In a significant number of cases, except ...

In a significant number of cases than in family history mental illness, there are phenomena dysontogenesis (delay of motor development, motor clumsiness, difficulty in acquiring skills, self-service dissociation of speech development with a predominance of mechanical reproduction of speech of others, the dissociation between motor and mental development, lack of self-preservation instinct) , personality accentuation. prodromal period of disease duration, defined as the time interval from the onset of any psychopathological disorders (characterological change, with particular premorbid traits or the acquisition of non-core earlier; psychopathic manifestations; affective fluctuations, transient obsessive-compulsive disorder, "outpost" - the symptoms presented by the relationship of ideas , transient depressive-paranoid, hallucinatory-paranoid, oneyroidnymi episodes) prior to manifest psychotic states are often quite significant and, as data show that an average of 5.5 years. However, despite the deep and sometimes psychotic level of a number of disorders marked as Typically, they are not a reason for seeking care, even with a clear reduction of social functioning in most patients. It should be noted that even after the manifestation of the disease a significant proportion of patients seek psychiatric help too late. "Thus, the average duration of untreated psychosis (since the advent of psychotic symptoms prior to seeking specialized assistance and destination antipsychotic therapy) is about 8.5 months. Creating a specialist clinic, focused on early detection and treatment of early manifestations of the disease can shorten the disease without treatment and thereby reduce the social cost of patients. The optimal choice of neuroleptic therapy Atypical antipsychotics are considered in these cases, as first-line agents due to their positive effect on the neurocognitive functioning of patients and better tolerated than conventional drugs, and more favorable side effect profile, which is especially important for patients to whom treatment is prescribed for the first time. Psychopharmacotherapy combines the intensity of the appointments to the principle of minimal sufficiency doses. Early accession of psychosocial interventions in the clinic of the first episode on a permanent basis will be several types of group work with patients and their relatives: 1) psihoobrazovatelnaya group for patients, and 2) psihoobrazovatelnaya group for relatives of patients, and 3) group training social skills, 4) a group of neurocognitive training. In addition, a number of patients if necessary, carried out individual social work aimed at solving social problems faced by patients and their relatives in connection with the development of the disease. Psychosocial therapy begins at the earliest possible stages of treatment after relief of acute manifestations of psychosis, which provides the most favorable prognosis.