Women with a schizophrenia-spectrum disorder (SSD) have a better clinical profile than do men at the start of their illness but progress to the same state within the first few years of living with SSD. There are benefits to be gained across different areas in the care currently offered to women with psychosis. An important point for improvement is the early detection of female-specific signs of a first episode of psychosis, to shorten the duration of untreated psychosis, with prompt access to early intervention services. Special attention should be paid to sexual health, and to any history of childhood trauma. Antipsychotics require dosing and prescription tailored to the female physiology that consider hormonal life phases such as menopause. Switching to prolactin-sparing medications can benefit both mental and somatic health. Finally, hormone replacement therapy should be considered for postmenopausal women. By providing female-specific care, women with schizophrenia-spectrum disorders will have optimal chances to fare well.

患有精神分裂症谱系障碍 (SSD) 的女性在疾病开始时的临床表现优于男性，但在患有 SSD 的头几年内会发展到相同的状态。目前为患有精神病的女性提供的护理在不同领域都有好处。一个重要的改进点是及早发现首发精神病的女性特有体征，以缩短未治疗精神病的持续时间，并及时获得早期干预服务。应特别注意性健康以及任何童年创伤史。抗精神病药需要针对女性生理学量身定制的剂量和处方，考虑到更年期等荷尔蒙生命阶段。改用保留催乳素的药物可以有益于身心健康。最后，绝经后妇女应考虑激素替代疗法。通过提供针对女性的护理，患有精神分裂症谱系障碍的女性将有最佳的机会康复。