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as NICE and other treatment guidelines do not yet have the evidence base to advise on combined therapies much of our information depends at present on clinical skill, judgement, and observational studies of all sorts,6–8 as well as new approaches to prevention.9 Working with the preferences of the patient, as Morrison et al suggest, is not just a madcap game of pie in the sky; the assumption that such a patient will never choose to take an antipsychotic drug is far from true, and in recent years, with the growth of adherence therapies10 I have increasingly been impressed by patients taking an active role in not only choosing their antipsychotic medication, but organising dosage schedules that are specific to their needs.Things are changing slowlyAs for the verdict on the place of the psychopharmacological revolution in the long story of psychiatry I can only take refuge in Chou-en-Lai's Delphic reply when asked his opinion about the impact of the French Revolution, ‘It's too early to tell’.![]()
5 Year Olds Given Antipsychotics in U.K. -
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