Schizophrenia can be a difficult diagnosis to establish,especially in chronic methamphetamine users, and clinicians need to be vigilant in monitoring their substanceabusing patients for signs of a developing persistent psychotic condition. There are important prognostic and treatment implications accompanying a diagnosis of
schizophrenia. Current evidence links schizophrenia with impairment in both neurocognition and social cognition, as well as with significant functional disability over time. Antipsychotic medications, which often have significant side effects, are considered a cornerstone of treatment programs for schizophrenia, and current recommendations suggest that these be continued throughout life (37). Thus, an incorrect diagnosis can have profound negative implications. Clinicians should therefore be tentative in their coding until they are fairly certain that psychosis associated with methamphetamine use can reasonably be resolved into a chronic, drug-independent condition.
Schizophrenia can be a difficult diagnosis to establish,especially in chronic methamphetamine users, and clinicians need to be vigilant in monitoring their substanceabusing patients for signs of a developing persistent psychotic condition. There are important prognostic and treatment implications accompanying a diagnosis of
schizophrenia. Current evidence links schizophrenia with impairment in both neurocognition and social cognition, as well as with significant functional disability over time. Antipsychotic medications, which often have significant side effects, are considered a cornerstone of treatment programs for schizophrenia, and current recommendations suggest that these be continued throughout life (37). Thus, an incorrect diagnosis can have profound negative implications. Clinicians should therefore be tentative in their coding until they are fairly certain that psychosis associated with methamphetamine use can reasonably be resolved into a chronic, drug-independent condition.
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