Friday, January 29, 2010

Family to Family

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Hi Everyone I hope you are doing well, I am doing good. I thought this informatioln would be helpful for you if you are living with someone with Mental Illness. I wish there were more places around like this when I was growing up. I included a link where you can find out where there is a local one for you. I know it is greatly needed for these families and I am glad to see they now have these programs. Thanks for visiting my blog, Take Care, Janet:)

Family to Family Education Program
What is NAMI’s Family-to-Family Program?

The NAMI Family-to-Family Education Program is a free, 12-week course for family caregivers of individuals with severe mental illnesses.

* The course is taught by trained family members
* All instruction and course materials are free to class participants
* Over 115,000 family members have graduated from this national program

A tribute video containing moving testimonials about the Family-to-Family program from family members and course instructors.

What does the course include?

Current information about schizophrenia, major depression, bipolar disorder (manic depression), panic disorder, obsessive-compulsive disorder, borderline personality disorder, and co-occurring brain disorders and addictive disorders
* Up-to-date information about medications, side effects, and strategies for medication adherence
* Current research related to the biology of brain disorders and the evidence-based, most effective treatments to promote recovery
* Gaining empathy by understanding the subjective, lived experience of a person with mental illness
* Learning in special workshops for problem solving, listening, and communication techniques
* Acquiring strategies for handling crises and relapse
* Focusing on care for the caregiver: coping with worry, stress, and emotional overload
* Guidance on locating appropriate supports and services within the community
* Information on advocacy initiatives designed to improve and expand services

How can I find a course in my area?

Family-to-Family classes are offered in hundreds of communities across the country, in two Canadian provinces, Puerto Rico, and Mexico.

Click second part of the link
NAMI: National Alliance on Mental Illness | Home">NAMI: National Alliance on Mental Illness | Home

Saturday, January 23, 2010

How is Schizophrenia Treated 2?

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Hi Everyone, I hope you are doing well, I am doing good. This is new to me the psychosocial treatments for people with Schizophrenia. I think it is a great idea because they are so challenged with every day life. The only thing that we need now is to have treatment for Society about them. Their world would be a better place because of it. Thanks for visiting my blog, Take Care, Janet :)

Psychosocial treatments can help people with schizophrenia who are already stabilized on antipsychotic medication. Psychosocial treatments help these patients deal with the everyday challenges of the illness, such as difficulty with communication, self-care, work, and forming and keeping relationships. Learning and using coping mechanisms to address these problems allow people with schizophrenia to socialize and attend school and work.

Patients who receive regular psychosocial treatment also are more likely to keep taking their medication, and they are less likely to have relapses or be hospitalized. A therapist can help patients better understand and adjust to living with schizophrenia. The therapist can provide education about the disorder, common symptoms or problems patients may experience, and the importance of staying on medications. For more information on psychosocial treatments, see the psychotherapies section on the NIMH website.

Illness management skills. People with schizophrenia can take an active role in managing their own illness. Once patients learn basic facts about schizophrenia and its treatment, they can make informed decisions about their care. If they know how to watch for the early warning signs of relapse and make a plan to respond, patients can learn to prevent relapses. Patients can also use coping skills to deal with persistent symptoms.

Integrated treatment for co-occurring substance abuse. Substance abuse is the most common co-occurring disorder in people with schizophrenia. But ordinary substance abuse treatment programs usually do not address this population's special needs. When schizophrenia treatment programs and drug treatment programs are used together, patients get better results.

Rehabilitation. Rehabilitation emphasizes social and vocational training to help people with schizophrenia function better in their communities. Because schizophrenia usually develops in people during the critical career-forming years of life (ages 18 to 35), and because the disease makes normal thinking and functioning difficult, most patients do not receive training in the skills needed for a job.

Rehabilitation programs can include job counseling and training, money management counseling, help in learning to use public transportation, and opportunities to practice communication skills. Rehabilitation programs work well when they include both job training and specific therapy designed to improve cognitive or thinking skills. Programs like this help patients hold jobs, remember important details, and improve their functioning.

