Conference paper
CHALLENGES OF ASSESSMENT AND TREATMENT OF ULTRA HIGH RISK FOR PSYCHOSIS IN AN ADOLESCENT
Vlatka Boričević Maršanić
; Psychiatric Hospital for Children and Adolescents, Zagreb, Croatia; Faculty of Education and Rehabilitation Sciences, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Josipa Jukić
; Psychiatric Hospital for Children and Adolescents, Zagreb, Croatia
Mia Flander
; SUVAG Polyclinic, Zagreb, Zagreb, Croatia
Abstract
The onset of psychosis is typically preceded by a prodromal phase that is characterised by the emergence of "attenuated"
psychotic symptoms. This phase is described as ultra-high risk (UHR) or at-risk mental state (ARMS) of psychosis. Criteria have
been established for identifying these young people who are at clinical high risk. People at ultra-high risk (UHR) of psychosis have about 30% chance of developing the illness within two years. This category was introduced with the goal of developing treatments for prevention of psychotic disorders. Recent research suggests that early interventions appear to be effective in delaying and even preventing the onset of psychosis. These treatments include antipsychotic medication, nutritional supplements such as omega-3 fatty acids and psychological treatment. Cognitive behavioral therapy (CBT) has been tested as a potentially effective intervention in this group. Here we describe a case of a male adolescent with UHR psychotic symptoms with focus on challenges of assessing the UHR in adolescents and issues of providing effective age appropriate interventions.
Keywords
ultra-high risk for psychosis; early detection; early intervention; adolescents; CBT
Hrčak ID:
262887
URI
Publication date:
22.7.2018.
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