Summary of NICE Guidance for First-Episode Schizophrenia

> A complete assessment is mandatory before starting treatment

For people with first-episode psychosis offer:

● oral antipsychotic medication with

● psychological interventions (family intervention and individual CBT.)

Advise people who want to try psychological interventions alone that these therapies are more effective when delivered with antipsychotic medication.

If the person still wants to try psychological interventions alone:

offer family intervention and CBT
agree a time (1 month or less) to review treatment options, including introducing antipsychotic medication
continue to monitor symptoms, distress, impairment, and level of functioning (including education, training, and employment) regularly.

It is also mandatory to assess and monitor the physical health of the patients before commencing antipsychotics and during treatment.

Especially

Weight, BMI
Blood pressure and pulse
Serum lipids
Motor system and EPSEs
Blood glucose testing

And other baseline investigations

Comments

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