Family education. People with schizophrenia are often discharged from the hospital into the care of their families. So it is important that family members know as much as possible about the disease. With the help of a therapist, family members can learn coping strategies and problem-solving skills. In this way the family can help make sure their loved one sticks with treatment and stays on his or her medication. Families should learn where to find outpatient and family services.

Cognitive behavioral therapy. Cognitive behavioral therapy (CBT) is a type of psychotherapy that focuses on thinking and behavior. CBT helps patients with symptoms that do not go away even when they take medication. The therapist teaches people with schizophrenia how to test the reality of their thoughts and perceptions, how to "not listen" to their voices, and how to manage their symptoms overall. CBT can help reduce the severity of symptoms and reduce the risk of relapse.

Self-help groups. Self-help groups for people with schizophrenia and their families are becoming more common. Professional therapists usually are not involved, but group members support and comfort each other. People in self-help groups know that others are facing the same problems, which can help everyone feel less isolated. The networking that takes place in self-help groups can also prompt families to work together to advocate for research and more hospital and community treatment programs. Also, groups may be able to draw public attention to the discrimination many people with mental illnesses face. Once patients learn basic facts about schizophrenia and its treatment, they can make informed decisions about their care

Wednesday, January 13, 2010

How is Schizophrenia Treated?

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Hi Everyone, I hope you are doing well, I am doing good. This is part 1 of treatments for Schizophrenia. As with all medications it has it's side effects but they are much easier to maintain than the disease itself. It usually takes some time to find the right cocktail as they call it to find out what works for a person. Everyone is different and what works for one person may not work on another. It can be a difficult life until someone who suffers from this illness finds what works for them. Thanks for visiting my blog, Take Care, Janet :)

Because the causes of schizophrenia are still unknown, treatments focus on eliminating the symptoms of the disease. Treatments include antipsychotic medications and various psychosocial treatments.

Antipsychotic medications

Antipsychotic medications have been available since the mid-1950's. The older types are called conventional or "typical" antipsychotics. Some of the more commonly used typical medications include:

* Chlorpromazine (Thorazine)
* Haloperidol (Haldol)
* Perphenazine (Etrafon, Trilafon)
* Fluphenazine (Prolixin).

In the 1990's, new antipsychotic medications were developed. These new medications are called second generation, or "atypical" antipsychotics.

One of these medications, clozapine (Clozaril) is an effective medication that treats psychotic symptoms, hallucinations, and breaks with reality. But clozapine can sometimes cause a serious problem called agranulocytosis, which is a loss of the white blood cells that help a person fight infection. People who take clozapine must get their white blood cell counts checked every week or two. This problem and the cost of blood tests make treatment with clozapine difficult for many people. But clozapine is potentially helpful for people who do not respond to other antipsychotic medications.

Other atypical antipsychotics were also developed. None cause agranulocytosis. Examples include:

* Risperidone (Risperdal)
* Olanzapine (Zyprexa)
* Quetiapine (Seroquel)
* Ziprasidone (Geodon)
* Aripiprazole (Abilify)
* Paliperidone (Invega).

When a doctor says it is okay to stop taking a medication, it should be gradually tapered off, never stopped suddenly.

What are the side effects?

Some people have side effects when they start taking these medications. Most side effects go away after a few days and often can be managed successfully. People who are taking antipsychotics should not drive until they adjust to their new medication. Side effects of many antipsychotics include:

* Drowsiness
* Dizziness when changing positions
* Blurred vision
* Rapid heartbeat
* Sensitivity to the sun
* Skin rashes
* Menstrual problems for women.

Atypical antipsychotic medications can cause major weight gain and changes in a person's metabolism. This may increase a person's risk of getting diabetes and high cholesterol. A person's weight, glucose levels, and lipid levels should be monitored regularly by a doctor while taking an atypical antipsychotic medication.

