Dosage

Current clinical practice strongly favours the initial use of low doses of antipsychotics in patients with a first episode of psychosis [14,41,56], with slow titration to higher doses if required. Guidelines from the American Psychiatric Association [11] also emphasize the importance of selecting a dose that is effective but not likely to cause serious side effects. Patients should be monitored during low-dose therapy for several weeks, requiring clinicians to be patient and avoid the temptation to prematurely escalate the dose for patients who are responding slowly.

Titration of the dose is based on symptom response. Information on symptoms should be gathered from the patient, other members of the treatment team, and the family to provide a longitudinal perspective, as well as through formal assessments of mental state. The use of rating scales can help quantify changes in the severity of symptoms over time.

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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