Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Quetiapine
57%
4/7
Lithium
14%
1/7
Fluoxetine
0%
0/7
Chlorpromazine
29%
2/7
Escitalopram
Select Answer to see Preferred Response
Auditory hallucination, paranoia, disorganized speech, and delusions are classic presentation for schizophrenia. Atypical antipsychotics, such as quetiapine, are ideal for long-term therapy as they have fewer extrapyramidal symptoms when compared to typical antipsychotics. Diagnosis of schizophrenia requires two or more of the following for longer than 1-month period: delusion, hallucination, disorganized speech, catatonia, and negative symptoms. These symptoms must last for more than 6 months. Symptoms lasting less than 6 months but more than 1 month is called schizophreniform disorder. Typical or atypical antipsychotics are used as first line therapy with both drug classes having significant side effect profiles. Psychotherapy is not known to be an effective mode of treatment and overall prognosis even with pharmacological intervention is not favorable. Holder et al. reports that schizophrenia is seen in under 1% of the world population with more male patients than female. While it is seen in adolescents, it is more often presents itself in the late 20s. While atypical antipsychotics have fewer extrapyramidal symptoms, care providers must monitor for metabolic changes in patients. Javitt et al. reports that while earlier research focused of schizophrenia’s effect on brain’s higher processing function, recent findings have pointed towards early processing deficits diffused throughout the cortex. Interestingly, these deficits in cortex have been in areas associated with auditory function. Illustration A shows MRI images of a pair of monozygotic twins. The twin on the right is affected with schizophrenia. It is apparent that their ventricles are enlarged in comparison to the unaffected twin, a typical finding in patients with schizophrenia. Incorrect Answers: Answer 2: Lithium is used for patients suffering bipolar disorder as mood stabilizer. Answer 3 and 5: Fluoxetine and escitalopram are SSRIs often used for treating depression and anxiety. Answer 4: Chlorpromazine is a typical antipsychotic. It is not often used over atypical antipsychotics for long term therapy due to its side effect profile.
3.7
(3)
Please Login to add comment