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Hall C
- Peter Falkai (Germany)
SUSPECTED FIRST EPISODE PSYCHOSIS AND ACCESSIBILITY: THE ROLE OF PRIMARY CARE AND THE HEALTH NETWORK
- Veronica W. Larach (Chile)
GUIDELINE-BASED LONG-TERM TREATMENT
- Wolfgang H. Gaebel (Germany)
FROM EARLY INTERVENTION TO EFFECTIVE LONG-TERM TREATMENT
- Peter Falkai (Germany)
Abstract
Objectives
Schizophrenia is a severe brain disorder characterised by positive, negative, affective and cognitive symptoms and can be viewed as a disorder of impaired neural plasticity. Pharmacotherapy, psychotherapy and social therapy form a multi-facetted treatment for schizophrenia has helped considerably to improve the outcome of schizophrenia.
A thoughtful systematic combination of evidence-based pharmacotherapy (when to give what, how and how much), psychotherapy and socio-therapy is needed to reduce the number of partial remissions and non-remissions.
Reasons for this unfavourable outcome are the residual symptoms, mainly negative symptomatology and cognitive dysfunction. Reduced residual symptoms targeted add-on therapies are needed to improve the efficacy of the antipsychotics.
Taken together, evidence based therapy of schizophrenia comprises a lot of options to improve the outcome of this illness. A thoughtful combination of already present options as a first step followed by new developments as the second step seems the way to go forward.