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    edited by Michael I. Casher, Clinical Associate Emeritus Professor of Psychiatry, ... Show More Department of Psychiatry, University of Michigan Medical School, Joshua D. Bess, Medical Director, Seattle Neuropsychatric Treatment Center, Seattle Clinical Assistant Professor, University of Washington, Department of Psychiatry and Behavioral Science, Seattle.
    "Patients with schizophrenia who meet criteria for admission to an inpatient unit are generally quite ill. The so-called "positive symptoms" of schizophrenia, which can result in threatening behavior and loss of control, are the usual triggers for admission. Some admitted patients will be experiencing a first episode of illness ("first break"), while others are hospitalized with an exacerbation of pre-existing schizophrenia. The most obvious -and most disruptive- symptoms are generally related to psychosis, with the loss of reality testing and impaired mental functioning.(1, 2) Psychosis usually presents with hallucinations, delusions, disorganized thinking, and/or bizarre or disruptive behavior (Table 1-1). The onset of illness or worsening of psychotic symptoms may be noticed by a family member, friend, teacher, co-worker, employer, or caregiver who sees the patient behaving bizarrely and deteriorating in their ability to function. A given patient may be so disruptive in the community that he or she is brought to the emergency department by police. Some patients might even be hospitalized involuntarily for a time, depending on the laws and criteria in their state"-- Provided by publisher.
    Digital Access  Cambridge 2020