I dunno wtf much of this thread is about. But I do know that if you look at the Cochrane library meta analyses for anti psychotics, for the majority the graphs look like this: over time, for both patients on both anti-psychotics and placebo, symptoms improve (either the psychosis remits naturally, or some other aspect of care has a positive effect, or both). Those on
some antipsychotics improve a bit faster.
But, anti-psychotics have horrible side effects (weight gain, diabetes, Parkinsonism, restlessness, strange facial movements, raised prolactin and fertility issues and bone density loss etc).
Look at what Cochrane says (written by Benjamin Gray, Service User and Service User Expert, Rethink Mental Illness) about one of the older anti-psychotics that’s still widely prescribed, haloperidol:
Based on moderate quality evidence, haloperidol was found to be better than placebo in treating schizophrenia. More people given haloperidol improved in the first six weeks of treatment than those given placebo. However, a significant number of people on haloperidol suffered from side effects, including muscle stiffness, uncontrollable shaking, tremors, sleepiness and restlessness.
Authors concluded that haloperidol is a potent and effective antipsychotic for treating the symptoms of schizophrenia but has the potential to cause debilitating side effects. People with schizophrenia and psychiatrists may wish to prescribe a newer antipsychotic drug with fewer side effects.
For research that’s VERY strong language. ‘May wish to prescribe a newer antipsychotic’. Indeed. So why is haloperidol still prescribed at all?!
Maybe antipsychotics should never be prescribed without informed consent about the risks? But what happens then to the person who is acutely unwell and a risk to themselves or others. What about a catatonic patient with severe self neglect, filthy, starving, non-verbal, not moving. Do we as a society detain them, detain them without treatment? Or not detain them at all, and if they die, or harm another because they are delusional, we just accept that?
What’s your view
MadeInBedlam?