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01 259276 ffirs indd ii 9 18 08 8 05 40 PM,Schizophrenia. 01 259276 ffirs indd i 9 18 08 8 05 39 PM,01 259276 ffirs indd ii 9 18 08 8 05 40 PM. Schizophrenia,by Jerome Levine MD and,Irene S Levine PhD. 01 259276 ffirs indd iii 9 18 08 8 05 40 PM,Schizophrenia For Dummies. Published by,Wiley Publishing Inc,111 River St,Hoboken NJ 07030 5774.
www wiley com, Copyright 2009 by Wiley Publishing Inc Indianapolis Indiana. Published simultaneously in Canada, No part of this publication may be reproduced stored in a retrieval system or transmitted in any form. or by any means electronic mechanical photocopying recording scanning or otherwise except as. permitted under Sections 107 or 108 of the 1976 United States Copyright Act without either the prior. written permission of the Publisher or authorization through payment of the appropriate per copy fee to. the Copyright Clearance Center 222 Rosewood Drive Danvers MA 01923 978 750 8400 fax 978 646 8600. Requests to the Publisher for permission should be addressed to the Legal Department Wiley Publishing. Inc 10475 Crosspoint Blvd Indianapolis IN 46256 317 572 3447 fax 317 572 4355 or online at http. www wiley com go permissions, Trademarks Wiley the Wiley Publishing logo For Dummies the Dummies Man logo A Reference for the. Rest of Us The Dummies Way Dummies Daily The Fun and Easy Way Dummies com Making Everything. Easier and related trade dress are trademarks or registered trademarks of John Wiley Sons Inc and. or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners Wiley Publishing Inc is not associated. with any product or vendor mentioned in this book, LIMIT OF LIABILITY DISCLAIMER OF WARRANTY THE CONTENTS OF THIS WORK ARE INTENDED TO. FURTHER GENERAL SCIENTIFIC RESEARCH UNDERSTANDING AND DISCUSSION ONLY AND ARE NOT. INTENDED AND SHOULD NOT BE RELIED UPON AS RECOMMENDING OR PROMOTING A SPECIFIC. METHOD DIAGNOSIS OR TREATMENT BY PHYSICIANS FOR ANY PARTICULAR PATIENT THE PUB. LISHER AND THE AUTHOR MAKE NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO THE. ACCURACY OR COMPLETENESS OF THE CONTENTS OF THIS WORK AND SPECIFICALLY DISCLAIM. ALL WARRANTIES INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTIES OF FITNESS FOR A. PARTICULAR PURPOSE IN VIEW OF ONGOING RESEARCH EQUIPMENT MODIFICATIONS CHANGES. IN GOVERNMENTAL REGULATIONS AND THE CONSTANT FLOW OF INFORMATION RELATING TO. THE USE OF MEDICINES EQUIPMENT AND DEVICES THE READER IS URGED TO REVIEW AND EVALU. ATE THE INFORMATION PROVIDED IN THE PACKAGE INSERT OR INSTRUCTIONS FOR EACH MEDI. CINE EQUIPMENT OR DEVICE FOR AMONG OTHER THINGS ANY CHANGES IN THE INSTRUCTIONS. OR INDICATION OF USAGE AND FOR ADDED WARNINGS AND PRECAUTIONS READERS SHOULD. CONSULT WITH A SPECIALIST WHERE APPROPRIATE THE FACT THAT AN ORGANIZATION OR. WEBSITE IS REFERRED TO IN THIS WORK AS A CITATION AND OR A POTENTIAL SOURCE OF FUR. THER INFORMATION DOES NOT MEAN THAT THE AUTHOR OR THE PUBLISHER ENDORSES THE. INFORMATION THE ORGANIZATION OR WEBSITE MAY PROVIDE OR RECOMMENDATIONS IT MAY. MAKE FURTHER READERS SHOULD BE AWARE THAT INTERNET WEBSITES LISTED IN THIS WORK. MAY HAVE CHANGED OR DISAPPEARED BETWEEN WHEN THIS WORK WAS WRITTEN AND WHEN. IT IS READ NO WARRANTY MAY BE CREATED OR EXTENDED BY ANY PROMOTIONAL STATEMENTS. FOR THIS WORK NEITHER THE PUBLISHER NOR THE AUTHOR SHALL BE LIABLE FOR ANY DAMAGES. ARISING HEREFROM, For general information on our other products and services please contact our Customer Care.
