Management of incomplete remission and treatment resistance in first-episode psychosis.

Abstract:

BACKGROUND:Incomplete remission and treatment resistance are common even in first-episode psychosis patients. OBJECTIVE:The aim of this review was to provide an overview of the available interventions and treatment pathways for the management of incomplete remission and treatment resistance in first-episode psychosis. METHODS:The review undertook a computerized and manual literature search for relevant articles published within recent years. RESULTS:Standard therapy has to be optimized in order to prevent treatment non-response. The early detection strategies of incomplete remission and treatment resistance include re-evaluation of the diagnosis and optimization of pharmacological and non-pharmacological interventions including the treatment of co-morbid disorders. If partial or non-response is confirmed, pharmacological and psychosocial treatment adaptations should be applied stepwise as presented in the current review. Interventions have to be offered in a timely manner because early adaptation of treatment is associated with a greater probability of remission.

authors

Lambert M,Naber D,Huber CG

doi

10.1517/14656566.9.12.2039

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

2039-51

issue

12

eissn

1465-6566

issn

1744-7666

journal_volume

9

pub_type

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