Tuesday, October 27, 2015

New Approach Advised to Treat Schizophrenia

That is the title of this article I am writing about. "More than two million people in the United States have a diagnosis of schizophrenia, and the treatment for most of them mainly involves strong doses of antipsychotic drugs that blunt hallucinations and delusions but can come with unbearable side effects, like severe weight gain or debilitating tremors.  Now, results of a landmark government-funded study call that approach into question. The findings, from by far the most rigorous trial to date conducted in the United States, concluded that schizophrenia patients who received a program intended to keep dosages of antipsychotic medication as low as possible and emphasize one-on-one talk therapy and family support made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care.Its findings have already trickled out to government agencies: On Friday, the Centers for Medicare & Medicaid Services published in its influential guidelines a strong endorsement of the combined-therapy approach. Mental health reform bills now being circulated in Congress “mention the study by name,” said Dr. Robert K. Heinssen, the director of services and intervention research at the National Institute of Mental Health, who oversaw the research. In 2014, Congress awarded $25 million in block grants to the states to be set aside for early-intervention mental health programs. So far, 32 states have begun using those grants to fund combined-treatment services, Dr. Heinssen said. Experts said the findings could help set a new standard of care in an area of medicine that many consider woefully inadequate: the management of so-called first episode psychosis, that first break with reality in which patients (usually people in their late teens or early 20s) become afraid and deeply suspicious. The sooner people started the combined treatment after that first episode, the better they did, the study found. The average time between the first episode and receiving medical care — for those who do get it — is currently about a year and half." I wish they would have kept my medicine low dose maybe I would not be fighting all this weight.
The article goes on to say: "'As for medications, I have had every side effect out there, from chills and shakes to lockjaw and lactation,' said a participant in the trial, Maggie, 20, who asked that her last name be omitted. She did well in the trial and is now attending nursing school. Doctors praised the study results. 'I’m very favorably impressed they were able to pull this study off so successfully, and it clearly shows the importance of early intervention,' said Dr. William T. Carpenter, a professor of psychiatry at the University of Maryland School of Medicine, who was not involved in the study. Dr. Mary E. Olson, an assistant professor of psychiatry at the University of Massachusetts Medical School, who has worked to promote approaches to psychosis that are less reliant on drugs, said the combined treatment had a lot in common with Open Dialogue, a Finnish program developed in the 1980s. 'These are zeitgeist ideas, and I think it’s thrilling that this trial got such good results,' Dr. Olson said. In the new study, doctors used the medications as part of a package of treatments and worked to keep the doses as low as possible minimizing their bad effects. The sprawling research team, led by Dr. John M. Kane, chairman of the psychiatry department at Hofstra North Shore-LIJ School of Medicine, randomly assigned 34 community care clinics in 21 states to provide either treatment as usual, or the combined package. The team trained staff members at the selected clinics to deliver that package, and it included three elements in addition to the medication. First, help with work or school such as assistance in deciding which classes or opportunities are most appropriate, given a person’s symptoms. Second, education for family members to increase their understanding of the disorder. And finally, one-on-one talk therapy in which the person with the diagnosis learns tools to build social relationships, reduce substance use and help manage the symptoms, which include mood problems as well as hallucinations and delusions." If some one would have explained a mental illness to me when I first was ill it would have been a great help.
The article ends: "For example, some patients can learn to defuse the voices in their head — depending on the severity of the episode — by ignoring them or talking back. The team recruited 404 people with first-episode psychosis, mostly diagnosed in their late teens or 20s. About half got the combined approach and half received treatment as usual. Clinicians monitored both groups using standardized checklists that rate symptom severity and quality of life, like whether a person is working, and how well he or she is getting along with family members. The group that started on the combined treatment scored, on average, more poorly on both measures at the beginning of the trial. Over two years, both groups showed steady improvement. But by the end, those who had been in the combined program had more symptom relief, and were functioning better as well.The researchers expect to have lowered average doses in the combined program but had not yet finished analyzing that data. 'One way to think about it is, if you look at the people who did the best — those we caught earliest after their first episode — their improvement by the end was easily noticeable by friends and family,' Dr. Kane said. The gains for those in typical treatment were apparent to doctors, but much less obvious. Dr. Kenneth Duckworth, medical director for the National Alliance on Mental Illness, an advocacy group, called the findings “a game-changer for the field” in the way it combines multiple, individualized therapies, suited to the stage of the psychosis. The study, begun in 2009, almost collapsed under the weight of its ambition. The original proposal called for two parallel trials, each including hundreds of first-episode patients. But that plan was changed due in part to recruiting problems, said people familiar with the project. 'It’s been a long haul,” Dr. Heinssen added, “but it’s worth noting that it usually takes about 17 years for a new discovery to make it into clinical practice; or that’s the number people throw around. But this process only took seven years.'
Correction:
 October 23, 2015 
An article on Tuesday about a study of the treatment of first-episode schizophrenia referred incorrectly to the conclusions of the study. Though it studied a program intended to reduce medication dosages, the researchers do not yet know for sure if dosages were lowered or by how much. Therefore, the study did not conclude “that schizophrenia patients who received smaller doses of antipsychotic medication and a bigger emphasis on one-on-one talk therapy and family support made greater strides in recovery.” (The study did conclude that the alternative treatment program as a whole led to better outcomes.) The article also erroneously attributed a statement to Dr. Robert K. Heinssen, who oversaw the research. It was scientists familiar with the project — not Dr. Heinssen — who said that the study’s original proposal, calling for two nearly identical trials, was changed in part because of recruiting problems. (Dr. Heinssen said that one trial was redirected, but did not say why.) And because of an editing error, the article misidentified the institution where Dr. Heinssen is director of services and intervention research. It the National Institute of Mental Health, not the Centers for Medicare & Medicaid." I just hope there is something new that can especially with the face cramping and other side effects from the medication.