Department within the U S at 800 762 2974 outside the U S at 317 572 3993 or fax 317 572 4002. For technical support please visit www wiley com techsupport. Wiley also publishes its books in a variety of electronic formats Some content that appears in print may. not be available in electronic books,Library of Congress Control Number 2008936638. ISBN 978 0 470 25927 6,Manufactured in the United States of America. 10 9 8 7 6 5 4 3 2 1,01 259276 ffirs indd iv 9 18 08 8 05 41 PM. About the Authors, Jerome Levine MD Jerome Levine is a board certified psychiatrist whose. research and clinical career has spanned almost 50 years For a major portion. of that time Dr Levine served as chief of psychopharmacology at the National. Institute of Mental Health There he worked both nationally and internationally. to help design manage and conduct much of the federally supported research. that serves as the foundation for current approaches to the pharmacologic. treatment of schizophrenia and other serious mental disorders. After leaving the federal government Dr Levine joined the faculty of. the University of Maryland Department of Psychiatry and the Maryland. Psychiatric Research Center Both settings treat and carry out treatment. studies of hospitalized and community based individuals diagnosed with. schizophrenia In Maryland he also directed a program training early career. psychiatrists to become research psychiatrists, In 1994 Dr Levine moved to New York State where he joined the faculty of.
the Department of Psychiatry of the New York University School of Medicine. as a professor of psychiatry and was appointed deputy director of the NYS. Nathan S Kline Institute for Psychiatric Research He oversees research. studying the causes pathophysiology and treatment of schizophrenia at. basic translational and applied clinical levels, Dr Levine s residency training was at the State University of New York. at Buffalo Department of Psychiatry and at St Elizabeth s Hospital in. Washington D C In addition he has served on the faculty at the U S Public. Health Service Narcotic Hospital in Lexington Kentucky at the Johns. Hopkins Department of Psychiatry in Baltimore Maryland and at the. University of Pisa Department of Psychiatry in Italy. He has published numerous papers and books in the scientific lit. erature and is a life fellow of the prestigious American College of. Neuropsychopharmacology In addition to being listed in Who s Who in. America Dr Levine was awarded the American Psychiatric Association. Hofheimer Research Prize and the Distinguished Leader in Research Award. from the National Alliance on Mental Illness of New York State. Irene S Levine PhD Irene Levine has a doctoral degree in clinical psych. ology as well as extensive experience working in the public mental health. system at local state and national levels She began her career as a staff. psychologist and treatment team leader at Creedmoor Psychiatric Center and. left to develop and direct two nonprofit psychosocial rehabilitation programs. in Queens and Suffolk counties in New York,01 259276 ffirs indd v 9 18 08 8 05 41 PM. For a period of more than 15 years Dr Levine held senior management roles. at the National Institute of Mental Health NIMH and the Substance Abuse and. Mental Health Services Administration SAMHSA in Rockville Maryland She. was one of the architects of the NIMH Community Support Program created. and directed the NIMH Program for the Homeless Mentally Ill and served as. the first deputy director of the SAMHSA Center for Mental Health Services. In 1994 Dr Levine joined the Nathan S Kline Institute for Psychiatric. Research in Orangeburg New York where she directs communications and. serves as the institute s liaison to families She holds a faculty appointment. as a professor of psychiatry at the New York University School of Medicine. She has lectured locally nationally and internationally about the needs of. families of individuals with severe mental illnesses such as schizophrenia. and major mood disorders, For the past ten years Dr Levine has also been a prolific award winning. freelance journalist and author whose credits include some of the nation s. top magazines and newspapers She writes on mental health as well as a. wide range of other health and lifestyle topics and is currently completing a. book on female friendships for Overlook Press 2009 She is a member of the. American Psychological Association the National Alliance on Mental Illness. the National Association of Science Writers the Association of Healthcare. Journalists the American Medical Writers Association the Authors Guild. and the American Society of Journalists and Authors. 01 259276 ffirs indd vi 9 18 08 8 05 41 PM,Dedication. We dedicate this book to all the courageous individuals with serious mental. illness and their families that we have met through the years who have taught. us invaluable lessons that we never learned in school We also dedicate this. book to the individuals who volunteer as research participants in the interest. of helping others learn about the causes of and treatments for schizophrenia. This book is also dedicated to our own families who have enriched our lives. in ways too numerous to mention and especially to our son Andrew who has. been an ongoing source of pride as well as 24 7 technical computer support. Finally this book is dedicated to the memory of Max Schneier one of the. earliest pioneers of the family advocacy movement who taught us about the. importance of listening to the wisdom of family members. Authors Acknowledgments, We would like to acknowledge some of our professional colleagues many of.
