An Experience of Integration between Psycho-pharmacotherapy and Psychotherapy in Restructuring Rehabilitation of Psychotic patients

This work is a description of an Experience of rehabilitation of 19 Psychotic patients. Some oTf them with diagnosis of Schizophrenia according with DSM5. They are in treatment at Psychiatric Residence and day care of the... [ view full abstract ]

This work is a description of an Experience of rehabilitation of 19 Psychotic patients. Some oTf them with diagnosis of Schizophrenia according with DSM5. They are in treatment at Psychiatric Residence and day care of the Cooperative “Integrations”, with a method which integrates Psychotherapy (according with the Structural Integrated Model invented by Giovanni Ariano) and Psycho-pharmacotherapy. The aims of this Restructuring Rehabilitation are:

• The capacity to build and to know an own vision about Self, about the Other and about the World and being able to share it with people.
• Elimination of the need of forced and voluntary hospitalization.
• Elimination of any psychopharmacological medication
• Elimination of symptoms diagnosed at admittance
• Prosecution of outpatient psychotherapy
• Return to the origin family if possible, or in independent accommodation. In order to integrate two different clinical treatments (Psycho-pharmacology and Psychotherapy), there is the need to integrate two different clinical models. The Models considered in this work are: Psychiatric Model and Structural Integrated Model (m.s.i.). Each of them affect the Man in three different levels: Biological, Psychological and in the level of the relation between Biological and Psychological. From the integration of the models, four diagnostic Typology come out and are described. The psycho-pharmacological treatment used Neuroleptics, SSRI, Benzodiazepines, mood stabilizers. The Psychotherapy treatment (under Supervision) included Individual, Couple, Group and Community Psychotherapy