21 comments:

  1. I read about this as well. However, it's not possible with my mother as she didn't have an early intervention

    ReplyDelete
  2. Thanks for one’s posting! I quite enjoyed reading Your Post; you could be a Very great author. I will make sure to bookmark your blog now and will eventually come back in the foreseeable future always. I want to encourage you continue your great writing Skills, have a nice evening!
    Indian Escorts In Dubai

    ReplyDelete
  3. Thank you for sharing this great kind of information which really inspire me and remove all today's boring.
    Indian Escorts in Dubai
    Escorts in Dubai

    ReplyDelete
  4. Thanks for providing this knowledgeable blog! And I am really impressed.so I want to share this blog with our friends buy facebook likes.

    ReplyDelete
  5. Hi,
    Hello everyone in this blog, I am new here and it’s really impressive & joyful for me after reading this article which really impressive, thank you admin for allows me.
    Elite Escorts in Dubai

    ReplyDelete
  6. Hello gentlemen welcome to Escorts in UAE agency +971552300726. You wanna romantic night and some fun? Then we are gonna be your desire! We have young and experience escorts in Dubai which complete your romance desires with their romantic escort’s experience. Our Indian Escorts in Dubai services as you want i.e. Blowjob without Condom, Sex in Different Positions, Dirty talk, Extra ball, Girlfriend Experience (GFE), and Kissing. As well as our sexy Dubai Escorts that will make you glad & comfortable. We have all categories of Indian escorts, model escorts in Dubai and teenage student escorts in Dubai. For appointment call us now, we are available 24/7.

    ReplyDelete
  7. We are offering you best and unique sexy Indian escorts in Dubai. We are connected with lots of VIP escorts. They are working with us in Dubai and as well giving their services in different countries. Dubai escorts are very experienced and talented and they know very well how they should behave with their clients. Our escorts in Dubai respect their clients and they always ready to do anything for their happiness. We are giving best services in Dubai All Indian call girls in Dubai are very beautiful, bold, modish, hot and erotic.

