Good mood platform: schizophrenia treatment is divided into "yin and yang", different medicines are different
Author:Good mood platform Time:2022.09.20
In many people's eyes, people with schizophrenia are noisy all day, weird, and stupidly scolding people. Is this really the case?
In fact, in addition to the positive symptoms (such as hallucinations, delusions, excitement, and weird behaviors) in schizophrenia, there are also negative symptoms.
What is negative symptoms?
The negative symptoms of schizophrenia refers to the loss or lack of mental function, manifested as social retreat (if you do not want to go out, do not want to deal with people, sit still for a long time), poor words (if you do not want to speak, answer questions when answering questions Limited quantities, often short, do not play), indifferent emotions (such as mood and sorrow in life are not obvious, lack of pleasure, dull expression, and indifferent to everything around). Because everyone has more awareness of positive symptoms, negative symptoms are often ignored.
Unexpected symptoms are divided into primary (symptoms of schizophrenia) and secondary (influence of positive symptoms, depression symptoms or long -term isolation environment).
However, patients with negative symptoms -based symptoms, because they are unwilling to communicate and evade treatment with doctors, make the rehabilitation process more difficult, and the prognosis is worse, which greatly affects the quality of life of patients.
So, what should I do in the face of negative symptoms? Good mood and psychologist to provide you with 3 countermeasures!
Method to effectively cope with negative symptoms
1. Drug treatment
Anti -psychiatric drug
Anti -psychiatrist is the first -line treatment of schizophrenia. Studies have shown that the first generation of anti -psychiatric drugs have a small effect on primary negative symptoms. Among the first generation of anti -psychiatric drugs, there are currently more evidence that there are fluoropicidol, which can effectively treat secondary negative symptoms, but due to adverse reactions, it is not used as the preferred drug.
The effect of the second -generation anti -psychiatric drugs on negative symptoms is better than the first generation, but it is still rare for effective treatment drugs for primary negative symptoms, and it is more for secondary negative symptoms for secondary. Let's take a look at the second generation of anti -psychiatric medicine ~
Antibiotic
Mino cycloin is a broad -spectrum tetracycline antibiotic. The continuous treatment of minornin has more than 3 months of treatment of negative symptoms of early schizophrenia.
Studies have confirmed that Minnoron combined with negative symptoms and cognitive functions can effectively improve patients with schizophrenia.
Antidepressants
Some antidepressants (such as Xilu Plan) have no obvious effect on the treatment of negative symptoms of schizophrenia. If you use antidepressants, you can choose Flubuitine, trazolone or rice nitrogen, and Mianolin.
In addition, using some anti -efficient drugs on the basis of anti -mental illness drugs can also improve negative symptoms. For example, large doses of glycine can reduce the shrinkage of patients and indifferent emotions; Lipidone and the United States have an efficiency effect on negative symptoms; Lipidone combined with todne -Qiong also has an efficient effect.
In addition, on August 22, 2022, Minerva Neurosciences claimed to have submitted a new drug application for Roluperidone to the FDA for the treatment of negative symptoms of patients with schizophrenia.
2. Psychotherapy
Among the many psychological treatment methods, the most effective studies have been confirmed to be cognitive behavior therapy and family intervention.
Cognitive behavior treatment
Cognitive behavior therapy through emotional communication with patients understands the patient's thoughts, helps patients discover the existing psychological problems, solve the inner contradictions, and correct the negative cognition, thereby encouraging patients to actively face reality. As auxiliary treatment of anti -psychiatric drug treatment, cognitive behavior treatment has confirmed a positive effect on negative symptoms, such as reducing emotional indifference.
Family intervention
Warm -mood platform warm reminder: The good family environment plays a significant role in the treatment of schizophrenia and recurrence. Family members must not only actively learn about disease -related knowledge to help patients respond to various conditions; they must also learn to observe the patient's condition:
1. Whether words are reduced, including the number of words, poor content, or lack of non -language reactions.
2. Whether to decrease whether the patient does not have the eye contact with the dialogue.
3. Whether emotional reactions are reduced, including lack of emotional experience and expressionless face.
4. Whether interest is reduced, such as no hobbies.
5. Whether social networking is reduced, if you do not want to go out, do not want to carry out social activities with others, poor interpersonal relationships, etc.
6. Whether the ability to take care of self -care is worse, such as urination, no bath, no shampoo, no change in clothes, etc.
At the same time, the observed situation should be recorded and feedback to the doctor so that the doctor can accurately adjust the medication plan.
3. Physical therapy
Repeating the treatment of craniotomy has a certain effect on refractory schizophrenia (persistent hallucination and continuous negative symptoms).
Repeating through the craniacopcagnetic stimulation treatment can detect the functions of neural network and neurotransal system related to negative symptoms and cognitive dysfunction systems. At present, it is considered to be auxiliary therapy for mental schizophrenia negative symptoms.
In addition, studies have confirmed the potential treatment of negative symptoms of schizophrenia.
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