Yeah, using a med for the rest of your life should only be for the most dire cases.
Every med has side effects which can become worse over time. Sometimes the med stops working, too. Then the doctors start bringing out the big guns. Some real heavy duty shit.
If a person thinks they don't need their meds any more, the best thing is to taper off the meds under the guidance of the prescriber and their primary care doctor.
Quitting some meds cold turkey is a very bad idea.
A diagnosis which says "situational" or "acute" is a short-term problem and should not require long term medication.
"Chronic" may need long term care.
Here's a thing about schizophrenics. In every person with schizophrenia I have encountered, as soon as they start feeling better, they get the idea they don't need their meds any more, and they go off them. Then their insanity returns.
It's a vicious cycle.
I've been told by more than one schizophrenic they don't like the way the meds make them feel.
For those who hear voices, they miss the voices. They consider the voice(s) to be their friend and they don't want to give that up.
Unlike the movies, in the vast majority of cases, the voices don't urge them to commit violence. They just keep them company and sometimes make them laugh.
I understand where you're coming from, and I agree with most of your points, but I think it's important to say that the voices aren't always friendly. For my family, theyâve been terrifying.
A couple of years ago, I found my nephew, who has schizophrenia, repeatedly banging his head against the wall. I rushed to stop him and asked what was going on. His answer haunts me:
âIâm trying to run the demons out of my head.â
There have been nights, many nights, when heâs screamed into the darkness, roaring with laughter at 2 or 3 in the morning. Itâs not just noise. Itâs pain. Itâs confusion. Itâs his mind fighting itself.
What continues to astonish me is how long he can go without sleep when heâs in a manic phase, sometimes 48 hours or more. He wonât eat, wonât drink, just paces, raves, rants. And then comes the crash: 18 hours, sometimes a full day of deep, silent sleep. It becomes a cycle until we end up back in the ER, begging for help, usually needing involuntary commitment to keep him safe.
One winter, during one of these episodes, he wandered out in below-freezing temperatures. The police found him the next morning walking down a four-lane road. No shirt. No pants. No shoes. That incident led to an 11-month stay in a psychiatric facility.
Right now, heâs back in for a 90-day hold. Heâs even asking for a jury trial. I canât help but wonder: how do you find 12 people who can truly understand what itâs like to live in his mind?
One thing I want people to know is that the reason so many individuals with schizophrenia stop taking their medication isnât because they
love the voices. Itâs because antipsychotics often take more than they give. My nephew once told me,
âWhen Iâm on the meds, I donât feel anything. Not happiness. Not sadness. Just...nothing.â
These medications can dull the very emotions that make us feel human. Add to that the sexual side effectsâloss of libido, erectile dysfunction, inability to orgasmâand it becomes even harder for someone to feel connected, loved, or normal.
No, they donât miss the voices. They miss feeling
alive.