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Schizophrenia

Treating Schizophrenia: What are the Options?


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Summary & Participants

Schizophrenia is a disease that can have devastating effects on a person's ability to function effectively in his or her world. Though there is no cure for schizophrenia, a combination of treatment strategies can often help. Join our panel of medical experts, along with Nathaniel Lachenmeyer, author of The Outsider: A Journey into My Father's Struggle with Madness, as they discuss medical treatments, rehabilitation strategies and support programs for schizophrenia.

Medically Reviewed On: May 07, 2008

Webcast Transcript


ANTHONY SALERNO, PH.D.: One of the outcomes of schizophrenia is functional problems. Basic things in terms of living, learning and working and establishing relationships over time, and there is a deterioration in the person's skill level, so that we need a lot of opportunities to help a person learn, and to learn how to get along with others, learning the basics of managing one's environment, learning to get back to work, actually choosing a goal, the whole process of deciding on a direction in life, to find some meaning in life. Once this illness has occurred, it can be so disruptive to the original plans that a person had, and original goals. So how do you help somebody say, "Listen, I have these limitations, I have these problems, how do I fashion out and identify some goals that are realistic for me, and that also improve the quality of my life?" So that's what rehabilitation is all about.

But you need a lot more than helping people with skills. You also have to teach them and help them learn about their psychiatric condition, to learn about treatments, to learn about medications, to learn about how to use the mental health system to accomplish their own personal goals. Those are all the things -- a lot -- treatment, medication, skills, the supports, and having programs that offer people opportunities.

MARTY MOSS-COANE: Do you find you have to teach people to recognize when symptoms might return and then know what to do before it really becomes full-blown?

ANTHONY SALERNO, PH.D.: You've hit on a very, very important point. Learning the symptom management skills and stress management skills are extremely important. It would be nice, it would be wonderful is medication was the cure-all and it really did the trick, but it's not like that. An individual needs to put considerable effort and energy into managing their symptoms, and there are techniques and skills to cope more effectively, and that's a very important part of what practitioners need to do.

MARTY MOSS-COANE: Do you want to add to that, and then we'll talk a little bit about your father?

JOSEPH BATTAGLIA, MD: It was in the book that once someone starts to recover, they immediately go back to where they left off developmentally. So if they were in the midst of accomplishing something, they recover and they want to right away go back to school or go back to their job, and there is where therapy to say, "Okay, how can we plan this out," versus saying, "You can't do it" -- which isn't true -- versus setting them up for failure by not having the skills to manage stress. I think the book pointed that out very well.

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