The pharmacologic treatment and assessment of outcomes in adolescents
with schizophrenia have been inadequately addressed. Structural brain
imaging and brain function studies both point to a continuity between
adolescent and adult stages of schizophrenia. Because the teenage popu
lation seems to be less tolerant of physical side effects, the advent
of atypical antipsychotic medications may offer increased safety and e
fficacy. Studies support the notion that adolescent illness is associa
ted with a more severe form of schizophrenia and that length of illnes
s before treatment is correlated with longterm outcome. As a consequen
ce, the authors recommend assertive pharmacologic intervention in adol
escents with schizophrenia and future research focused on the issues o
f treatment and outcome in teenagers suffering a psychotic disorder.