Do Not Do Recommendation
Do Not Do Recommendation Details
- Do not initiate regular combined antipsychotic medication, except for short periods (for example, when changing medication) for pschosis or schizophrenia in children and young people.
- antipsychotic medication
Source guidance details
- Psychosis and schizophrenia in children and young people (CG155)
- Published date:
- January 2013
- Paragraph number:
- Page number:
View all NICE do not do from this Guidance
Do not routinely offer counselling and supportive psychotherapy (as specific interventions) to children and young people with psychosis or schizophrenia. However, take the child or young person's and their parents' or carers' preferences.
Do not use a loading dose of antipsychotic medication (often referred to as 'rapid neuroleptisation')
Do not offer adherence therapy (as a specific intervention) to children and young people with psychosis or schizophrenia.
Pharmacological interventions for psychosis and schizophrenia in children and young people: Do not use targeted, intermittent dosage maintenance strategies routinely. However, consider them for children and young people with psychosis or schizophrenia who are unwilling to accept a continuous maintenance regimen or if there is another contraindication to maintenance therapy, such as side-effect sensitivity.
Do not routinely offer social skills training (as a specific intervention) to children and young people with psychosis or schizophrenia.
Do not offer antipsychotic medication for psychotic symptoms or mental state changes that are not sufficient for a diagnosis of psychosis or schizophrenia, or with the aim of decreasing the risk of psychosis.
Antipsychotic medication in children and young people with a first presentation of sustained psychotic symptoms should not be started in primary care unless it is done in consultation with a consultant psychiatrist with training in child and adolescent mental health.