Schizophrenia disorder presentation for advanced psy

Schizophrenia Disorder

Presented by Chau Nguyen-Davis

A single story

• Thuy Tran hears voices.

• Refuses to take showers

• Trust issue with families and friends

What is schizophrenia?

• Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout the history.

Symptoms

• People with the disorder may hear voices other people do not hear. They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them.

Treatment

• Helps relieve many symptoms of schizophrenia, but most people who have the disorder cope with symptoms throughout their lives.

In the 1990’s

• New antipsychotic medications were developed. Examples include:

• Risperidone, zyprexa, seroquel, geodon, abilify.

Side effects of drugs

• 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. Side effects of many antipsychotics include: drowsiness, blurred vision, rapid heartbeat, skin rashes, menstrual problems for women.

Schizophrenia’s statistics

• 1.2 percent of Americans have the disorder.

• 1.5 million will be diagnosed around the world.

• In the USA, 100,000 people will be diagnosed

• 7.2 people per 1,000 people within a city of 3 million who are likely to be suffer from schizophrenia.

Original name for this illness

• Demetia praecox

The onset

• During adolescence or early adulthood.

• May begin in middle or late adult life.

Median age at onset

• For men, the first psychotic episode of schizophrenia is in the early to mid 20s.

• For women, the first psychotic episode of schizophrenia is in the late 20s.

Signs and symptoms

• Social withdrawal

• Loss of interest in school or work.

• Deterioration in hygiene and grooming, unusual behavior, outburst of anger.

Symptoms of schizophrenia are divided into two major categories.

• Positive symptoms ( delusions, somatic hallucinations, hearing voices, thought insertion or withdrawal)

• Negative symptoms( alogia, avolition, anhhedonia, bluted.)

Causes

• Genetic, biochemical, development, and environmental factors.

• There is no known single cause of the disorder.

ProQuest Science Journals

• Treating Oriental Patients with Western Psychiatry: A 12- Year Experience with Vietnamese Refugee Psychiatric Patients.

• Out of the 2 million Vietnamese refugees, more than 1.5 million have been scattered around the world in many countries, such as the United States.

Cultural Perception of Mental Illness

• Vietnamese perceives mental illness as a stigma.

• Abnormal behavior is unacceptable for it shows a failure of one’s education on the control of behavior and consequently, will be a source of shame for the patient and his or her family.

• All efforts will be made until the family gives up and accepts the need to refer the patient for treatment.

Abnormalities of cognitive function

• Delusions and hallucinations are considered extrinsic to the patient’s normal mind.

• They are believed to come from spirits of relatives or others, evils, or divinity.

Abnormal emotional manifestations are

also unacceptable.

• Individual selfcontrol is a constant requirement.

• When control fails, further assistance may be provided by the elders of one’s own family.

• This lack of control is a shame and not to be revealed to outside people.

The Vietnamese Mental Health Project

• Established in 1989

• Mental health problems amongst refugees from Vietnam resettled in London.

• From 1995 the Project has changed its name to Vietnamese Mental Health Services (VMHS).

Aims

• Aims to preserve and protect the good mental health of persons from Vietnam and their dependents and to promote a quality and culturally sensitive mental health services to people from Vietnam in the UK.

Services

• Outreach and counseling services

• Training/education about mental health issues; health/social care systems to people from Vietnam.

• Publishing booklets in Vietnamese on mental health issues, and bimonthly Health Newsletter.

Counseling Services

• Individual Counseling: work on crisis; confidence building and empowerment.

• Family Counseling: helping family members coming to terms with mental illness in the family; dealing with dysfunctional family dynamics.

Supported Accommodation

• Care and support provided include: monitoring mental state of residents for early intervention, medication taking, informal counseling and advice, life stills training, socialisation, encourage residents to take part in vocational training including English class.

Training/Education/Information

• Meeting at the drop-in day centres

• Visit a home

• Health talk session

• Booklets and health newsletter published in Vietnamese.

Contact

• Vietnamese Mental Health Services at info@vmhs.org.uk

Conclusions

• Many changes have been observed in the Vietnamese refugee’s perception of mental health after 14 years of resettlement in the USA.

• Families are more understanding and accepting.

• Young adults have started seeking professional help whenever they have emotional problems.

References:• “Vietnamese Health Mental Services” retrieved on June 14, 2012

from http://vmhs.org.uk/home2/english.php.• Psych Central. “Asian immigrants report fewer mental health

problems” retrieved on June 14, 2012 from http://psychcentral.com/news/archives/2006-11/uow-air112706.html.

• Today@UCI:Press Releases. “Older Vietnamese report more mental health problems” retrieved on June 14, 2012 from http://archive.today.uci.edu/news/release_detail_iframe.asp.

• ProQuest Science Journals. “ Treating Oriental Patients with Western Psychiatry: A 12-Year Experience with Vietnamese Refugee Psychiatric Patients” retrieved on June 11, 2012 from http://search.proquest.com

• ProQuest Central. “ Adjunctive benzodiazepine treatment of hospitalized schizophrenia patients in Asia from 2001 to 2008” retrieved on June 11, 2012 from http://search.proquest.com.

References