them our personal friends who have dedicated their lives to improving treat. ment and care for individuals with schizophrenia The knowledge upon which. this book is based is derived in no small measure from their contributions. They include MaryJane Alexander MD Thomas Ban MD Robert Cancro. MD William T Carpenter MD Giovanni B Cassano MD Leslie Citrome MD. MPH Jonathan O Cole MD Areta Crowell PhD Lynn DeLisi MD Joel Elkes. MD Laurie Flynn Risa Fox MSW Alan Gelenberg MD Howard Goldman. MD Michael Hogan PhD Ron Honberg JD Samuel Keith MD Daniel Javitt. MD PhD John Kane MD Harold Koplewicz MD Alan Leshner PhD Robert. P Liberman MD Jeffrey Lieberman MD Linda Ligenza MSW Arnold M. Ludwig MD Dolores Malaspina MD Herbert Meltzer MD Stuart Moss MLS. Fred Osher MD Herbert Pardes MD Nadine Revheim PhD Linda Rosenberg. MSW Nina R Schooler PhD Steven S Sharfstein MD John Talbott MD Fuller. Torrey MD Judith Turner Crowson and Peter Weiden MD Although these. individuals have influenced our writing and our careers such an eclectic group. would not necessarily agree with everything we ve written. We are profoundly indebted to the members of the National Alliance on. Mental Illness especially Rena Finkelstein Helen Klein and other members of. NAMI FAMILYA of Rockland County New York for their inspiration and col. laboration over the years, Lastly we appreciate the support of Michael Lewis of Wiley Publishing and. Elizabeth Kuball and Sharon Perkins who shepherded us through this proj. ect Thanks also to our agent Marilyn Allen who served as a matchmaker. and cheerleader,01 259276 ffirs indd vii 9 18 08 8 05 41 PM. Publisher s Acknowledgments, We re proud of this book please send us your comments through our Dummies online registration. form located at www dummies com register, Some of the people who helped bring this book to market include the following. Acquisitions Editorial and Composition Services,Media Development Project Coordinator Erin Smith.
Project Editor Elizabeth Kuball Layout and Graphics Reuben W Davis. Acquisitions Editor Michael Lewis Christin Swinford Christine Williams. Copy Editor Elizabeth Kuball Special Art Kathryn Born. Assistant Editor Erin Calligan Mooney Proofreaders John Greenough Caitie Kelly. Technical Editor Wendy Koebel LMSW ACSW Toni Settle. Senior Editorial Manager Jennifer Ehrlich Indexer Potomac Indexing LLC. Editorial Supervisor and Reprint Editor Special Help Sharon Perkins Alicia South. Carmen Krikorian,Editorial Assistants Joe Niesen Jennette. ElNaggar and David Lutton,Cover Photos Image Source Black Alamy. Cartoons Rich Tennant,www the5thwave com,Publishing and Editorial for Consumer Dummies. Diane Graves Steele Vice President and Publisher Consumer Dummies. Joyce Pepple Acquisitions Director Consumer Dummies. Kristin Ferguson Wagstaffe Product Development Director Consumer Dummies. Ensley Eikenburg Associate Publisher Travel,Kelly Regan Editorial Director Travel. Publishing for Technology Dummies, Andy Cummings Vice President and Publisher Dummies Technology General User.
Composition Services,Gerry Fahey Vice President of Production Services. Debbie Stailey Director of Composition Services,01 259276 ffirs indd viii 9 18 08 8 05 41 PM. Contents at a Glance,Introduction 1,Part I Understanding Schizophrenia 7. Chapter 1 Understanding Schizophrenia The Big Picture 9. Chapter 2 Causes and Risk Factors 25,Chapter 3 Suspecting Schizophrenia 37. Part II Finding Out What s Wrong and Getting Help 51. Chapter 4 Getting a Diagnosis 53,Chapter 5 Assembling a Healthcare Team 71.
Chapter 6 Beginning Treatment 91,Chapter 7 Paying for Your Loved One s Care 117. Part III Treating Schizophrenia 133, Chapter 8 Medication and Other Medical Approaches 135. Chapter 9 Psychosocial Approaches 165, Chapter 10 Finding Help and Hope through Research 189. Part IV Living with Schizophrenia 211,Chapter 11 Schizophrenia and the Family 213. Chapter 12 Developing Coping Skills 237, Chapter 13 Housing Choices Figuring Out Where to Live 257.
Chapter 14 Coping with Crises 269, Chapter 15 People Are More Than Patients Addressing the. Publishing and Editorial for Consumer Dummies Diane Graves Steele Vice President and Publisher Consumer Dummies Joyce Pepple Acquisitions Director Consumer Dummies Kristin Ferguson Wagstaffe Product Development Director Consumer Dummies Ensley Eikenburg Associate Publisher Travel Kelly Regan Editorial Director Travel

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