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Extra info for Alvin and the Chipmunks - Merry Christmasm Mr. Carroll!
The traditional antipsychotic m e d i c a t i o n s w e r e found to b e helpful for patients under 18 years o f age, h o w e v e r , the actual number o f studies that w e r e performed in this population w a s quite l o w . Unfortunately, the older or traditional "typical" antipsychotic m e d i c a t i o n s w e r e found to cause extrapyramidal side effects and other adverse e v e n t s at high rates. Such agents' side effect profiles often limited their full u s e fulness and at times adversely effected the therapeutic alliance b e t w e e n patients and their families and the prescribing physician.
Bipolar disorder and major depression with psychotic features n e e d to b e considered. The major difference b e t w e e n schizophrenia and these t w o disorders is the presence o f prominent m o o d s y m p t o m s and generally a m o o d congruent delusional pattern. S o m e patients m a y m e e t full s y m p t o m 24 PSYCHOTIC DISORDERS criteria for a m o o d disorder as w e l l as meet s y m p t o m criteria for schizophrenia. In these patients, the diagnosis o f schizoaffective disorder m a y b e appropriate.
B e c a u s e efficacious antipsychotic medications avidly bind to dopamine receptors and because stimulation o f dopamine in patients suffering from schizophrenia can lead to an exacerbation o f their s y m p t o m s , m a n y investigators have reasoned that high levels o f dopamine are an important part o f the pathophysiology o f the illness. H o w e v e r , this theory is not completely proven or it m a y be only a part o f the overall pathophysiology. Stimulation o f one o f the serotonin receptors can also lead to psychotic symptoms.
Alvin and the Chipmunks - Merry Christmasm Mr. Carroll!