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November 23, 2005, 7:56 am PST
11/23 Schizophrenia
Quote From: snuanezI just submitted my message on my nephew. I was reading the message board and came across your letter. When I took my nephew to the doctor and then to the mental health clinic when he was diagnosed with schizophrenia, I was told that this mental disorder affects usually bright, intelligent young men and women. For whatever reason they cannot handle the pressure and this is what happens. It is such a shame because most of these young people are so intelligent and have such a bright future ahead of them and then this happens. We are in the same situation with my nephew. He doesn't want to take any medication because he doesn't like the way it makes him feel. He, too, took drugs in college and I asked the doctor if this could be a result of the drugs (mushrooms) and he said no. I worry all the time not knowing what he could do if he has an episode. He has already had several within the last few months where he just goes berserk, talking to himself, waving his arms, trying to climb telephone poles, etc.
As you stated, all we can do is pray for for them. I pray each day for a miracle and I'm not giving up. I am a psychiatric healthcare professions also in Florida and understand your frustration in finding an appropriate treatment facility for Michael. You mentioned that Michael refuses Zyprexa and Geodon. Zyprexa is associated with an average 25 pound weight gain over 1 year and often much, much more, not to mention the risks it poses for diabetes. Geodon is a very activating drug and can cause a patient to feel very anxious and agitated. No wonder he is not interested in continuing these treatments and not interested in the next idea for medication. Unfortunately, "lack of insight" is part of the disease. You are right about the addictive nature of the Xanax. It's a very effective anti-anxiety medication but risky. Perhaps he should try Seroquel. It is an antipsychotic indicated for schizophrenia and bipolar disorder but often used for it's "calming" effects as a substitute for drugs like Xanax in patients with addictions, anxiety disorders, and other psychiatric disorders. Doctors frequently report that patients like their Seroquel and how it makes them feel. The added benefit for Michael would be that if dosed appropriately (at least 600-800mg) Seroquel is an effective antipsychotic and could help improve his psychosis, depression, cognition and even improve his insight so he could move forward with rehabilitation.
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