Treatment Options for Schizophrenia in Seniors

Treatment Options for Schizophrenia in Seniors

Pharmacological therapy: Antipsychotics are commonly used to treat schizophrenia in old age. Studies have shown that they relieve the severity of symptoms of asymptomatic nature and help to avoid relapses. While in its initial stages, schizophrenia can be very successfully treated in seniors with antipsychotic drugs of the new generation, although their effects on other organs and body systems have not been studied enough. As a rule, psychiatrists prescribe:


The drug is undoubtedly good at treating resistant schizophrenia of early development, but when treating older patients there are serious concerns because of its toxicity and the need for constant testing of leukocyte formula. Studies have shown the occurrence of drowsiness, hypnotic effect, and hypotension.

Risperidone and olanzapine

It is widely used in the treatment of risky schizophrenia risperidone. It gives a persistent improvement in the state of use in small doses of 1.5-6 mg per day. Olanzapine was also found to be effective in treating the disease in older adults. The drug was tested on 22 elderly patients. In the course of treatment, a significant reduction of the symptoms of the disease was revealed with a small number of extrapyramidal side effects.


Safe for the elderly, the use of this drug can offer a good effect. In order to avoid the occurrence of side effects, such as hypotension, dizziness, agitation, its reception begins with small doses, gradually increasing them, namely from 25 mg to 750 mg per day.


This drug offers a unique effect. It works as a partial agonist of D2 receptors, reducing both negative and positive psychopathological symptoms. More rarely, it causes side effects such as drowsiness, weight gain, complications of the cardiovascular system, extrapyramidal syndromes. The drug has a beneficial effect both in the treatment of young patients and in senile schizophrenia. Cognitive-behavioral psychotherapy:

Cognitive behavioral therapy includes the following methods: Identification of desirable and undesirable thought forms and definition of the reasons which influenced their formation. Creating new mental stereotypes. Applying visualization techniques to make new thought forms become natural and lead the patient to emotional well-being and adequate behavior. Adoption of new thinking for everyday life in real conditions. The use of cognitive-behavioral therapy techniques has been discussed and described many times in several research articles.

About Advantage Coverage at Medicare advantage plans basically go parallel with Medicare as they allow seniors to cover costs like copay, coinsurance, etc.