170 likes | 296 Views
Early Onset of Schizophrenia Spectrum Disorder. Premorbid history. Language abnormalities. Social impairment. Attention problems. Schizophrenia Biologic Etiology. Neuropathology in structure, function, and neurotransmitters, especially in temporal and frontal regions. Genetic diathesis.
E N D
Early Onset of Schizophrenia Spectrum Disorder • Premorbid history • Language abnormalities • Social impairment • Attention problems
Schizophrenia Biologic Etiology • Neuropathology in structure, function, and neurotransmitters, especially in temporal and frontal regions • Genetic diathesis • Intra uterine stress • Neurocognitive impairment • Language impairment
Schizophrenia Psychosocial Etiology • Communication deviance • Life events and stress
Schizophrenia Differential Diagnosis • Bipolar Disorder • ADHD • Conduct Disorder • PTSD • PDD
Schizophrenia Prognosis • Poor - early onset, neurologic abnormalities, negative symptoms • Good - higher IQ, precipitant
Psychopharmacology for Children and Adolescents • Stimulants • Antidepressants • Mood stabilizers
Psychopharmacology for Children and Adolescents (Cont’d) • Neuroleptics • Adrenergic agonists • Minor tranquilizers
Attention Deficit Disorder Decision Tree Impulsivity Inattention Methylphenidate bupropion clonidine tricyclic SSRI Dextroamphetamine Combinations Mood Stabilizers Buspar Beta blockers
Stimulants • Methylphenidate (Ritalin) • Dextroamphetamine (Dexedrine) • Adderall • Magnesium pemoline (Cylert)
Antidepressants for ADHD • Fluoxetine (Prozac) • Bupropion (Wellbutrin) • Venlafaxine (Effexor) • Tricyclics
Other Treatments for ADHD • Alpha-adrenergic stimulating agents • Beta-adrenergic blocking agents
Depression Decision Tree Noradrenergic Serotoninergic Bupropion Venlafaxine Remeron Stimulants B-blockers SSRI BuSpar Valproate Carbamazepine Lithium
Treatment of Psychosis • Atypical neuroleptics • Risperidone • Olanzapine • Quetiapine • Mood stabilizers • Valproate • Lithium • Carbamazepine
“Ideally, one would like to practice medicine without having to bother with actual patients.”
Other Treatment Modalities for Neurodevelopmental Disorders • Social skills training • Stress management • Cognitive-Behavioral Treatment (CBT) • School Accommodation • Specialized neuropsychological approaches • Family structure and support • Psychotherapy