Secrets to Supporting Individuals with Psychotic Symptoms
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Dr. Dawn-Elise Snipes presents a comprehensive overview of managing psychotic disorders, emphasizing the importance of understanding the diverse origins of psychotic symptoms and the necessity of accurate diagnosis. Psychotic symptoms can arise from a range of conditions, including encephalitis, brain injuries, and neurodegenerative diseases, and manifest in various ways, such as depression and irritability. The presentation distinguishes between 'positive' and 'negative' symptoms and discusses the impact of factors like abnormal glucose metabolism and sleep disturbances on schizophrenia. The role of second-generation antipsychotics in increasing diabetes risk is also noted. Affective psychoses, including major depressive disorder and bipolar disorder, are explored, highlighting the transient nature of addiction-related psychosis and the significance of early intervention in achieving remission. Management strategies for medication adherence and the importance of stress reduction are discussed, along with the influence of hydration, heat exposure, and the cytochrome P450 enzyme system on medication efficacy. Clinicians are urged to monitor for relapse signs and develop personalized 'OPD plans' to address prodromal symptoms. The presentation also covers the state of individuals during remission, the use of cognitive behavioral therapy, and the importance of creating a safe environment. Strategies for daily life management include simplifying choices, using 'go by guides,' and enhancing social interactions through oxytocin administration or token economies. The role of dopamine in motivation and the use of scaffolding to support task completion are discussed. Cognitive impairments are addressed with written tools and environmental optimization. The content also provides insights into learning and retaining daily life skills, the effectiveness of CBTP during non-acute phases, and the reinforcement of positive behaviors. Listening to music is suggested for managing auditory hallucinations and improving sleep. The importance of engaging with individuals to understand their reality and offering alternative explanations is emphasized. CBT techniques for addressing persistent delusions involve understanding the patient's life context and exploring pre-delusional beliefs. Empowering patients through CBT includes recognizing the connection between feelings, thoughts, and behaviors, and the importance of physical health. Interpersonal support is crucial for developing assertiveness and managing stress. The content concludes with the announcement of an on-demand class on CBT for psychosis, which will provide additional resources.
Dr. Dawn-Elise Snipes presents a comprehensive overview of managing psychotic disorders, emphasizing