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Quetiapine Linked to Better Working Memory Scores in Schizophrenia

MHD card with an amber myelinated nerve fiber, quetiapine tablets, and a digits-backward memory sequence: quetiapine users with schizophrenia scored higher on hard working-memory tests, but myelin genes did not explain it.

A 2026 German-Austrian cohort analysis found that people with schizophrenia who were taking quetiapine scored modestly higher on demanding working-memory tests than sex- and age-matched patients who were not, with the largest gap at doses of 300 mg a day or less.1 Because patients were not randomized to quetiapine, this is an association; the advantage …

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Top-Ranked Treatments for Schizophrenia Aggression: Clozapine, Paliperidone and Olanzapine

MHD card with an amber network of antipsychotic drug nodes linked to a placebo node over a dark background, with a calming waveform: clozapine, paliperidone, and olanzapine reduced aggression in schizophrenia most, but confidence was low.

A 2026 analysis of 41 randomized studies involving 21,025 adults with schizophrenia found the largest estimated reductions in hostility and aggression for clozapine (standardized mean difference, or SMD, of −0.75), paliperidone (−0.62), and olanzapine (−0.60) vs. placebo.1 Confidence in every comparison was low or very low, the top 3 were not statistically separable, and most …

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Lithium vs. Valproate in Residual Schizophrenia: Case Safety Signal

MHD featured image for lithium and valproate augmentation safety in schizophrenia.

A 2026 case report described valproate 800 mg/day improving agitation in residual-phase treatment-resistant schizophrenia but being followed by hypoglycemia and pancytopenia; after discontinuation, lithium 600 mg/day at 0.8 mEq/L was associated with BPRS improvement from 80 to 64.1 The calibrated read is mixed: valproate looked behaviorally useful in 1 patient, but the safety signal was …

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VR-CBT for Paranoia May Fit High-Avolition Schizophrenia Patients

MHD featured image for VR-CBT paranoia treatment modifiers in schizophrenia.

A 254-person FaceYourFears moderator analysis found that people with schizophrenia-spectrum paranoia and higher avolition or moderate-to-high delusion severity may improve more with virtual-reality CBT than with standard CBT for psychosis.1 The result is useful as a treatment-matching hypothesis, not as a rule that assigns patients to a headset. Research Highlights 254 participants were analyzed: 128 …

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rTMS Plus Risperidone Improved Schizophrenia Cognition

A 2026 randomized study involving 80 people with schizophrenia found that adding high-frequency repetitive transcranial magnetic stimulation to risperidone improved PANSS cognitive-factor scores and aggressive-behavior ratings more than risperidone alone over 4 weeks.1 Research Highlights Design was randomized but short: 80 patients were assigned to risperidone alone or risperidone plus rTMS, 40 per group, with …

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AVATAR Therapy Reduced Auditory Hallucination Severity in 8 Trials

MHD featured image for AVATAR therapy and auditory hallucinations.

A 2026 meta-analysis of 8 controlled trials found that AVATAR therapy reduced auditory verbal hallucination severity after treatment, Hedges’ g = −0.40, 95% CI −0.54 to −0.25, across 978 participants.1 The signal is real, but the strongest reading is short-term symptom calibration rather than a finished replacement for standard psychosis care. Research Highlights Voice severity …

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