Comorbid: Posttraumatic stress disorder and schizophrenia

Kristina Muenzenmaier, Dorothy M. Castille, Anne Marie Shelley, Andrea Jamison, Joseph Battaglia, Lewis A. Opler, Mary Jane Alexander

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The treatment of PTSD and schizophrenia remains complex and understudied. A comprehensive treatment approach is essential when one treatment modality is not helpful. In some cases, certain forms of psychosocial interventions succeed when pharmacotherapy is less successful. Recovery must include mutual collaboration and respect between client and therapist, as well as the development and maintenance of a strong therapeutic alliance to address attachment and empowerment issues in treatment. Discharge resistance needs to be reframed to consider the environment into which the patient will be discharged. A person returning to the same neighborhood of the initial traumatization can be expected to experience retraumatization upon discharge. In addition, complicated family dynamics need to be addressed in order to develop a sufficiently supportive environment and ensure successful re-integration into the community. Recognition of the severity of traumatic experiences and the comorbidity of PTSD in people with schizophrenia requires careful assessment and informed interventions. Research must provide detailed descriptions of positive and negative symptoms and dissociative and PTSD symptoms, as well as analyze their overlap. Only careful examination of the correlation of symptoms, rather than classification of symptoms to fit into specific diagnostic categories, will lead to better understanding, accurate diagnosis, and more effective treatment of comorbid disorders.

Original languageEnglish (US)
Pages (from-to)51-56
Number of pages6
JournalPsychiatric Annals
Volume35
Issue number1
StatePublished - Jan 2005

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Post-Traumatic Stress Disorders
Schizophrenia
Therapeutics
Family Relations
Comorbidity
Maintenance
Drug Therapy
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Muenzenmaier, K., Castille, D. M., Shelley, A. M., Jamison, A., Battaglia, J., Opler, L. A., & Alexander, M. J. (2005). Comorbid: Posttraumatic stress disorder and schizophrenia. Psychiatric Annals, 35(1), 51-56.

Comorbid : Posttraumatic stress disorder and schizophrenia. / Muenzenmaier, Kristina; Castille, Dorothy M.; Shelley, Anne Marie; Jamison, Andrea; Battaglia, Joseph; Opler, Lewis A.; Alexander, Mary Jane.

In: Psychiatric Annals, Vol. 35, No. 1, 01.2005, p. 51-56.

Research output: Contribution to journalArticle

Muenzenmaier, K, Castille, DM, Shelley, AM, Jamison, A, Battaglia, J, Opler, LA & Alexander, MJ 2005, 'Comorbid: Posttraumatic stress disorder and schizophrenia', Psychiatric Annals, vol. 35, no. 1, pp. 51-56.
Muenzenmaier K, Castille DM, Shelley AM, Jamison A, Battaglia J, Opler LA et al. Comorbid: Posttraumatic stress disorder and schizophrenia. Psychiatric Annals. 2005 Jan;35(1):51-56.
Muenzenmaier, Kristina ; Castille, Dorothy M. ; Shelley, Anne Marie ; Jamison, Andrea ; Battaglia, Joseph ; Opler, Lewis A. ; Alexander, Mary Jane. / Comorbid : Posttraumatic stress disorder and schizophrenia. In: Psychiatric Annals. 2005 ; Vol. 35, No. 1. pp. 51-56.
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