Conclusions

Improved recognition and optimal treatment of early psychosis continue to develop rapidly. Current issues for research are likely to produce new information on issues including:

• more accurate identification of young people at risk of developing a psychotic illness;

• the neurobiological basis of early psychosis and the onset of acute episodes;

• the most effective way to use existing and new pharmacological interventions;

• the delivery of effective family-based intervention;

• treatment of comorbidity, particularly substance abuse;

• psychological interventions in the pre-psychotic, acute and recovery phase;

• the optimal response to a delayed recovery from the acute phase;

• interventions during the recovery phase to minimize the risk of relapse, substance abuse and suicide, and maximize social and vocational recovery.

This chapter has focused particularly on the prepsychotic period, the process of successfully initiating treatment and the management of the initial episode of illness. Expert management of the subsequent ''critical period'' of the first two to five years of illness is a third and crucial focus in early psychosis, and, while not covered here in detail, is receiving increasing attention [8]. Social and vocational recovery should constitute the primary goal, building on the symptomatic resolution usually achieved during the initial phase of treatment.

BiPolar Explained

BiPolar Explained

Bipolar is a condition that wreaks havoc on those that it affects. If you suffer from Bipolar, chances are that your family suffers right with you. No matter if you are that family member trying to learn to cope or you are the person that has been diagnosed, there is hope out there.

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