What is the best medicine for mental breakdown

Patients with schizophrenia often have mental abnormalities and need to take antipsychotic drugs for a long time. These drugs mainly include those that allow you to fall asleep. Because only when the mental state is well rested, the brain will not have wild thoughts and hallucinations. Not sleeping for a long time will produce a lot of hallucinations, which will be unbearable and even the patients and their families will be very painful.

Disease treatment

Treatment principles

① Early detection and early treatment; ② Drug treatment can relieve most symptoms. Antipsychotic drug treatment should be the first choice of treatment and an important part of treatment; ③ Treatment should be adequate and for a full course of treatment, and the entire course of treatment should be actively carried out; ④ Schizophrenia treatment is a long-term treatment. Drug selection should take into account symptoms, side effects, individual tolerance, as well as economic affordability and availability; ⑤ The dosage of drugs should be individualized and adjusted with different treatment stages; ⑥ Patients will face psychological and social problems, which are part of the disease manifestations and a psychological stress response after the disease. Psychosocial intervention is usually required; ⑦ The family plays a very important role in the treatment and rehabilitation of patients. Family members need to understand the disease knowledge, support the patient's treatment, and help choose the correct treatment approach; ⑧ Schizophrenia treatment is a long-term treatment. Patients and their families must master the self-management skills of the disease to prevent recurrence and maintain the long-term stability of the disease; ⑨ Patients, family members, and medical workers should establish a good treatment alliance to jointly cope with the disease.

Drug treatment

① Drug treatment can relieve most symptoms, and antipsychotic drug treatment should be the first choice of treatment; ② Second-generation (atypical) antipsychotic drugs should be used as first-line treatment drugs. They have relatively small side effects and have a high serotonin receptor blocking effect. They also block dopamine receptors and are called dopamine/5-hydroxytryptamine antagonists. These include risperidone, olanzapine, clozapine, quetiapine, ziprasidone, aripiprazole, paliperidone, and amisulpride. Clozapine is used as a second-line drug because of its serious side effects; ③ First-generation (typical) antipsychotic drugs should be selected as second-line treatment drugs. Their main mechanism of action is blockers of dopamine receptors in the brain. Currently commonly used types include: chlorpromazine, haloperidol, penfluridol, perphenazine, fluphenazine, and sulpiride; ④ Long-acting drugs: mainly used for maintenance treatment and patients with poor medication compliance. The first generation of long-acting injectable drugs include haloperidol decanoate, fluphenazine decanoate, and fluphenazine palmitate. Penfluridol is a long-acting preparation of oral haloperidol. Long-acting injections of the second-generation drugs risperidone and paliperidone have been used in my country.

Treatment Course

Full course of treatment and comprehensive treatment are required, including continuous drug therapy and psychosocial intervention. ① Acute phase treatment: relieve the main symptoms, adequate drug treatment, and the course of treatment is at least 4-6 weeks; ② Recovery phase (consolidation phase) treatment: prevent the recurrence of relieved symptoms, continue treatment with the original effective drugs and dosages, and the course of treatment is at least 3-6 months; ③ Maintenance phase (rehabilitation phase) treatment: maintain the stability of the condition, prevent the recurrence of the disease, adhere to drug treatment, determine the maintenance drug dosage based on the individual condition, and the course of treatment is no less than 2-5 years.

Many scholars have suggested that long-term maintenance treatment should be given to those who relapse after discontinuation of medication. For patients with refractory disease, severe suicidal attempts, or violent aggressive behavior, continued maintenance treatment is recommended. In short, the dosage and duration of maintenance treatment should be individualized and related to the stage of illness, history of relapse, severity of the disease, degree of remission, environment, pre-illness personality, dosage and duration of previous medications, etc., and need to be considered comprehensively. ④ If the medication is discontinued, the patient's condition should be closely monitored. If there are signs of relapse, medication should be resumed as soon as possible.