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Description There are two major types of antipsychotic medication, both of which manage the positiv ...

Description There are two major types of antipsychotic medication, both of which manage the positive symptoms of schizophrenia or other psychotic disorders, including hallucinations and delusions. Typical antipsychotics are the first generation of medications, including chlorpromazine and haloperidol. Typical antipsychotics tend to be very effective, yet often come with severe side effects. Older clients are more likely to have been prescribed typical antipsychotics before the newer atypical antipsychotics became available. Atypical antipsychotics are the newer generation of medications; they tend to be better tolerated with less severe side effects (Perry, et al., 2007). Since typical antipsychotics often have severe side effects, they are used when atypical antipsychotics are not effective. Reference: Perry, P. J. (Ed.). (2007). Psychotropic drug handbook. Lippincott Williams & Wilkins. To prepare for this Discussion Consider the following scenario: A client, Roger, scheduled an urgent session and is now describing symptoms of active psychosis to you. Roger was previously diagnosed with schizophrenia by a psychiatrist and was given medications to stabilize his brain chemistry; however, Roger is not taking the medications as prescribed because they make him feel trapped and disengaged in his own skin. Write out a mini script showing what you might say to Roger. Respond to the following prompts using your mini script. Provide two potential questions you might ask to determine what Roger understands about his diagnosis and about the role of medications. Provide two potential questions you might ask to learn about the reasons for medication nonadherence. Explain the role of medications and counseling alongside a diagnosis of schizophrenia. Include an empathetic reflection to Roger. Reading: Required Readings Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson. Chapter 8, “Treatment of Psychotic Disorders” Required Media TED. (2016, December 2). Paul Fletcher: Psychosis: Bending reality to see around corners [Video file]. Retrieved from Note: The approximate length of this media piece is 12 minutes.TED. (2017, December 8). Debra Lampshire: Hearing Voices: an insiders guide to auditory hallucinations [Video file]. Retrieved from https://www.ted.com/talks/debra_lampshire_hearing_...Note: The approximate length of this media piece is 18 minutes. TED. (2013, February). Eleanor Longden: The voices in my head [Video file]. Retrieved from https://www.ted.com/talks/eleanor_longden_the_voic...Note: The approximate length of this media piece is 14 minutes. TED. (2016, February). Mariano Sigman: Your words may predict your future mental health [Video file]. Retrieved from https://www.ted.com/talks/mariano_sigman_your_word...Note: The approximate length of this media piece is 12 minutes. https://youtu.be/tV2RLLtOgL4

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Mini Script for Roger's Session:

You (therapist):
"Roger, first of all, I want to acknowledge that reaching out today is a very important step, and I’m really glad you're here. It sounds like you're going through a difficult time with your symptoms, and I want to make sure we address everything you're feeling and experiencing. You’ve shared that you’re struggling with active psychosis right now, and I want to better understand what that’s been like for you. I know you've been prescribed medication before, but you're not taking it as prescribed because it makes you feel trapped and disengaged in your own skin. Can you tell me more about what you’re feeling in this moment?"

Roger’s potential response might include:
"I just feel like I’m losing myself when I take the meds. I don’t feel like me anymore, and I hate that. They make me feel numb, and I can't think clearly. I know they’re supposed to help with the voices and the things I see, but it just makes me feel... trapped."

You (therapist):
"I hear you, Roger. It sounds like the medications are causing you to feel disconnected from yourself, and that’s a really tough experience to go through. It’s completely understandable why you’d feel hesitant to continue taking something that affects how you feel in such a profound way. So let’s take some time to explore both your diagnosis and your thoughts about medications, and we can work together to see if there’s a way forward that helps you feel more comfortable."

Potential Question 1:
"Can you tell me what you understand about your diagnosis of schizophrenia? Do you feel like you have a clear sense of what it means, or is it something you still struggle to understand?"

Roger’s potential response might include:
"I know it’s a condition where my brain doesn’t always work the way it should, and I hear voices and see things that aren’t

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