , which continues to bother the patient (and more – his relatives) one year after the successful treatment of acute psychosis. Term in one year is a fairly conventional unit for determining the diagnosis of “residual schizophrenia”. Span can last from nine to fourteen months old that lets talk about chronic schizophrenia.
Symptoms residual schizophrenia
Negative symptoms predominate (a scientific term for this symptom complex – “affective flatness”):
- Lack of will.
- The absence of any initiatives .
- Persistent indifference .
- The absence of significant reductions in facial muscles of the face.
- Indifference to need self catering. This is what causes the most problems for people surrounding a patient with residual schizophrenia.
- There are no signs of organic damage to the central nervous system.
- Not detected
- Notsigns depressed.
- Productive symptoms (hallucinosis , delusions) in this period is quite rare and expressed weakly.
- The patient himself is not pays attention to listed manifestations of the disease but they disturb his relatives and surrounding
- A prolonged form of schizophrenia (residual schizophrenia) turns the patient off active forms of social life.
Diagnosis of residual schizophrenia
At currently, there are disputes over about the criteria for this diagnosis. At the presented material contains the most accepted signs of residual schizophrenia by the scientific world. A clear diagnosis should be made for a differentiated approach to treatment, the development of uniform standards of therapy. Decisive role in accurate diagnosis is played by a competent psychiatrist.
Treatment of residual schizophrenia
Often, treatment is possible only when foreground psychotherapy and social rehabilitation . Without them, drugs (even prescribed in maximum doses) may have little effect on symptoms of the disease. Requires a careful individual approach to each individual patient for his successful adaptation in family and society. The patient must constantly explain the details of his condition, which are visible only to an outside observer. Rehabilitation success is possible only with full confidence in psychiatrist with patient side and his relatives or guardians. Of great importance isgroup psychotherapy . If in the collective of patients with residual schizophrenia develops mutual support, which continues after the inpatient course, then This group has good prospects for full social adaptation. Higher stage – professional adaptation, which is possible with perfect compliance with the recommendations of the attending physician.