Introduction | p. xiii |
Schizophrenia Basics | p. 1 |
A Brief Overview of Schizophrenia | p. 1 |
Features of the Disease | p. 3 |
Schizophrenia's Effect on Relationships | p. 5 |
A Brief History of Schizophrenia | p. 7 |
Early Treatments and Explanations | p. 10 |
What Schizophrenia Is Not | p. 13 |
What Causes Schizophrenia? | p. 16 |
The Role of Genetics | p. 16 |
A Look at the Brain | p. 19 |
Altered Brain Structure in Schizophrenia | p. 22 |
Normal Chemical Signals | p. 26 |
Altered Brain Chemistry in Schizophrenia | p. 27 |
The Role of Environment | p. 28 |
What Might Cause Schizophrenia? | p. 30 |
What Type of Schizophrenia Are You Dealing With? | p. 32 |
Diagnosing Schizophrenia | p. 32 |
Paranoid Schizophrenia | p. 33 |
Disorganized Schizophrenia | p. 34 |
Catatonic Schizophrenia | p. 35 |
Undifferentiated and Residual Schizophrenia | p. 37 |
Type I and Type II | p. 38 |
Related Psychotic Disorders | p. 41 |
Brief Psychotic Disorder | p. 41 |
Shared Psychotic Disorder | p. 42 |
Schizophreniform Disorder | p. 43 |
Schizoaffective Disorder | p. 44 |
Delusional Disorder | p. 46 |
Psychotic Disorder Due to a General Medical Condition | p. 49 |
Other Mental Disorders with Similarities to Schizophrenia | p. 50 |
Symptoms of Schizophrenia | p. 53 |
Positive Symptoms | p. 53 |
Negative Symptoms | p. 57 |
Cognitive Problems | p. 60 |
Variability of Symptoms | p. 63 |
Gender Differences | p. 64 |
The Threat of Suicide | p. 65 |
Warning Signs of Schizophrenia | p. 67 |
Onset: The Early Warning Signs | p. 67 |
Some Indicators in Early Childhood Behavior | p. 71 |
Developing Schizophrenia Before and After Adolescence | p. 73 |
Can Schizophrenia Be Prevented? | p. 76 |
Psychotic Symptoms Are an Emergency | p. 78 |
Early Warning Clinics | p. 80 |
Schizophrenia-like Symptoms in Other Medical Conditions | p. 82 |
Bipolar Disease | p. 82 |
Drug-Induced Psychosis | p. 84 |
Alzheimer's Disease and Other Dementias | p. 86 |
Psychosis Resulting from Other Medical Conditions | p. 87 |
Other Psychotic Disorders | p. 88 |
Impressions of Schizophrenia | p. 90 |
Hallucinations | p. 90 |
Delusions | p. 91 |
Loss of Control | p. 93 |
Sense of Self and Emotions | p. 95 |
Treating Schizophrenia with Drugs | p. 98 |
Finding the Right Medication | p. 98 |
How Do Antipsychotic Medications Work? | p. 100 |
Two Main Types of Antipsychotic Drugs | p. 102 |
Features of Some Popular Antipsychotic Medications | p. 108 |
Is There a "Right" Medicine for Everyone? | p. 110 |
Realizing the Benefits | p. 113 |
Side Effects of First-Generation versus Second-Generation Drugs | p. 116 |
Recognizing the Side Effects | p. 118 |
Effects of Conventional Antipsychotic Drugs on the Extrapyramidal System | p. 120 |
Side Effects of Atypical Antipsychotic Drugs | p. 122 |
Precautions | p. 123 |
Combination Treatments | p. 125 |
Therapy for Schizophrenia | p. 127 |
Why Therapy? | p. 127 |
Modern Therapies versus Older Therapies | p. 129 |
Supportive or Rehabilitative Therapies | p. 131 |
Family Therapy and Rehabilitation | p. 133 |
Cognitive Therapy | p. 134 |
Finding Good Therapists | p. 134 |
What if Nothing Works? | p. 137 |
Are Alternative Therapies Right for You? | p. 137 |
Lack of Compliance or Failure of Medical Care | p. 138 |
Assisted Treatment | p. 140 |
What Is a Clinical Trial? | p. 146 |
Finding Clinical Trials | p. 150 |
Applying to Take Part in a Clinical Trial | p. 151 |
Other Views of Schizophrenia and Current Treatments | p. 153 |
Public Perception of Schizophrenia | p. 153 |
Anti-Psychiatry | p. 156 |
Does Mental Illness Really Exist? | p. 157 |
Do Drugs Do More Harm than Good? | p. 158 |
Do Pharmaceutical Companies Control Modern Psychiatry? | p. 159 |
Are Nontraditional Treatments Effective? | p. 161 |
Ensuring Good Psychiatric Care | p. 165 |
Diagnosing a Mental Illness | p. 165 |
Locating Good Care Near You | p. 167 |
Researching a Doctor's Background | p. 168 |
Professional Physician Background Checks | p. 172 |
Working with Your Doctor | p. 173 |
Encouraging Treatment in Reluctant Individuals | p. 175 |
Confidentiality | p. 177 |
Affordability of Mental Health Care | p. 178 |
Should a Person with Schizophrenia Live at Home? | p. 180 |
When Living at Home Is a Good Idea! | p. 180 |
When Living at Home Is Not a Good Idea | p. 183 |
Full-and Part-Time Hospitalization | p. 184 |
Hospitalizing Children | p. 188 |
Legal Rights and Hospitalization | p. 189 |
Outpatient Care | p. 191 |
What You Can Do to Aid Recovery | p. 193 |
Attitude: Accept the Pain and Take Charge of Your Situation | p. 193 |
Setting Realistic Goals of Recovery | p. 195 |
Encouraging Someone to Seek Medical Treatment | p. 197 |
Communication | p. 198 |
Sticking to a Helpful Course of Treatment | p. 200 |
Mastering the Health Care System | p. 202 |
Success Stories and Case Histories | p. 206 |
The Difficulty of Predicting the Future | p. 206 |
What Does Successful Schizophrenia Treatment Mean? | p. 208 |
"Mary" | p. 210 |
"John" | p. 213 |
Lori Schiller | p. 214 |
Ken Steele | p. 218 |
How to Handle a Schizophrenia Emergency | p. 220 |
Preparing for an Emergency | p. 220 |
Who to Call for Help | p. 221 |
Dealing with Aggressive Behavior | p. 222 |
What You Should Do | p. 225 |
What to Avoid | p. 226 |
Learning from the Experience | p. 229 |
Support for the Caregiver | p. 231 |
Problems of the Caregiver | p. 231 |
Coping with Daily Stresses | p. 234 |
Coping with the Stigma of Mental Illness | p. 237 |
Dealing with Prejudice and Ignorance | p. 238 |
Paying for Mental Health Care | p. 240 |
Advocating for Better Understanding and Treatment | p. 244 |
Established Advocacy Groups | p. 244 |
Local Support Groups | p. 245 |
Educating Your Neighbors | p. 246 |
Services that Need Improvement | p. 248 |
Organizing | p. 250 |
Politicking | p. 252 |
The Promise of Future Research | p. 255 |
Schizophrenia Research | p. 255 |
The Need for More Basic Research | p. 256 |
Need for Better Medications | p. 258 |
Developing New Medications | p. 259 |
The Drug Pipeline | p. 260 |
Glossary | p. 263 |
Resources | p. 271 |
Early Treatment Clinics in the United States and Canada | p. 276 |
Top Psychiatric Hospitals in the United States | p. 281 |
Index | p. 284 |
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