Thread: Roll Call 25
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Old May 17, 2014, 09:24 PM
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Sometimes psychotic Sometimes psychotic is offline
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Quote:
Originally Posted by Crescent Moon View Post
I'm apologize Sometimes... I didn't mean to offend. Newtus has been suffering so much for such a long time, that I want to believe that they will have her best interests at heart. And for sure, there are no perfect meds or treatment for sz. But if she sticks with it and presents herself cooperatively over time, then maybe if what they first come up with doesn't give her enough relief, then they will try other things. And Newtus has been so inconsistent with meds, and mixing them with alcohol, that I think it's really hard to know whether what's been tried before is truly ineffective for her. And I don't think the contract doesn't make her lose her voice. I think if she's having trouble with what she's taking, and she's been taking it long enough for her body to adjust and for it to be therapeutic, then I can't imagine why they wouldn't want to try something else. And although there are issues with the meds... how long it takes to work, sometimes getting worse before you get better, and side effects like weight gain... I still think that the pain, anguish, paranoia and loneliness she's suffering from now are much worse.

It may be selfish of me, but I just didn't want her paranoia to get triggered and for her to believe that the people on the other side of that contract are going to harm her. I want to see her give it a very good chance.. and she can always back out of the deal if it genuinely doesn't help.

So please know that although I may have been insensitive in how I wrote my remark, my heart is in the right place...
I absolutely thought your heart was in the right place but that you might not know the full story. My understanding is that Newtus has been given an adequate trial of every antipsychotic with the exception of clozapine and only haldol was partially effective. She was also on injection so compliance was not an issue but force was. In Texas some pdocs actually follow something called the Texas algorithm it is a flow chart that basically tells you which side effects are tolerable or not in addition to what meds to try etc. if you develop a side effect they simply give an additional med all of which have side effects of their own. The algorithm suggests maxing out the dose of any AP that was even partially effective and simply giving additional drugs for the inevitable side effects. It is geared toward total remission which is not possible for everyone. At some point Newtus could not eat due to a side effect and the pdoc simply told her to start blending her food. At great personal effort she extracted herself from that pdocs care and found a new one but kept the therapist at the original clinic.
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