These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery.This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment.

An international team of experts review the latest findings in the diagnosis and treatment of schizophrenia in the young.

Schizophrenia is a chronic disorder that impacts a broad range of a person's social and developmental functioning. Until the recent past, most of the research done on schizophrenia did not include children or adolescents who suffer from the disorder. During adolescence, important changes take place in brain development. These changes make adolescence a period of both vulnerability and opportunity. Emergence of psychosis and schizophrenia may be associated with abnormal brain development during adolescence. This book discusses the findings of studies that focus on abnormal brain development during the premorbid period of psychosis and schizophrenia. Cognitive neuroscience constructs of visuospatial memory and working memory are associated with adult- and adolescent-onset schizophrenia. This book reviews the existing literature on the topic and explores the nature of and association between visuospatial memory in adolescent onset schizophrenia. The prevalence of psychotic symptoms in the general population, particularly in children and adolescents, is also explored. The significance of psychotic symptoms in relation to psychiatric disorders, such as depression and anxiety, and its relation to social factors, such as childhood abuse is examined. To deal with schizophrenic young patients in a hospital, psychoanalytical psychotherapeutic "teamwork" is reviewed. The transference relation between patient and therapist, and what it entails, is also discussed.

Psychosis in Childhood and Adolescence offers an in-depth examination of the nature of psychosis, its risk factors and its manifestations in children and adolescents who experience a continuum of emotional disorders. The chapters present a hopeful, research-based framework for treatment. They emphasize combined treatment that is based on psychodynamic and cognitive behavioral psychotherapy principles, pharmacological interventions and supportive family approaches that reflect the vulnerabilities and resources of the individual child. This text highlights the importance of thorough assessment and the need for long-term treatment that facilitates the psychotic child’s healthy maturation. Readers will benefit from the case examples that illustrate the complexity of psychosis and the discussions of diagnostic and treatment issues as presented by experienced clinicians and researchers.

Discusses warning signs, diagnosis, treatments, and daily handling of schizophrenia in adolescents and provides advice from parents.

This is the first book to address the clinical and neurobiological interface between schizophrenia and obsessive-compulsive disorder (OCD). There is growing evidence that obsessive-compulsive symptoms in schizophrenia are prevalent, persistent and characterized by a distinct pattern of familial inheritance, neurocognitive deficits and brain activation. This text provides guidelines for differential diagnosis of schizophrenic patients with obsessive-compulsive symptoms, and patients with primary OCD alongside poor insight, psychotic features or schizotypal personality. Written by a leading expert in the coexistence of obsessive-compulsive and schizophrenic phenomena, Schizo-Obsessive Disorder uses numerous case studies to present diagnostic guidelines and to describe a recommended treatment algorithm, demystifying this complex disorder and aiding its effective management. The book is essential reading for psychiatrists, neurologists and the wider range of multidisciplinary mental health practitioners.

This original and powerful book illuminates a perennially controversial subject via detailed case histories of 54 children with schizophrenia. The book begins with a review of 130 years of the psychiatric literature on psychosis in childhood. Cantor then presents a detailed analysis of the developmental and family histories of the children in her study, comparing some of the data to a non-schizophrenic control group and yielding suggestive insights on the roots of vulnerability to mental illness.The difficulties involved in assessment and treatment are examined in depth, and useful diagnostic methods are discussed. Also presented are ideas and tools for monitoring change in the child's clinical state and evaluating the effectiveness of interventions.