The First Episode of Psychosis


Book Description

The First Episode of Psychosis is the ideal book for patients experiencing the frightening and confusing initial episode of psychosis, which often occurs during late adolescence or early adulthood, and which affects nearly 3% of all people over the course of their lifetime. The book covers a range of disorders, focusing on primary psychotic disorders such as schizophrenia and schizophreniform disorder, clearly describing symptoms, early warning signs, and treatment--information that is essential for patients and families faced with the challenges posed by psychosis. The book also discusses psychiatric evaluation, healthy lifestyle choices, and the stigma often associated with mental illnesses. Worksheets allow readers to keep records of symptoms to facilitate communication with care providers, and an extensive glossary clarifies the dizzying array of terms used by medical professionals. Optimistic, practical, and recovery-oriented, The First Episode of Psychosis will help patients and their families to take an active, informed role in their care to ensure the best possible prognosis.




Recovering from a First Episode of Psychosis


Book Description

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the ‘bespoke’ targeting of integrated medical, psychological and social treatments during the ‘critical period’. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.




Psychotic Disorders


Book Description

This book provides clear and concise guidance for clinicians when they encounter a patient with psychosis, starting with the medical work-up to arrive at a diagnosis and ending with the comprehensive care for patients with established schizophrenia. It covers the optimal use of medications (emphasizing safe use) but also addresses other treatment approaches (psychological treatments, rehabilitation) and the larger societal context of care, including how to work effectively in complex systems. It uniquely condenses the literature into teaching points without simplifying too much, effectively serving as a learning tool for trainees and professionals. For this second edition, the book was extensively updated and its content expanded, with new figures as well. Each chapter begins with an initial summary and includes Tips and Key Points in text boxes. Each chapter also includes links to external websites and additional readings. The book contains clinical and practical wisdom for clinicians who are treating real patients at the front lines, setting it apart from all other texts. Psychotic Disorders is an excellent resource for medical students, early career professionals such as trainees and fellows, and related clinicians seeking additional training and resources, including those in psychiatry, psychology, neurology, and all others.




CBT for Those at Risk of a First Episode Psychosis


Book Description

Can severe mental illness be prevented by early intervention? Mental illness is highly prevalent in the general population and has its onset mostly in adolescence and young adulthood. Early intervention usually leads to improved prognosis. This book describes a newly developed, evidence based cognitive behavioural intervention that can be used by clinicians to treat the precursor symptoms of psychosis and other severe mental illness. CBT for those at risk of a First Episode Psychosis offers a detailed new psychotherapy that has been shown to reduce the chance of transition to a first psychotic episode and to improve the chance for recovery. This encompasses: Psycho-education about prepsychotic symptoms A review of literature about psychological processes that are known to play a role in the development of psychosis A comprehensive manual – illustrated by numerous clinical vignettes - that can be used to treat help-seeking subjects with an increased risk of developing psychosis. Links to online resources and exercises to be used in therapy and education. A description of the multicentre randomized clinical trial investigating this new psychotherapy. The vast collective experience and expertise of the authors of this handbook results in an invaluable text for clinicians working in mental health care, as well as students, lecturers and researchers who have an interest in the prevention of schizophrenia and other severe mental illness.




First Episode Psychosis


Book Description

The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management.




First Episode Psychosis Services Fidelity Scale (Feps-Fs 1.0) and Manual


Book Description

The First Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0) is a highly reliable scale that assesses the degree to which mental health teams deliver specialized evidence-based care to people experiencing a first episode psychosis. The scale comprises 35 components each rated on a 1 to 5 scale. It has been used in the United States, Canada and Europe. It can be used for on site fidelity reviews, remote fidelity assessment or self-report. Published papers document its psychometric features and allow comparisons with a representative sample of US programs. It is suitable for research, quality improvement and accreditation. The Manual provides a practical guide for scoring a FEPS program against the criteria set out in the fidelity scale. It is designed to increase the reliability and consistency of ratings across different sites and assessors. It includes a definition and rationale for each component, data sources, decision rules and a structured interview guide. There are also modules to support training the key informant and data abstractor. Templates support structured feedback to programs for quality improvement. The scale can be adjusted to rate care for different diagnostic groups including the schizophrenia spectrum disorders, bipolar disorder and those with an attenuated psychosis syndrome.




Intervening Early in Psychosis


Book Description

With expert guidance on developing specialty care service models for young people experiencing first-episode psychosis, the book offers a multimodal approach that aims for recovery and remission.




The First Episode of Psychosis


Book Description

Here is the ideal book for patients experiencing the frightening initial episode of psychosis, which often occurs during late adolescence or early adulthood, and which affects nearly 3% of all people over the course of their lifetime. The book covers a range of disorders, focusing on primary psychotic disorders, clearly describing symptoms, early warning signs, and treatment--information that is essential for patients and families faced with the challenges posed by psychosis. It will help patients and their families to take an active, informed role in their care.




Promoting Recovery from First Episode Psychosis


Book Description

Family members can play a significant role in helping to identify early signs of psychosis, in seeking prompt and appropriate treatment for their relative, and in promoting the recovery process. The guide is divided into two parts: - Part I is designed to help families to support their relatives' recovery. It includes information about treatment of psychosis, crisis intervention, and working with mental health professionals. - Part II focusses on the family's journey to recovery. It describes specialized services for families, self-care strategies, and communication and limit-setting tips.




The Diagnosis of Psychosis


Book Description

Psychosis has many causes. Psychiatrists typically receive the most thorough training in its diagnosis, but the diagnosis of psychosis secondary to nonpsychiatric conditions is not often emphasized. An understanding of the underlying cause of psychosis is important for effective management. The Diagnosis of Psychosis bridges the gap between psychiatry and medicine, providing a comprehensive review of primary and secondary causes of psychosis. It covers both common and rare causes in a clinically focused guide. Useful both for teaching and reference, the text covers physical and mental state examination, describes key investigations, and summarizes the non-psychiatric features of medical conditions causing psychosis. Particularly relevant for psychiatrists and trainees in psychiatry, this volume will also assist neurologists and general physicians who encounter psychosis in their practice.