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Relapses of the disease in psychotic patients due to inability to manage stressful situations

Published online by Cambridge University Press:  16 April 2020

G. Doulgeraki
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
A. Graikiotis
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
K. Theodosi
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
M. Kavvadia
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
N. Kavvadias
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
M. Malatra
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece
A. Pittara
Affiliation:
“Eurikleia” Residential Unit of Psychiatric Hospital, Athens, Greece

Abstract

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Introduction

Patients with mental disease are not in touch with their emotions, they do not recognize them and are incapable of finding alternative ways to face life difficulties.

Consequently, anxiety which evolves from stressful situations literally immobilizes them.

Objective

Our aim was to isolate the factors which create stressful situations that lead patients in relapsing.

Method

We studied patients’ inability to cope with their emotions and the stress that follows. We studied 25 patients living in the R.U. “Eurikleia”, 30 patients in follow-up and 50 patients who were hospitalized in the 3rd Psychiatric Department of the Psychiatric Hospital of Athens.

Our therapeutic procedure was the following:

  • prescription of atypical anti-psychotics

  • completion of the MMPI

  • examination of family/personal history

  • examination of family dynamics/dysfunctions

  • individualized therapeutic intervention for each patient and family evaluation of the results one year later.

Our intervention comprised of family therapy, setting family roles boundaries, patients’ autonomy, agreement in interventions between family and the therapeutic group and patients’ encouragement to take initiatives concerning their personal life.

Results

  1. Ø the functionality of the patients had improved

  2. Ø there was an important restoration of their sociability

  3. Ø there were still deficits regarding their socialization and professional rehabilitation

  4. Ø there was improvement regarding their autonomy

  5. Ø their dependence had been substituted for interdependence.

Conclusions

Through this study the most obvious conclusion we reached at was the necessity of patients’ and their families’ re-education in order to be able to live a meaningful life.

Type
P03-204
Copyright
Copyright © European Psychiatric Association 2011
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