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Study finds some schizophrenics do well without long-term antipsychotics

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Study finds some schizophrenics do well without long-term antipsychotics

Study finds some schizophrenics do well without long-term antipsychotics - Chicago Tribune

"This work that (Harrow's) done — it's important work," said Anthony F. Lehman, a psychiatry professor at the University of Maryland School of Medicine.

"I think he points out the need, really, to do more research, both in understanding how to identify the people who might do better without medication (and in not) throwing the baby out with the bathwater. It doesn't mean nobody needs medication, but there are people who, even on their own, select not to be on medication, and they're out there in the world, and we have to understand their experiences more."

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As a rule of thumb many who demonstrate they can manage without maintenance treatments are rediagnosed due to embarrassing the biases....
 
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ramboghettouk

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some do well without meds well psychiatrists would point to people who do well on meds, my gp said all i can say is the outlook is better on these medications than off them

I'm just waiting for medical advice to be attacked, theres a disclaimer on this web site saying the advice given is no substitute for medical advice
 
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Not news, if you do a search on Lex Wunderink you'll find a Dutch study from a few years back which was a 'gold standard' study which found the same thing. That study, in fact, showed that those who took meds for a couple of years and then came off them did not just 'well' but better than the people who stayed on meds, on average. But for some time that was the only study of its kind. It's good to see there are a few more now duplicating those results.

I'm not saying that long term meds are not the right thing for some people, just that there is mounting evidence that the tactic of whole sale prescribe until you die is flawed.
 
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ramboghettouk

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yes i'd agree that long term prescription to you die is suspect, off course whether that applys so much to people with severe mental illness, maybe if you trace people who've come off meds after 2yrs you'll find people who've done bettter, those who've died by suicide you won't trace they'll be dead

There are people who say the idea that schitzoprenics can't work is suspect, whatever the truth of it, it has implications for me on long term sick benefits, in fact you can't say people with disabilities are unfit for work without the accusation of giving up on people

I'm not comfortable with been motivated to work and the talk about making work pay, i doubt nowadays i can work, does that mean i've got to be worse off than someone in a low paid job

And i wonder if the anti meds lot are as liberating to people as they claim
 
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I'm not saying that long term meds are not the right thing for some people, just that there is mounting evidence that the tactic of whole sale prescribe until you die is flawed.
I think it all depends on who gets used in the studies as to the better off on or off meds argument. I do agree though that there are some,most likely better prognosis cases, for whom long term meds may well be unwarranted. Certainly it is right to look beyond the long term meds for all approach.
 
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The Lex Wunderink study was a long term follow-up of several hundred first-episode sufferers. Which is not bad sample size all things considered. The point is, if you're a random first episode sufferer, chances are you will be better off without the meds after a short while on them.

For people who have a longer history of sustained problems things are probably different.
 
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ramboghettouk

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The Lex Wunderink study was a long term follow-up of several hundred first-episode sufferers. Which is not bad sample size all things considered. The point is, if you're a random first episode sufferer, chances are you will be better off without the meds after a short while on them.

For people who have a longer history of sustained problems things are probably different.
were those untraceable because say they're dead included in the stats, juat asking, first episode i think to be diagnosed in britain schitzoprenic you need 3 admissions or more than 6 months inside
 
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The Lex Wunderink study was a long term follow-up of several hundred first-episode sufferers. Which is not bad sample size all things considered. The point is, if you're a random first episode sufferer, chances are you will be better off without the meds after a short while on them.

For people who have a longer history of sustained problems things are probably different.
My reading of all the studies, research & projects over the years appears to bear this out - If people are provided with more comprehensive psychological/emotional & social support during first episode of psychosis & with follow up - a majority of them (80% approx) appear to make good med free recovery. i think there is a percentage of people, even with an ideal system that may be best helped with some form of wise use of long term medication (as part of a more comprehensive approach).

We don't have a comprehensive psychosocial system of care in the UK - it's more of a blanket drugging - & so that does complicate things. There are still those that recover well medication free. Officially i think it's stated as a third of people in the UK after their first episode will largely make a full med free recovery. A third have repeated breakdowns & a third are very unwell for life. If there were more comprehensive systems of care i think more would more fully recover.

After repeated episodes & years/decades of being medicated - i think it is a different story for those people.

A lot of the problem i think is a lack of more comprehensive care & support approaches - is that ideal/utopian to want & implement that? i think it's rather a very reasonable & achievable request/aim.
 
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ramboghettouk

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i've lost faith in psychotherapy thats for certain, tend to agree with those psychiatrists who used to say psychotherapy doesn't work with schitzoprenia, whether they still say that

maybe that american organisation that says the worst barrier to recovery is the label is right but that doesn't really help
 
Observe

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I dunno I've relapsed 4x off meds.
 
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I dunno I've relapsed 4x off meds.
i have 5 times as well. i think it's a complex picture.

In my own case i personally do now accept the diagnosis & medication. i do however think far more could have been done to try & help me address things from more psychological & social support approaches - i think people can be helped in different ways & some people can heal & recover medication free, or with a minimum/wise use of medications. i don't think one size fits all.
 
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i have 5 times as well. i think it's a complex picture.

In my own case i personally do now accept the diagnosis & medication. i do however think far more could have been done to try & help me address things from more psychological & social support approaches - i think people can be helped in different ways & some people can heal & recover medication free, or with a minimum/wise use of medications. i don't think one size fits all.

It's still iffy you never know. It lays dormant and I don't want to relapse and end up in jail or have something bad happen to me walking through the ghettos of of my city at Nite cause I think I'm on some spiritual journey. I've been through a lot through out my life so I would prefer to keep it a low dose.
 
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It's still iffy you never know. It lays dormant and I don't want to relapse and end up in jail or have something bad happen to me walking through the ghettos of of my city at Nite cause I think I'm on some spiritual journey. I've been through a lot through out my life so I would prefer to keep it a low dose.
Same for me - i have maintained a low dose of medication for the past 10 years, & i expect i'll be on it for life.

Going back 25 to 30 years i think things could have been different if there had been more in the way of understanding, help & support - But as is.

The literature around all these areas is expansive - i still think the facts remain that some people can & do recover/heal long term medication free - Some people do resolve these experiences. Of course it can be debated why/how - But the evidence is out there that this is the case.

i'm not anti-medication - i think some people need it - i appear to very much now need it as well.
 
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ramboghettouk

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i've got a friend who keeps on coming off meds and been sectioned and i can be quite bitchy about him, when i talk about not having anyone to represent me he talks about mental health advocates when i look into it the people he's seeing are for those sectioned, i've got an eye teas and will need new glasses i have to pay towards them though i get vouchers, he seems to get new specs free.

Then theres my social isolation, he makes friends on the inside among them some very atttractive women he has sexual relationships with on the outside

On the other hand he's spent 2 yrs on a secure unit, he's got leucoemia now and the drugs he's forced to take under a cto are contra indicated for leucoemia
 
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