Cognitive Impairment in Psychosis: What it is and How it's Treated
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- Опубликовано: 5 июн 2024
- Each month The Brain & Behavior Research Foundation hosts a Meet the Scientist Webinar featuring a researcher discussing the latest findings related to mental illness. In July, 2021, the Foundation featured Dr. Amanda McCleery of the University of Iowa.
Description: Among individuals with psychotic disorders, cognitive impairment is among the strongest determinants of the ability to function in the community. Dr. McCleery will review the major areas of research in this area, including efforts to better understand the prevalence of cognitive problems, aspects of cognition that are impacted by psychotic illness, and the developmental course of cognitive impairment. Treatment approaches that aim to improve cognitive performance also will be discussed.
Learn more at www.bbrfoundation.org/event/c...
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*-_*"I AM TOTALLY SURE THAT THE PERSON WHO STOPPED TO READ THIS MESSAGE WILL BE SUCCESSFUL IN EVERYTHING HE DOES"* 🥺
Thanks..I hope you are right..
Fantastic lecture. Very thorough and clear!
Hi, thank you so much for this clear presentation. What does “large effect sizes over cognitive domains” mean ? Ex. About min 20
Thank you for this considered overview.
Questions / comments to ponder in future research:
Are inate slow or fast processing speeds contributing factors to psychosis / schizophrenia developing?
Is mild Autism also a contributing factor?
If yes, should these be targeted with preventative measures?
The above conditions can contribute to a person's ability to deal with stress. They also contribute to the likelihood of them being socially isolated. Stress and social isolation, in turn, can increase internal dialoguing. This will be unopposed/ unchecked due to a lack of social interactions and can potentially spiral into psychosis. Similarly, for immigrants.
Could having long-term strategies for preventing this( social isolation) in this subset of people ( or in all people as part of the education system) help? Also, having strategies for helping young people develop interests and to understand and regulate the unhelpful internal dialoging that can trigger psychosis onset and / or increase severity.
Could a best practice guideline be established for prevention and treatment so that medication is not used as the mainstay?
The side effects of medicines must also be considered and quality of life. A protocol for acute treatment reduction is also lacking in many cases, and patients are too often left on high dose, polypharmacy regimes.
Active follow-up strategies to reduce side effects / counteract / ameliorate them must also be part of any treatment. Similarly, housing strategies and strategies for integration into communities and with neighbours. The village raises the child / man.
Mental health interventions and facilities should ideally be integrated with other community classes and activities so that the stigma of attending is reduced and motivation to attend is increased.
Psychiatrists should ideally personally look at how the patient is interacting in group activities, not just rely on second hand feed back and then prescribe half blindly. The latter is not reliable.
Integrating mental health training and classes with community classes in association with a buddy / facilitator approach would also increase the potential for normal social interactions. We learn through observing and engaging. People with mental health problems shouldn't always be only lumped together with other people with mental health problems in rehabilitation classes etc..
Finally, about studies reported in the literature. Unless everything is standardised, you can't reliably compare results and come to definite conclusions about medication regimes and outcomes.
Please stop relying on this ( I am not directing this at the very considerate speakers but in general). Family circumstances; whether the patient is also consuming alcohol or other illicit mind altering drugs at the same time or prior to treatment matters; supports given to the patient also matters; Also, co-morbidities; degree of social interactions; intelligence level; diet; compliance with medication regimes; wealth, frequency of interacting with a healthcare team; also whether also getting CBT or other therapy; whether exercising; the patient's relationship with therapist and level of trust matters; whether the psychiatrist and therapist keeps up to date, does practice research and discusses with colleagues matters. etc, all contribute to outcome.
When comparing the outcomes of medication interventions at least group according to the diversity of patients in the study and level of supports received ; ( I wonder in the current system if this is even possible... I therefore caution against over reliance on published literature and meta analysis related to medication treatmental outcomes.
Hi, thank you for the talk! It was very informative and well presented. Is there a full list of references available anywhere?
How much of this is related to medication?
These "experts' tend to study what are obvious, human behaviors. (I did a study and found that human beings pick their noses ) In other instances they tend to not be much interested in the commonality of delusions, Or any other non-epiphemonemal understanding of the symptoms. Freud tried and others have tried. But in the mean time, why should anyone have to pay in order to be the subject of someone else's philosophical inquiry? Are they making things worse?! These "experts" retire very comfortably, whilst the sick ones live below the poverty line.
And after all these years, and an inordinate amount of money spent on this bs they have made very little useful progress. That's true of alot of research, though. Often the"experts" carve out careers studying some niche. Most of this we've understood through the humanities and other real sciences. Psychology is pseudo science. (Sociology, Economics, Psychology.etc.) The pseudo-sciences don't measure what they claim to be measuring; Entertainment for smart people.
At the end of this webinar the "expert" asks for money LOL
And in the mean time, they throw pills at their patients. At least the social workers who actually deal with these issues on a day to day basis are sincere.
15:00
The irony of heralding in this presentation antipsychotics as a successful treatment, while also highlighting that functional outcomes have not improved (in fact they have worsened). If you look at the historical evidence doctors who were practicing before advent of antipsychotics have attributed use to worse functional outcomes. I suppose this sort of framing is expected when you are receiving money from Alkermes.
When antipsychotics are not used, the risk of injury, death, serious damage to personal relationships, repeated and long term hospitalizations, etc. is generally extremely high.
@@hijackn2890 Nope. Most violent cases happen when those addictive drugs are coldturkeyed, rarely prior.
@@kareendeveraux1847 people start those drugs for a reason. The onset of psychosis is a scary and often dangerous time. If drugs were not started or used, outcomes would be far far worse.
@@hijackn2890 You're wrong in that. I'm not in denial that states like psychosis exist or that they may help for a few weeks (not months or longterm, those outcomes are really bad). I looked at the violent incidents across europe and in most cases, psychotropic drugs were involved, mostly SSRI/SNRI. Plus the lack of informed consent, people are not told about the dangers of coldturkey and the damage caused by the sudden withdrawal, and that breakthrough psychosis can occur. Those drugs (because they indeed work like drugs and not like medication) give false hope and inflict massive damage to the brain and actually the whole body. There's a project called open dialogue in Finland, they avoid using those drugs. They have a 85% success rate of total! remission (also called healing) without drug usage, while psychiatry has below 20%. There's something massively wrong with the drugs and we as a society need a different approach, or at the bare minimum informed consent. There's a reason, why they have to be slowly tapered (highly addictive).
Do you have experience with those drugs? Have they helped you?
@@kareendeveraux1847 I don't have psychosis but I work in both community and inpatient mental health. My experience of unmedicated psychosis has been that it leads to dangerous behaviors (wandering, travelling across country, not eating or other self neglect, etc.).