When apparent schizophrenia is excluded

Abstract

Where must a clinician turn when straightforward schizophrenia suddenly turns out to be just the opposite? Fortunately, these days, there are protocols for just about everything. But how much value do these add? This article outlines the journey of our attempt to follow one such protocol.

Vatbaarheid vir skisofrenie by 22q11.2-mikroweglatings

“…'n Omvangryke bespreking van genetiese risiko vir psigiatriese steurnisse kan baie tydrowend wees en in 'n algemene psigiatriese praktyk is daar nie altyd tyd daarvoor nie. In Suid-Afrika is daar 'n beperking op die verwysing na genetiese raadgewers in die staatsektor weens die klein aantal genetiese raadgewers beskikbaar (Fourie et al 2015).…”

“…Die Gauteng Provinsie het vier permanente poste gehad en KwaZulu-Natal een. In die VSA is daar 2500 geregistreerde genetiese raadgewers (Fourie et al 2015).…”

Genetic and family counselling for schizophrenia: Where do we stand now?

“…In comparison, the United States of America has 2500 registered genetic counsellors. 3 Although genetic information is unique and has implications for blood relatives, genetic risk factors only rarely provide information that is inherently different from that provided by other risk predictors commonly used in healthcare. 2 Psychiatrists and generalists provide information on a daily basis regarding risk predictors in the management of schizophrenia, including risk of relapse, suicide and comorbid substance use.…”