What about schizophrenia?

  Patient: A few days ago, my child had hallucinations and was diagnosed with schizophrenia by the doctor. He is now using two medications: one oral disintegrating tablet of aliprazole in the morning and one in the evening, and one sertraline hydrochloride tablet in the morning. I would like your help to see if these two medications work well. Are there any side effects for 15 year olds? How long will the child be allowed to go back to school after a break in this situation? The child is in his first year of high school. Will taking these two medications have any effect on the child’s intelligence? Thank you!  Nanjing Brain Hospital Psychiatric Department Jiang Xiaojun: It seems that your child is indeed schizophrenic.  1. What is your financial ability? If better, you can consider using imported drugs, which are safer and more reliable. It helps to better achieve the following treatment options.  2.The key to the first treatment is a full dose and a full course of treatment. Therefore, the dose should be appropriately large, that is to say, it is appropriate to be large rather than small.  3. Once the treatment is effective, it must be confirmed by an experienced specialist that the standard of healing has really been reached. Such high dose must be maintained for more than 6 months from the time of cure. This maintenance time is also preferably long rather than short. In fact, if there are no significant side effects, high dose maintenance can be applied for a long time. In other words, the effective therapeutic dose is maintained for many years.  4. Such high intensity treatment is to be carried out under the premise of ensuring the patient’s physical safety. Therefore close observation by the physician is required. It also requires the doctor’s awareness to be able to reach this level. And of course the full support of your family is needed. If the treatment is inadequate due to you or the doctor, there may be a difficult road ahead.  5. I cannot provide a specific treatment plan. The treatment of schizophrenia is an art. The doctor has to face the patient and adjust to the specific situation. 6.Schizophrenia has been identified, and your main task is to treat it. Not to ask a whole lot of why. There is no way to explain so many issues online. I hope that my friends who consult me will not ask me so many whys. Knowing the answers to these whys will not help to solve your problems.