Psychotische Frühphasen – wann intervenieren?

Andor E. Simon, Philippe Conus, Roland Schneider, Anastasia Theodoridou, Daniel S. Umbricht

  • Numerous studies in the last few years have suggested that early intervention in first time psychotic disorder may favourably influence the further course. More recent studies have investigated the course of the disease in patients at risk for psychotic disorders.
  • In differential diagnosis the often difficult task of assessing whether this risk exists must be undertaken by specialists. Specialist consultations offer the most appropriate structures for this purpose.
  • The differential diagnosis of incipient psychotic disorder represents a particular challenge in young patients. Where persistent loss of social functioning occurs without symptoms of florid psychotic disorder, the moment when a risk of psychotic disorder or a psychotic disorder must be assumed is likewise ill-defined.
  • Latest studies have investigated the effects of treatment in patients presumed to be at high risk for imminent transition to psychotic disorder. Results thus far show that at least in the first months after initiation of treatment a symptomatic improvement can be achieved
    compared with control groups. Such an improvement may have a favourable effect on the social integration of patients with signs of incipient psychotic disorder

Simon et al., Swiss Medical Forum, 2005 [PDF] (http://medicalforum NULL.ch/docs/smf/archiv/de/2005/2005-23/2005-23-028 NULL.pdf)

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