How to treat positive psychosis

Positive psychiatric treatment includes medication and psychological and social interventions. The details are as follows: 1. Pharmacotherapy: it should be systematic and standardized, emphasizing the principles of early, adequate (individualized minimum effective dose), adequate course, single drug use and individualized drug use. It should start from a small dose and gradually increase to the effective recommended dose. The choice of drugs should be based on the patient’s adherence to the drug, individual efficacy of the drug, the magnitude of adverse effects, the long-term treatment plan, age, gender, and so on. The treatment program includes an acute treatment period (at least 4-6 weeks), a consolidation period (at least 6 months), and a maintenance period. Antipsychotics control positive symptoms better and should still be combined with adjunctive medications. If the patient receives antipsychotics, including clozapine, but still exhibits persistent positive symptoms, adjunctive medications (including benzodiazepines, mood stabilizers, and antidepressants), or electroconvulsive therapy (ECT) should be combined. 2. Psychological and social interventions: Behavioral therapy (social skills training) trains patients to make correct decisions and solve problems, handle interpersonal relationships, correctly cope with stress and adverse emotions, and life skills; family intervention, elements of which are the organic combination of psychoeducation, behavioral problem solving, family support and crisis management measures. Community service improves patients’ ability to adapt and survive in the community, and promotes the overall health of the patient’s mind and body. All of the above medications should be used under the guidance of a doctor to avoid self-medication, and it is recommended that family members accompany patients to hospitals for comprehensive and standardized treatment to avoid delays and adverse consequences.