Child Schizophrenia: Theory and Practice

Abstract

Child schizophrenia is a mental disorder that affects brain structures, emotional and cognitive functions. The disorder is characterized by psychotic symptoms: disorder of thinking, inadequate emotional reactions, disorganized behavior, deterioration of social functioning and loss of will. Schizophrenia in children is one of the most common mental illnesses affecting up to 1% of all children. For a long time, the term "child schizophrenia" was used to refer to various disorders that had similarities with each other. Children were referred to schizophrenics if they had borderline symptoms. Child schizophrenia develops gradually; sudden onset it is not common. Schizophrenic child requires help from multidisciplinary team members including child and adolescent psychiatrist and all possible levels of psychotherapy and psychological interventions. This article discusses classification, clinical presentation, all possible treatment and rehabilitation of children with schizophrenia.

Recommendations For The Management Of Patients With Depression In General Clinical Practice

“…Comorbid psychiatric disorders and other medical conditions should also be identified and the patient's functional status assessed [5], [6], [7], [8]. When making a differential diagnosis, clinicians should keep in mind that many other mental disorders, somatic conditions, or even the use of certain medications can cause symptoms of depression [9], [10], [11], [12]. Therefore, when assessing the patient's condition, the primary care physician should clearly determine whether depression is the initial stage of this process or a symptom of other disease or disorder.…”

“…Zoryana Lebedyn to a specialist in case of risk of bipolar disorder development or onset, psychiatric comorbidity (use of psychoactive substances, anxiety, OCD, eating disorders), risk of suicide and / or murder, symptoms of psychosis, insufficient effectiveness of their drugs, significant or prolonged disability, inability to care for themselves and / or family and diagnostic uncertainty [1], [4], [5], [9], [10], [11], [14], [15]. The initial response to PHQ-9 therapy should be evaluated after 4-6 weeks of pharmacotherapy (monotherapy or combination therapy), or after 6-12 weeks of psychotherapeutic interventions in the form of monotherapy.…”

“…Consultation with a psychiatrist is recommended if there is: suspicion of bipolar disorder, comorbid psychiatric disorder (e.g. substance abuse, gambling, anxiety, obsessive compulsive disorder or eating disorder), risk of suicide and / or homicide, psychosis combined with depression signs of improvement when taking drugs prescribed by a primary care physician, despite changes in dosage and replacement of drug classes, significant or prolonged disability, inability to take care and / or family, diagnostic uncertainty [1], [4], [5], [9], [10], [11], [14], [15], [20], [21], [22].…”

Diagnostic Procedure and Therapeutic Approaches in Nonconvulsive Status Epilepticus (NCSE)

“…In patients in a state of lethargy, stupor, or even coma, EEG often reveals rapidly arising rhythmic continuous discharges, accompanied or not accompanied by clinical manifestations of seizures in the period following clinically expressed convulsions or convulsive status epilepticus. Rarely, EEG discharges or seizures are the only problems; many of the patients suffer from serious cerebrovascular pathology, serious mental disorder or encephalopathies of various origins (toxic/dysmetabolic, or of mixed etiology) [15]- [18]. These patients can be attributed to the group of patients with electrographic status epilepticus or epileptic encephalopathy.…”

Why Neurologists Should Remember About Antidepressants

“…There may be depression with somatic disorders and dysfunctions that include heaviness in the heart, dry mouth, constipation, dry skin, tachycardia and fluctuations in blood pressure. More than half of patients with depression are not aware of low mood and express only somatic complaints, more often back pain, leg pain, etc., and the mechanism of pain (serotonin deficiency) is associated with the pathogenesis of depression) [14]- [16].…”