Roll Call 24

Sounds good. If you can swing it financially, go for it.

No worries Newtus!

medicalfox: I think you should go for it! I think you'd have less stress and better hours.

Newtus: how are you doing this morning? We missed you last night.

Allow me to correct that for you...people in general are notorious for having trouble being med compliant....

People won't finish a ten day course of antibiotics because they already feel better...they'll then just save the remainder for a future infection when they feel bad again. Doctors don't take the time to explain that if you don't finish the meds you might be making a resistant strain of bacteria.

To answer your question though people on injections which is essentially known compliance do a little better on meds in terms of reduced hospitalization and ER visits but it's a pretty minor difference...

Impact of atypical long-acting injectable ver... [BMC Psychiatry. 2013] - PubMed - NCBI

The problem is we basically have one type of medicine a D2 blocker for people who have a very genetically heterogenous condition. The meds don't work at all for like a quarter of people...giving them more meds or injections is therefore pointless but is often forced despite their lack of efficacy. There is this assumption that staying on meds will keep you well when the data suggests that people who stay on meds long term actually have more relapses over time. There is no clear cut answer...however the general population is often mislead to believe that every act of horror they see has to do with someone going off their meds....

I would speculate that the ones who are med compliant are the ones who are being helped by the meds - and are having fewer and/or less severe side effects.

My son wasn't med compliant for many years and did poorly. Then he started taking him medication regularly and improved a lot.

Now the pdoc is trying to wean him off the med to see if he can function without it.

It's probably not that helpful to insult yourself either.

Several people have said they have serious weight problems. Please keep them in mind. I understand your distress over weight gain. I'd be upset in your shoes also, but just remember others here are much heavier than you and may not appreciate the word choice.

How Do We Improve Patient Compliance and Adherence to Long-Term Statin Therapy?

Just another example of med compliance...adherence to statins is 25% after two years. People can have a blood test to look at lipid profiles....they presumably don't have a cognitive impairment and they still don't take the meds as directed...75% of people are non-compliant....it's totally the norm...so basically everybody is notoriously non-compliant...

im feeling a little better this morning besides paranoia is still bad. i think sleep helps becsuse i wasnt getting any. but symptoms flare up around this time so idk what to expect yet today. im still not well. having bad thoughts but no voices yet today. this med is gonna take a long time to work and idk if i can remember to take it...

Recently I've read several horror stories where my first thought was to wonder if the prep had recently been put on a psychotropic. Teens and ADs don't seem to mix.

I'm really not sure about this long time to work thing..I mean they wouldn't use haldol injections to calm people down if it didn't have an immediate effect....I actually think your dose is too low. You're trying 2mg right?

yes i am

Yeah that's the thing a lot of the recent shootings etc are people who were actively in psychiatric care but we don't get to hear about their treatment because it's sealed....I mean James Holmes is the one that gets to me...dude was a neuroscientist...I'm guessing he was all about the meds as a solution...he was getting care...if the meds are the solution then why did that happen?

So I looked it up the injection they use to restrain people is the lactate form so it acts faster...so yeah oral meds might take a bit longer...

oh well. i might not remember to take them. no matter how many alarms i set or notes i write myself

Can your dad help you...I mean you must see him after work or something right?

he says its up to me. but i can ask again

I bet he wasn't on meds. If this was his first break, he may have had no awareness that he was psychotic.

Here's one that made me wonder: Waseca teen accused in school shooting plot had been planning for months | Star Tribune

At least the initial stories sounded like there was a recent change in this boy.

Well if not you could always get one of those day of the week pill holders...they aren't stylish but they work...

So I just looked up Holmes meds...no antipsychotic...but was on Zoloft and a benzo.

Interesting. I wonder if he started with depression then had a bad reaction to the psych meds.

i wish i was as smart as you guys. im a dumb as_. can i say that?

Yeah...ADs are not benign for everybody....here is a case where even the judge thinks the Prozac caused it...

Dr. Peter Breggin: Judge Agrees Prozac Made Teen A Killer

What brought this on? I think you're very smart....

i wish i could contribute to this community more than complaining. somehow i lost my ability to. i used to all the time.