Schizophrenia Mental Illness Relationships: Types of Psychotherapy

Schizophrenia is a serious mental illness that affects a person’s thinking,
emotions, relationships, and decision making. And because there’s no cure, getting
the proper treatment early is the best way to improve chances of managing the
illness.
Schizophrenia treatment will center on managing the person’s symptoms. To do
that, they’ll probably need to take medication for an open-ended period of time,
possibly even for life. Psychotherapy, a kind of talk therapy, will likely also be a
big part of the plan to help them understand and manage their symptoms. There’s
more than one kind of psychotherapy and many types of medications, so you’ll
want to know what’s involved.
Types of Psychotherapy
 Individual psychotherapy . During sessions, a therapist or psychiatrist

can teach the person how to deal with their thoughts and behaviors. They’ll
learn more about their illness and its effects, as well as how to tell the
difference between what’s real and what’s not. It also can help them
manage everyday life.
 Cognitive behavior therapy (CBT). This can help the person change their
thinking and behavior. A therapist will show them ways to deal with voices
and hallucinations. With a combination of CBT sessions and medication,
they can eventually tell what triggers their psychotic episodes (times when
hallucinations or delusions flare up) and how to reduce or stop them.
 Cognitive enhancement therapy (CET). This type of therapy is also
called cognitive remediation. It teaches people how to better recognize
social cues, or triggers, and improve their attention, memory, and ability to
organize their thoughts. It combines computer-based brain training and
group sessions.
Types of Psychosocial Therapy

If a person with schizophrenia sees improvement during psychotherapy sessions, it’s
likely they’ll need more help learning how to become part of a community. That’s
where psychosocial therapy comes in.
 Social skills training. This type of instruction focuses on improving

communication and social interactions.
 Rehabilitation. Schizophrenia usually develops during the years we are
building our careers. So rehabilitation may include job counseling, problem-
solving support, and education in money management.
 Family education. Your knowledge of psychosis and schizophrenia can help
a friend or family member who has it. Research shows that people with
schizophrenia who have a strong support system do better than those without
the encouragement of friends and family.
 Self-help groups. You should encourage your loved one to participate in
community care and outreach programs to continue working on his social
skills. The National Alliance on Mental Illness (NAMI) is an outreach
organization that offers a free peer-to-peer program, for instance. It includes
10 sessions for adults with mental illness who want to learn more about their
condition from people who have experienced it themselves or been through it
with a loved one.
 Coordinated specialty care (CSC). This is for people experiencing an
episode of psychosis for the first time. It’s a team approach that combines
medication and psychological therapies. It includes social and employment
services and tries to include the family whenever possible. The aim is to
change the direction and prognosis for the disease by catching it in its earliest
stages. Research shows that people with schizophrenia who get early and
intensive treatment have the best long-term results.
 Assertive community treatment (ACT). This offers highly personalized
services to help people with schizophrenia meet life’s daily challenges, like
taking medications. ACT professionals also help them handle problems
proactively and work to prevent crises.
 Social recovery therapy. This treatment puts the focus on helping the person
set and achieve goals and building a sense of optimism and positive beliefs
about themselves and others.
First-Generation Antipsychotic Drugs

You might hear these drugs called typical or conventional. These medications block
a brain chemical called dopamine and are more likely than second-generation
antipsychotics to cause significant movement disorders like intense muscle stiffness
(called dystonia) or a condition that may develop over long-term exposure called
tardive dyskinesia. Drugs in this group include:
 Chlorpromazine (Thorazine)
 Fluphenazine (Proxlixin)
 Haloperidol (Haldol)
 Loxapine (Loxitane)
 Perphenazine (Trilafon)
 Pimozide (Orap)
 Thioridazine (Mellaril)
 Thiothixene (Navane)
 Trifluoperazine (Stelazine)

Second-Generation Antipsychotic Drugs

These newer medications are less likely to cause certain side effects than the first-
generation antipsychotics. But many medications in this family can cause weight
gain and raise blood sugar and cholesterol levels. Changes in nutrition and exercise,
and possibly medication intervention, can help address these side effects. They
include:
 Aripiprazole (Abilify)
 Asenapine (Saphris)
 Brexpiprazole (Rexulti)
 Cariprazine (Vraylar)
 Clozapine (Clozaril)
 Iloperidone (Fanapt)
 Lurasidone (Latuda)
Electroconvulsive Therapy (ECT)

In this procedure, electrodes are attached to the person's scalp. While they’re under
general anesthesia, doctors send a small electric shock to the brain. A course of ECT
therapy usually involves 2-3 treatments per week for several weeks. Each shock
treatment causes a controlled seizure. A series of treatments over time leads to
improvement in mood and thinking. Scientists don’t fully understand exactly how
ECT and the controlled seizures it causes help, although some researchers think that
ECT-induced seizures may affect the release of neurotransmitters in the brain. It can
help when medications no longer work or if severe depression or catatonia makes
treating the illness difficult.

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Schizophrenia is a serious mental illness that affects a person’s thinking,

 Individual psychotherapy . During sessions, a therapist or psychiatrist

Types of Psychosocial Therapy

 Social skills training. This type of instruction focuses on improving

First-Generation Antipsychotic Drugs

Second-Generation Antipsychotic Drugs

Electroconvulsive Therapy (ECT)

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