Another great comment from Dr Claiborn. It's just great to see there are providers out there in practice who understand this stuff.
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While the newer, sometimes called second generation or atypical antipscyhotics produce a much lower incidence of TD they routinely lead to development of a metabolic syndrome that includes elevated blood lipids and diabetes. Neither is a great choice. Then there is the fact that we now know that long term use of high dosages of antipsychotics leads to higher rates of disability than treatment with these medications at lower dosages for shorter periods of time. Even the Journal of the AMA came out with an editorial acknowledging this. There is also solid evidence that psychosocial treatments, such as cognitive behavioral therapy for psychosis, often provide important benefits in both positive and negative symptoms of schizophrenia. Unfortunately such treatments don't bring big profits to drug companies so they are not agressively promoted and may be almost impossible to find in most parts of the country.
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"Hear me, my Chiefs! I am tired; my heart is sick and sad. From where the sun now stands I will fight no more forever."--Chief Joseph
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