I just read one of the papers you linked to and it says this ....

" patients treated with just SGAs, a significant decrease in volume was not found. Previous studies have also found that SGAs have less of an effect on brain volume, yet even a smaller effect may have significant implications."

Sga=second generation antipsychotics

So they say the newer drugs are ok.

Keep in mind that this was a meta analysis which means they took the results of other studies that were not necessarily looking for this and used their results. Basically they highlighted a curiosity in the data and recommend further study.

I too worry about the long term effect of antipsychotics but it is whatever it is. I choose to take it because I want to be able to live my life, have a family, have a job, enjoy what I can now. I don't even know if I'll be around tomorrow let alone whether I'll make it to 80 - life happens.

The disease changes over time and I'm hoping I won't have to be as medicated in the future or maybe not at all, who knows.