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Outline and evaluate two or more therapies used in the treatment of schizophrenia.

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Introduction

"Outline and evaluate two or more therapies used in the treatment of schizophrenia" There are two methods in treating schizophrenia; biologically or psychologically. One way to treat schizophrenia biologically is by antipsychotic medication. This therapy involves the use of drugs; conventional and atypical drugs. Conventional drugs bind to dopamine receptors, blocking their action. Reducing stimulation of dopamine in the brain helps to remove signs of hallucinations and delusions. Conventional drugs are primarily used to combat the positive symptoms of schizophrenia. Positive symptoms are thoughts, behaviours, or sensory perceptions present in a person with schizophrenia, but not present in people in the normal population. Atypical antipsychotic drugs also act on dopamine but also block serotonin in the brain. Atypical drugs are thought to have lower levels of side effects such as tardive dyskinesia (involuntary movement in body parts). ...read more.

Middle

Conventional drugs have a higher risk of acquiring tardive dyskinesia. About 30% of people taking conventional medication will develop this disorder, which is also irreversible in 75% of cases. The prescription of drugs also de-motivates patients making them feel as there is something wrong with them, which may reduce the interest to look for possible solutions to improve themselves. Some research showed that atypical drugs were slightly more effective than conventional drugs. They also have fewer side effects, making them more secure and removing some ethical issues that might come from the use of conventional drugs. This type of medication raises significant ethical issues which may also result in death of the patient. There are more negative effects than positive effects with using and experimenting with antipsychotic medication. ...read more.

Conclusion

Drury et all (1996) supports the use of CBT and also the use of antipsychotics. He concluded that if both are used together, the recovery time is reduced by 20-50%. Many studies support the use of CBT; Gould et al found that 7 meta analysis studies reported a decreased rate of patients with positive symptoms after CBT. CBT allows the patients to understand their disorder and gradually making themselves feel better. The therapy not only deals with positive symptoms but also with negatives. The therapist gives explanations why patients with negative symptoms feel inactive or unemotional. However a study of 142 schizophrenic patients found that CBT was not effective because the patients did not completely get engaged with the task. The therapy works less well with older patients. This therapy is culture biased because it assumes that every culture will be treated similarly. Some cultures may not deem the patient to be schizophrenic while some do. ...read more.

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