A young man with first-episode psychosis: case presentation and discussion

Can J Psychiatry. 1998 Sep:43 Suppl 1:4S-6S. doi: 10.1177/07067437980430S102.

Abstract

Objective: To review and discuss the issues and challenges involved in the treatment of first-episode psychosis in young patients, including choice of appropriate antipsychotic agents and adjunctive medications, dosing regimens, and biopsychosocial interventions.

Methods: The case of a young man in his late teens with a history of substance abuse who experienced an acute dystonic reaction to treatment for his psychotic episode is presented and discussed.

Results: Each contributing author provides an evaluation of the intervention strategies presented in the patient's history and factors that influenced the treatment outcomes.

Conclusions: The successful management of young patients with psychosis must go beyond the control of positive symptoms. A comprehensive psychosocial and psychoeducational approach combined with a well-tolerated treatment regimen can help the patient achieve positive outcomes.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Akathisia, Drug-Induced* / psychology
  • Antipsychotic Agents / administration & dosage
  • Antipsychotic Agents / adverse effects
  • Antipsychotic Agents / therapeutic use*
  • Drug Administration Schedule
  • Dystonia / chemically induced*
  • Dystonia / psychology
  • Episode of Care
  • Humans
  • Male
  • Psychotic Disorders / drug therapy*
  • Psychotic Disorders / prevention & control
  • Treatment Refusal

Substances

  • Antipsychotic Agents