Advice about management

Patients are often hospitalized under constraint because they do not acknowledge the disorder. The initial non-compliance leads to the frequent use of classic intramuscular neuroleptics. After recovery, a switch to a newer antipsychotic drug, which is better tolerated, helps to ensure the acceptance of long-term treatment when the psychotic symptoms have disappeared.

In general, psychotherapy and psychosocial care are more effective in an outpatient setting after recovery has started. A good relationship between patient and psychiatrist together with collaboration with the family practitioner and social workers improve the long-term prognosis. If resources allow, psychotherapy by a trained practionioner, behavioural therapy, or family therapy may be combined with a low-dose pharmacotherapy.

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