La intervención familiar como eje de la rehabilitación psicosocial en una mujer con esquizofrenia paranoide

Abstract

Se trata de una mujer diagnosticada de esquizofrenia paranoide, derivada del Centro de Salud Mental de referencia por presentar dificultades psicosociales en las siguientes áreas generales: presenta patología dual (consumidora de cannabis), baja conciencia de enfermedad y adherencia al tratamiento, falta de regulación de horarios diarios, fuerte conflictividad familiar y escasa red social. Tras la evaluación funcional del caso se determina una intervención mediante rehabilitación psicosocial basada en la psicoeducación, prevención de recaídas en la enfermedad mental grave (EMG) y abstinencia a tóxicos (con estrategias de corte cognitivo-conductual), abordaje de las ideas delirantes relacionadas con la familia mediante intervención familiar (exposición directa al contenido), intervención en AVD básicas e instrumentales, exposición natural a grupos de rehabilitación de corte social (jóvenes) e intervención Prelaboral y de inculación a recursos comunitarios. Finalmente se deriva al Centro de Rehabilitación Laboral y es atendida en paralelo desde allí a partir de octubre de 2011.

This study deals with a woman diagnosed a Paranoid Schizophrenia and was transferred from the Mental Health Center due to her psychosocial difficulties in these general areas: she presents a dual pathology (she is a cannabis consumer), a scarce conciousness about her illness and a low attachment to its treatment, lack of regulation in her everyday schedule, and almost non-existent socializing. After the functional evaluation of this case, an intervention through psychosocial rehabilitation is resolved, based on Psychoeducation, Prevention of the Seriously Ill Relapse and Drug Abstinence, (using strategies taken from the Cognitive–Conductual trend), approaching her delirious ideas related to her family through family mediation (direct exposure to the content), intervention at basic and instrumental AVD, natural exposure to rehabilitation groups in a social context (young people), and, as the frequency, intensity and length of our target behavioural conducts for her have increased, we have moved towards a prelabour intervention and a connection to community resources (after having managed optimal levels of autonomy) to finally transfer her to the Labour Rehabilitation Center, while she has been concurrently assisted from there since October 2011.