所有的道路都不通往罗马或坚持:创新的抗精神病药物处方与正在康复的人合作,因为他们定义了他们
Dale Sebastian1, Erika R Carr1
1Department of Psychiatry, Yale University School of Medicine.
Psychiatric rehabilitation journal
|July 25, 2024
概括
共享决策 (SDM) 和以康复为导向的护理提供了一种协作模式,用于在精神病中处方抗精神病药物. 这种方法增强了治疗联盟,并支持个人定义他们自己的有意义的生活.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 精神病的传统精神病治疗往往强调药物坚持.
- 当代方法主张以患者为中心的护理,包括以康复为导向的模型和共享决策 (SDM).
研究的目的:
- 探索实施以康复为导向的护理和SDM在针对精神病患者的抗精神病药物处方中的应用.
- 突出这些协作实践的好处和挑战.
- 在临床环境中提供SDM的实际应用.
主要方法:
- 本文回顾了使用SDM和以康复为导向的护理处方抗精神病药物的创新策略.
- 在住院精神病学环境中探索临床应用.
主要成果:
- 患有精神病的个人面临抗精神病药物药物坚持的挑战.
- SDM和以康复为导向的护理促进了更具协作性的方法,加强了治疗联盟.
- 提供了实施这些策略的实际临床应用.
结论:
- 协作处方模型,包括SDM和以康复为导向的护理,被倡导用于精神病患者.
- 这些方法使个人能够建立有意义的生活,因为他们定义了他们,包括药物选择.
相关概念视频
Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41
Psychosis: Goals of Pharmacotherapy
114
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
114
Psychosis and Antipsychotic Drugs: Overview
216
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
216
Antipsychotic Drugs: Typical and Atypical Agents
167
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
167
Antipsychotic Drugs: Therapeutic Uses and Side Effects
153
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
153
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38


