Treatments for Schizophrenia

Treatments for schizophrenia run the gamut from antipsychotic medications to group therapy and rehabilitation. Plans for care are tailor made for the specific individual due to the various effects medications have on different people. Often, dosage adjustments are made for optimal effect and to increase the patient's ability to function. Medications are the first course of treatment, in conjunction with other program activities.

Medications for schizophrenia:

Neuroleptics:

This class of drugs treat the positive symptoms, such as hallucinations, delusions, and disordered thoughts. However, the side effects have an impact on the nervous system, and they do not work as well on symptoms of low motivation and lack of emotional expressiveness.

• Thorazine


• Haldol


• Prolixin


• Navane


• Stelazine


• Trilafon


• Mellaril

Antipsychotics:

These drugs, also known as atypical antipsychotics, help to reduce psychotic episodes and their severity when given at the right dosages. The most effective schizophrenia medication is Clozaril. It does not have the neurological side effect, but tends to increase the white blood cell (WBC) count. Blood testing is done weekly for the first six months and every two weeks thereafter to monitor for this adverse reaction.

Other atypical antipsychotic drugs include:

• Risperdal


• Zyprexa


• Seroquel


• Geodon


• Abilify

The above medications may take up to four weeks to take affect and adjustments to dosages may be required.

Antidepressants:

Persons with schizophrenia often become depressed and have need of antidrepressant medications, such as zoloft, to reduce symptoms of depression.

Psychotherapy:

Psychotherapy is used as an adjunct to medications as part of the plan of care. Sessions can be a group setting or an individual basis with a mental health professional. Additionally, treatment can take place as an inpatient in a rehabilitation hospital setting for severe symptoms.

Alternative Treatments:

Alternative treatments for schizophrenia can be used with traditional antipsychotic medications, but must be administered while under a doctor's care. Dietary supplements, such as the amino acid glycine, and Omega-3 fatty acids found in fish have profound effects in helping to reduce schizophrenia symptoms.

Before using any other medications while taking antipsychotics, consult with your mental health professional to avoid any adverse reactions and possible life threatening consequences.

by Barb Hicks, RN