Typical antipsychotic medications can cause side effects related to physical movement, such as:

* Rigidity
* Persistent muscle spasms
* Tremors
* Restlessness.

Long-term use of typical antipsychotic medications may lead to a condition called tardive dyskinesia (TD). TD causes muscle movements a person can't control. The movements commonly happen around the mouth. TD can range from mild to severe, and in some people the problem cannot be cured. Sometimes people with TD recover partially or fully after they stop taking the medication.

TD happens to fewer people who take the atypical antipsychotics, but some people may still get TD. People who think that they might have TD should check with their doctor before stopping their medication.

How do antipsychotics interact with other medications?

Antipsychotics can produce unpleasant or dangerous side effects when taken with certain medications. For this reason, all doctors treating a patient need to be aware of all the medications that person is taking. Doctors need to know about prescription and over-the-counter medicine, vitamins, minerals, and herbal supplements. People also need to discuss any alcohol or other drug use with their doctor.

To find out more about how antipsychotics work, the National Institute of Mental Health (NIMH) funded a study called CATIE (Clinical Antipsychotic Trials of Intervention Effectiveness). This study compared the effectiveness and side effects of five antipsychotics used to treat people with schizophrenia. In general, the study found that the older typical antipsychotic perphenazine (Trilafon) worked as well as the newer, atypical medications. But because people respond differently to different medications, it is important that treatments be designed carefully for each person. More information about CATIE is on the NIMH website

Tuesday, January 5, 2010

What is Schizophrenia?

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Hi Everyone, I hope you are doing well, I am doing good. I decided today to start a series on Schizophrenia. It is hard for me to write about this, but that is what this blog is all about for me and hopefully others, to talk about it, heal and continue on with a healthy life. In 1960 my Mother was diagnosed with the disease Paranoid Schizophrenia. From 1960 to 1989 she was given shock therapy as a form of treatment, I can't really remember how often she had it, it seemed like once or twice a year she would go away for 30 days at a time. In between these treatments she would return home with the medicine Thorazine, which kept her in quite a fog. Growing up in the 60's we didn't talk about things as openly as we do today. Even though I feel we still have a long way to go when it comes to talking about Mental Illness in society. Getting back to the no talking thing, the not knowing what this disease was all about added to my biggest fear. I was so afraid of growing up and inheriting this disease, having seen what it did to her and my family. The fear grew even more so as I began to look more and more like her. Now that I am middle age, I'm 100 percent sure that I have not inherited this disease. Even if I had, thanks to time and medical advancements, I would not have to endure what she did. This disease does not need to be feared any longer. It is just another disease like the many other ones out there. It is especially not a disease of two personalities that somehow people came to associate this disorder with! My hope is that by sharing this information, I can help another person, or family, who may be living in fear of this disease like I did. The fear alone can take a heavy toll, trust me, I know! I truly feel education, discussing what this disease entails, and the progress that has been made now allowing people to live a functioning life, will help end the Stigma that still surrounds it. If you have someone in your life that has been afflicted with this disease, know they are still there, they just need your love and patience to help bring them back to their true selves. My siblings and I were blessed to have seen it ourselves.
Take Care,
Janet


What is Schizophrenia?

Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout history. About 1 percent of Americans have this illness.

People with the disorder may hear voices other people don't hear. They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them. This can terrify people with the illness and make them withdrawn or extremely agitated.

People with schizophrenia may not make sense when they talk. They may sit for hours without moving or talking. Sometimes people with schizophrenia seem perfectly fine until they talk about what they are really thinking.

Families and society are affected by schizophrenia too. Many people with schizophrenia have difficulty holding a job or caring for themselves, so they rely on others for help.

Treatment helps relieve many symptoms of schizophrenia, but most people who have the disorder cope with symptoms throughout their lives. However, many people with schizophrenia can lead rewarding and meaningful lives in their communities. Researchers are developing more effective medications and using new research tools to understand the causes of schizophrenia. In the years to come, this work may help prevent and better treat the illness.

