The article discusses the experiences of a parent and psychiatrist dealing with a child's psychotic illness, particularly emphasizing cognitive deterioration linked with ongoing episodes. It outlines how chronic psychotic episodes result in increased vulnerability, a concept referred to as the 'kindling effect.' Cognitive impairments in attention, memory, and executive function are prevalent, regardless of mood states. Furthermore, the author highlights the importance of treatment compliance, mentioning that long-acting injectable neuroleptics appear superior to oral medications in mitigating these cognitive declines and improving overall outcomes for patients.
In a meta-analysis, cognitive impairment manifested in deficits in attention, memory, and executive function in a substantial number of patients, depending on the level of illness severity.
Ongoing episodes of psychotic illness are associated with chronicity and lack of recovery, highlighting the need for effective treatment options.
The increased vulnerability to recurrent episodes has been termed 'kindling,' underscoring the non-linear progression of cognitive decline in mental illnesses.
The effects of mandatory treatment in ensuring compliance have shown to decrease illness and functional decline compared to traditional oral medication.
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