APA Guidelines Bundle

Treatment of Patients with Schizophrenia

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5 • the patient's goals and preferences for treatment • a review of psychiatric symptoms and trauma history • an assessment of tobacco use and other substance use • a psychiatric treatment history • an assessment of physical health • an assessment of psychosocial and cultural factors • a mental status examination, including cognitive assessment • an assessment of risk of suicide and aggressive behaviors • engaging support • adherence • addressing risks for suicide/ aggression • addressing tobacco and SUDs • addressing other comorbid psychiatric symptoms, diagnoses • addressing other comorbid health conditions • pregnancy/postpartum concerns • treatment setting • involuntary treatment issues • needs of patients in correctional settings • coordinated specialty care program (for first episode of psychosis) • CBTp • psychoeducation • employment services • assertive community treatment • family interventions • self-management skills and enhancing person-oriented recovery • cognitive remediation • social skills • supportive psychotherapy Select based on: • available formulations • interactions and metabolism • pharmacokinetic properties • side-effect profile Monitor for: • side effects • symptom response including non or partial response • adherence Tardive dyskinesia reversible inhibitor of the vesicular monoamine transporter 2 (VMAT2) Akathisia • lowering the dosage of the antipsychotic medication • switching to another antipsychotic medication • adding a benzodiazepine medication, or • adding a beta-adrenergic-blocking agent Acute dystonia anticholinergic Other side effects* * See guideline for management and information on other side effects. Parkinsonism • lowering the dosage of the antipsychotic medication, • switching to another antipsychotic medication, or • treating with an anticholinergic medication

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