hiddenowl9 said:So, he saw a doctor at the very beginning ten years ago when the medication was first prescribed, which is when the persecutory thoughts and hallucinations were happening. Now, his parents just visit the psychiatrist occasionally to give updates on how things are going. It's true that all those earlier symptoms are gone; now, he just seems withdrawn and uninterested.
That withdrawal and lack of interest sound like the emotional blunting caused by taking Haldol, which you mentioned they might be giving him behind his back. Giving Haldol without consulting a doctor—and even worse, without the patient being part of that conversation—is incredibly dangerous. Seriously...
Psychotic episodes often relapse, and there is a high probability they will follow a cyclical pattern (like once a year, or every two years, etc.).
The patient needs regular check-ups and must attend all scheduled appointments with their physician.
When dealing with psychosis, personality disorders, or schizophrenia, the real struggle isn't necessarily finding the right long-term treatment; it’s the family battle to get them to actually see a psychiatrist.
They usually respond either with aggression or through manipulation. That is the hardest part.
I wouldn't recommend sneaking medication to anyone, especially not Haldol. That's meant for the initial two weeks following a psychotic episode, and even then, it should be paired with something like Akineton to offset the side effects.
For milder relapses, gentler antipsychotics are needed, with the dosage gradually tapered down.
I think your friend is being treated dangerously and incorrectly, primarily because the approach toward him is wrong from the start.
I've dealt with this personally with an extremely intelligent psychotic individual who spent eight years convincing everyone in the family of his delusions—delusions that were crafted so intelligently they seemed almost plausible.
Sometimes you just have to push through the conflict entirely, even if it means resorting to physical restraint or tying someone to a bed. It sounds awful, but sometimes you need the courage to be harsh...
People can be so easily manipulated, especially parents. Instead of taking charge, grabbing him, putting him in the car, and driving straight to the doctor, they take the path of least resistance and just sweep everything under the rug...