    ReplyDelete
  8. Thanks for Posting in such an incredible campaign. Escorts in Dubai this certainly a fantastic piece of work I must say that overall I am really impressed with this blog. Dubai Escorts Definitely Your Blog is so interesting and very informative superbly written and well explained Keep It Up.
    Call Girls in Dubai
    Indian Escorts in Dubai

    ReplyDelete
  9. In this blog I introduce to you our escort’s agency Dubai play girl +971553279569. We provide you beautiful Dubai escorts for your dating entertainment. All our Indian Escorts in Dubai are stunning with glamour’s beauty and attractive looks. So I shall be very thankful to for this great blog its very beneficial info.
    escorts in Dubai
    Indian Escorts in Dubai

    ReplyDelete
  10. Yeah what a great blog, i like it too much i will definiely read it again. It has relevant information. Your blog is so interesting and very informative.Thanks sharing.
    Indian Escorts in Dubai
    Dubai Escorts

    ReplyDelete
  11. Fantastic and awesome stuff as usual keep up the amazing work here. Escorts in Dubai I truly enjoy looking through on this site. Indian Call Girls in Dubai Be absolutely determined to enjoy what you do. I am wondering how I might be notified when a new post has been made.

    Cheers friend.
    Indian Escorts in Dubai

    ReplyDelete
  12. Thanks for one’s posting! I quite enjoyed reading Your Post; you could be a Very great author. I will make sure to bookmark your blog now and will eventually come back in the for seeable future always. I want to encourage you continue your great writing Skills, have a nice evening!
    escorts in Dubai
    Indian Escorts in Dubai

    ReplyDelete
  13. On the other hand, your full efforts and working day and night for your business require a break as you are mentally and physically tired. Companionship of Independent Kolkata escorts gives you a peaceful and refreshing break. You must spend some time in her companionship so that you can heal yourself from depression and frustrations.

    ReplyDelete
  14. There is no comparison of your blog because of your work on this post and it really impressive , want to date with Indian Escorts in Dubai which have huge experience in escort world and they completely satisfied you as you want and that’s why we are her. Good night to everyone!
    Escorts in Dubai
    Indian Call Girls in Dubai
    Model Escorts in Dubai

    ReplyDelete
  15. From last two days I found a very informative article and my searches end at your post because your article is absolutely very informative. Our agency Top Escorts Dubai is considered very shining and popular agencies in Dubai and we are only providing here as Indian Escorts in Dubai.
    Escorts in Dubai
    Indian Call Girls in Dubai
    Model Escorts in Dubai

    ReplyDelete
  16. There is no comparison of you blog because of your articles thank you for sharing these informative articles, Top Escorts Dubai agency provide all kinds of Escorts in Dubai in different countries as well as in different categories like Elite Escorts, Premium Escorts, Model Escorts and TV actresses.
    Indian Escorts in Dubai

    ReplyDelete
  17. I really love how it is nice on my eyes it is I wanted to write you a little bit of observation to help say thank you for all the awesome information you have contributed on this site website. Escorts in Dubai I could be notified when a new post has been made. Appreciate your sharing this great blog I will definitely be back soon. Have a Great Day.
    Indian Escorts in Dubai

    ReplyDelete
  18. Pretty! Thanks For sharing outstanding and excellent information. This has been really excellent article. Your site is so cool I am impressed and I truly appreciate by the info that you have on this site. Many thanks for providing this info. You should keep it up I Bookmark this website and will back for more articles. Best of Luck Thanks
    Indian Escorts in Dubai

    ReplyDelete
  19. I feel extremely happy to discover this blog since that is a platform in which i can present my Dubai escorts business. I delighted in understanding this incredible blog. In Dubai our escorts organization Dubai play girls is breakthrough escort's company. We have lovely Asian escorts like Indian escorts in Dubai, Pakistani, Russian and Turkish escorts in Dubai. Thanks For this great blog because through this blog i introduce to my business to other people.
    Indian escorts in Dubai
    Dubai escorts

    ReplyDelete
  20. i love indian models in dubai. that provides best envirement for entertainment. you can b contact us +971561616995 adn visit this site
    Entainment in dubai

    ReplyDelete
  21. I really appreciate with your work. Great article. Love that website & bookmarked it too. Also Share more so we can read something new.
    Indian Escorts in Dubai
    Pakistani Escorts in Dubai
    Indian Pakistani Escorts in Dubai

    ReplyDelete