BPD+psychosis, asking for advice, meds discourse 

@TheFluffiestLesbian @Gaynebula

I'm not a doctor. I'm a street medic and I studied neuroscience in college. I've also personally used most of the drugs we're talking about. Anyway...

Another reason why I am suspicious about the superiority of 'atypical' neuroleptics is that psychiatrists prefer them and almost always prescribe them, first, to their patients. Typical neuroleptics are reserved for treatment resistant patients.

BPD+psychosis, asking for advice, meds discourse 

@TheFluffiestLesbian @Gaynebula

So you're looking at a non-random selection between the typical and atypical treatment profiles and the patients who are having a Bad Time in treatment are getting shuffled between medications and eventually to the old stuff with a bad reputation which just reinforces those drugs' bad reputations.

BPD+psychosis, asking for advice, meds discourse 

@TheFluffiestLesbian @Gaynebula

Know that some believe the gradual deterioration in symptoms typically observed in the clinical population may be at least partially due to neuroleptic medications' neurotoxicity. Know that while this claim is theoretically strong the evidence needed to actually test it is not currently available. Know that many clinicians believe the claim to be dangerous because it discourages patients from accessing care.

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BPD+psychosis, asking for advice, meds discourse 

@TheFluffiestLesbian @Gaynebula

So that's extremely controversial but what isn't controversial is that psychotic patients in treatment tend to require more aggressive treatment over time. It is common for patients to need to increase their doses over time and it is common for patients to need to try new medications or medication combinations as old treatments stop being effective.

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