I agonize over this issue a lot. I have been on antipsychotics for a little over ten years. In January of this year I had an MRI done because of lithium toxicity (another risky medication). The nurse said it was normal. I get the official results in May since neurologists are booked solid. This does not mean that antipsychotics don't do damage. I just was probably lucky.

At any rate it comes down to the tough choices and they are not good ones. Should I suffer without the meds or with them? I struggle with it everyday and it makes life difficult. Life without them I would suffer psychosis and mood instability. Life with them the threat of brain damage, metabolic syndrome, diabetes and the list goes on.