Early Onset of Schizophrenia Spectrum Disorder

Early Onset of Schizophrenia Spectrum DisorderPremorbid historyAttention problemsSocial impairmentLanguage abnormalities

Schizophrenia Biologic EtiologyNeuropathology in structure, function, and neurotransmitters, especially in temporal and frontal regionsLanguage impairmentNeurocognitive impairmentIntra uterine stressGenetic diathesis

Schizophrenia Psychosocial EtiologyCommunication devianceLife events and stress

Schizophrenia Differential DiagnosisBipolar DisorderADHDConduct DisorderPTSDPDD

Schizophrenia PrognosisPoor - early onset, neurologic abnormalities, negative symptomsGood - higher IQ, precipitant

Psychopharmacology for Children and AdolescentsStimulantsAntidepressantsMood stabilizers

Psychopharmacology for Children and Adolescents (Contd)NeurolepticsMinor tranquilizersAdrenergic agonists

Attention Deficit Disorder Decision TreeInattentionImpulsivitybupropionclonidinetricyclicSSRICombinationsMood StabilizersBusparBeta blockersMethylphenidateDextroamphetamine

StimulantsMethylphenidate (Ritalin)Dextroamphetamine (Dexedrine)AdderallMagnesium pemoline (Cylert)

Antidepressants for ADHDFluoxetine (Prozac)Bupropion (Wellbutrin)Venlafaxine (Effexor)Tricyclics

Other Treatments for ADHDAlpha-adrenergic stimulating agentsBeta-adrenergic blocking agents

Depression Decision TreeNoradrenergicSerotoninergicBupropion VenlafaxineRemeronStimulantsB-blockersSSRIBuSparValproateCarbamazepineLithium

Treatment of PsychosisAtypical neurolepticsRisperidoneOlanzapineQuetiapineMood stabilizersValproateLithiumCarbamazepine

Ideally, one would like to practice medicine without having to bother with actual patients.

Other Treatment Modalities for Neurodevelopmental DisordersSocial skills trainingStress managementCognitive-Behavioral Treatment (CBT)School AccommodationSpecialized neuropsychological approachesFamily structure and supportPsychotherapy