The clinical approach is a function of the serinusness of a patients condition. Some patients may respond to traditional psychoanalysis: others call for a cooperation between a psychoanalyst and a psychiatrist, so that, through medication, they can meet analysis condition. More serious cases may demand a therapeutic follow-up, in an attempt to rebuild the social links of patients who isolated themselves after their environment became too hostile. Hospitals are another resource allowing patients to recover from serums conditions, in the many cases when both psychoanalysis and medication are not adequate. A multiple intervention and a case by case discussion in a team work compose out therapeutic propasal.