ETHICS OF TREATMENT IN EARLY PSYCHOSIS

Petru Iulian Ifteni, Victoria Burtea, Andreea Silvana Szalontay, Marius Alexandru Moga

Abstract


 

One of the major problems in ethics of schizophrenia includes treatment in prodromal phase of the disease because of the potential devastating impact on human life and critical impact on their families.

 

Ethnic groups, social and economic status, high levels of negative symptoms, personality disorders may be factors affecting prognosis and disease progression.

 

Accurate and comprehensive assessment of onset of symptoms made by an experienced psychiatrist and early initiation of treatment, constitute decisive factors in the evolution and prognosis of patients with schizophrenia. The biggest challenge is such as early recognition of symptoms of disease while minimizing the risk of false diagnosis.

 

The average duration of prodromal symptoms before the onset of psychotic symptoms may be 2 years (women have a shorter prodromal period). Time to initiation of antipsychotic treatment is about three years, depending on the tolerance level of the community to substantial levels of psychopathology.

 

The stigma attributed to this disorder, which are present worldwide, can also be so powerful for family and for individuals and may determined delay of treatment.

 

Ethical guidelines for the research and implementation of treatment are necessary and should be followed by psychiatrists, general practitioners and families in order to ensure the right and optimal access in early stages of schizophrenia.

 

 



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