psychosis-and-schizophrenia | Resource topic | NICE

Do not do

Structural neuroimaging techniques (either magnetic resonance imaging [MRI] or computed axial tomography [CT] scanning) are not recommended as a routine part of the initial investigations for the management of first-episode psychosis.

February 2008
Do not use biological or physical tests in routine screening for substance misuse in adults and young people with psychosis.

March 2011
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.

January 2013
Do not initiate regular combined antipsychotic medication, except for short periods (for example, when changing medication).

February 2014
Do not offer antipsychotic medication to people considered to be at increased risk of developing psychosis (i.e If a person is distressed, has a decline in social functioning and has: transient or attenuated psychotic symptoms; or other experiences or behaviour suggestive of possible psychosis; a first-degree relative with psychosis or schizophrenia) or with the aim of decreasing the risk of or preventing psychosis

February 2014
Do not start antipsychotic medication for a first presentation of sustained psychotic symptoms in primary care unless it is done in consultation with a consultant psychiatrist.

February 2014
Do not use a loading dose of antipsychotic medication (often referred to as 'rapid neuroleptisation').

February 2014
Do not initiate regular combined antipsychotic medication, except for short periods (for example, when changing medication).

February 2014
Do not routinely offer counselling and supportive psychotherapy (as specific interventions) to people with psychosis or schizophrenia. However, take service user preferences into account, especially if other more efficacious psychological treatments, such as CBT, family intervention and arts therapies, are not available locally.

February 2014
Do not offer adherence therapy (as a specific intervention) to people with psychosis or schizophrenia.

February 2014

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