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The West Kent & Medway Early Intervention in Psychosis Service

The West Kent & Medway Early Intervention in Psychosis Service

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often related to the stage of the psychosis. When psychotic symptoms are at<br />

their strongest and most severe (often referred to as the acute stage) higher<br />

quantities of the drug are needed to br<strong>in</strong>g the symptoms under control.<br />

However, when someone is <strong>in</strong> the recovery stage and symptoms are not as<br />

distress<strong>in</strong>g or have gone altogether the dosage can be lowered.<br />

Medication given <strong>in</strong> <strong>in</strong>jection form is usually adm<strong>in</strong>istered by a nurse. Aga<strong>in</strong>,<br />

the frequency of <strong>in</strong>jections depends on the <strong>in</strong>dividual and varies from person<br />

to person. Some people have one <strong>in</strong>jection once a week but some people<br />

have an <strong>in</strong>jection every two weeks or once a month.<br />

<strong>The</strong> length of time tak<strong>in</strong>g medication<br />

This also varies from <strong>in</strong>dividual to <strong>in</strong>dividual and how long symptoms persist. It<br />

is recommended that after a first episode of psychosis anti psychotic<br />

medication should be taken for two years. However, this can <strong>in</strong>crease to five<br />

years <strong>in</strong> the event of relapse.<br />

Other treatments<br />

Individual psychological treatments<br />

Cognitive Behavioural <strong>The</strong>rapy (CBT) has been proven to be effective <strong>in</strong><br />

reduc<strong>in</strong>g positive symptoms and distress. CBT looks at the relationship<br />

between thoughts, feel<strong>in</strong>gs and behaviour, and provides people with<br />

strategies to manage their symptoms and make sense of their experiences.<br />

Some other therapy approaches (e.g., Solution-Focused) may also be useful <strong>in</strong><br />

some cases.<br />

Family <strong>Intervention</strong>s<br />

Behavioural Family <strong>The</strong>rapy (BFT) <strong>in</strong>volves members of a family, <strong>in</strong>clud<strong>in</strong>g the<br />

client, be<strong>in</strong>g seen together for approximately 10 sessions. It primarily aims to<br />

reduce stress, assist <strong>in</strong> solv<strong>in</strong>g current problems and to help understand one<br />

another. Another approach that some families f<strong>in</strong>d helpful is Systemic<br />

<strong>The</strong>rapy.<br />

9

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