We treat both situational depression and anxiety as well long term recurrent symptoms such as Post Traumatic Stress disorder and other mood disorders like Bipolar Disorder.
includes a group of psychotic disorders characterized by disturbances in thought, perception, affect, behavior and communication that last longer than 6 months. Schizophrenia is a chronic disability best treatment by medication and supportive therapy. We can provide supportive counseling to both those suffering from this chronic and debilitating disorder as well as with the families.
We can support patients in following the medication regimen required to help them keep stabilized and live independently with modulated symptoms. We help them maintain the lowest level of care necessary to keep them stabilized and safe with symptoms abated. We help the family manage the emotional and psychological toll imposed on them in managing the consequences of this disease on family and its individual members. Often dealing with a family member with this disease causes differing levels of trauma within the family. We help the family and individuals to deal with emerging feelings of frustration, and helplessness in the face of this disease.
Causes, Incidence and Risk Factors
Affects 1% of population
Childhood onset mimics autism; has strong family component
Effects both boys and girls equally
Presenting Observable Factors
Genetic Factors: Relatives are more likely to have schizophrenia than non-relatives
Psychological/Social Factors: Disturbed family and interpersonal relationships may play a role
Age of Onset: Commonly before age 45
Minimum Continuous Symptoms for Official Diagnosis: 6+ months
External Evidence: Deterioration in functioning in areas of self-care, work, and social relationships
Delusion – Unfounded beliefs held to be true even when contradictory
Hallucinations – Sensory perception without external stimuli affects all five senses. Auditory Hallucinations are most common.
Incoherent Speech –Disordered and non-logical
Catatonia – Idiosyncratic bizarre movement or lack of movement. No relation to environment stimuli.
Flat affect – Shows no emotion or apathetic mood.
Five types of Schizophrenia (see table below)
Type of Schizophrenia
Unable to care for self
Decreased Sensitivity to Pain
Delusional thoughts of persecution or grandiosity
May have symptoms of more than one subtype of schizophrenia
Prominent symptoms have abated but some features (OH, VH) and flat affect remain
Important Note: Difficult to diagnose
Diagnosis Factors Include:
Level of functioning (current and prior to onset)
Course of illness
Response to therapy
Enlarged ventricles in brain (evidence detected in CT scan)
Hospitalizations to prevent harm to self or others; provide back needs.
Anti-psychotic or neuroleptic meds control symptoms
Med compliance is very important
Psychotherapy is supportive
Family therapy used to support family
Behavioral techniques used in therapeutic setting
Poor (without medication to abate symptoms)
Many need supportive living environments throughout life
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