What are the symptoms of schizophrenia?

The symptoms of schizophrenia fall into three broad categories: positive symptoms, negative symptoms, and cognitive symptoms.

Positive symptoms
Positive symptoms are psychotic behaviors not seen in healthy people. People with positive symptoms often "lose touch" with reality. These symptoms can come and go. Sometimes they are severe and at other times hardly noticeable, depending on whether the individual is receiving treatment. They include the following:
Hallucinations are things a person sees, hears, smells, or feels that no one else can see, hear, smell, or feel. "Voices" are the most common type of hallucination in schizophrenia. Many people with the disorder hear voices. The voices may talk to the person about his or her behavior, order the person to do things, or warn the person of danger. Sometimes the voices talk to each other. People with schizophrenia may hear voices for a long time before family and friends notice the problem.

Other types of hallucinations include seeing people or objects that are not there, smelling odors that no one else detects, and feeling things like invisible fingers touching their bodies when no one is near.

Delusions are false beliefs that are not part of the person's culture and do not change. The person believes delusions even after other people prove that the beliefs are not true or logical. People with schizophrenia can have delusions that seem bizarre, such as believing that neighbors can control their behavior with magnetic waves. They may also believe that people on television are directing special messages to them, or that radio stations are broadcasting their thoughts aloud to others. Sometimes they believe they are someone else, such as a famous historical figure. They may have paranoid delusions and believe that others are trying to harm them, such as by cheating, harassing, poisoning, spying on, or plotting against them or the people they care about. These beliefs are called "delusions of persecution."

Thought disorders are unusual or dysfunctional ways of thinking. One form of thought disorder is called "disorganized thinking." This is when a person has trouble organizing his or her thoughts or connecting them logically. They may talk in a garbled way that is hard to understand. Another form is called "thought blocking." This is when a person stops speaking abruptly in the middle of a thought. When asked why he or she stopped talking, the person may say that it felt as if the thought had been taken out of his or her head. Finally, a person with a thought disorder might make up meaningless words, or "neologisms."

Movement disorders may appear as agitated body movements. A person with a movement disorder may repeat certain motions over and over. In the other extreme, a person may become catatonic. Catatonia is a state in which a person does not move and does not respond to others. Catatonia is rare today, but it was more common when treatment for schizophrenia was not available.
"Voices" are the most common type of hallucination in schizophrenia.

Negative symptoms
Negative symptoms are associated with disruptions to normal emotions and behaviors. These symptoms are harder to recognize as part of the disorder and can be mistaken for depression or other conditions. These symptoms include the following:

* "Flat affect" (a person's face does not move or he or she talks in a dull or monotonous voice)
* Lack of pleasure in everyday life
* Lack of ability to begin and sustain planned activities
* Speaking little, even when forced to interact.

People with negative symptoms need help with everyday tasks. They often neglect basic personal hygiene. This may make them seem lazy or unwilling to help themselves, but the problems are symptoms caused by the schizophrenia.
Cognitive symptoms

Cognitive symptoms are subtle. Like negative symptoms, cognitive symptoms may be difficult to recognize as part of the disorder. Often, they are detected only when other tests are performed. Cognitive symptoms include the following:

* Poor "executive functioning" (the ability to understand information and use it to make decisions)
* Trouble focusing or paying attention
* Problems with "working memory" (the ability to use information immediately after learning it).

Cognitive symptoms often make it hard to lead a normal life and earn a living. They can cause great emotional distress.


Learn more about RAISE (Recovery After an Initial Schizophrenia Episode), an NIMH research project designed to improve treatment approaches in the earliest stages of the illness at http://www.nimh.nih.gov/health/topics/schizophrenia/raise/index.shtml

Learn more about the Clinical Antipsychotic Trials of Intervention Effectiveness
(CATIE), a clinical trial that studied treatment choices for schizophrenia at http://www.nimh.nih.gov/health/trials/practical/catie/index.shtml