It totally depends on how you handle it...if you just go on and off like cold turkey that's likely going to cause psychosis because of the way the drugs modify your receptors and yes you will probably need a higher dose to stabilize if you go back on again...thus tapering....

So at two years post psychotic break people on and off meds have about the same level of recovery ie they haven't recovered but by 4.5 years there is a 50% recovery in people off meds but the same baseline function in people on meds....so the recovered people are working and have friends those were the criteria in the harrow study. So the basic thing is that medicine seems to be actively preventing recovery.

Interestingly from 7.5-15 years none of the people off meds relapsed but an increasing number of people on APs did in fact it doubles from the 7.5-10 year time point to the 10-15 year time point to 67%...now to be fair it's a longer time period but in the people off drugs it's zero percent this whole time. Overall it doesn't really look like people on meds get worse so much as they just don't get better.

Anyway this harrow guy is on of the docs at the place I was being treated originally so they very much try to get people back off the meds and in my case they said 6 months symptom free and you can try it. It ended up being more like 2 years due to issues with the first taper but the thing about tapering is you can always go back up...the British model suggests trying a reduction at 1-2 years post break.

The thing about the harrow study and others is people who got off meds early relapse a ton at first but then they recover whereas the people on meds tend to be more stable but they just never get better. Nobody has optimized the outcome yet...