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Schizophrenia

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A Caregiverís Dilemma: Staying on the Meds

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One of the most frustrating and difficult tasks for a caregiver of someone with schizophrenia is to help make sure that the medications prescribed by the physician are taken according to directions or sometimes even taken at all. Donít be surprised if they completely refuse to do so, and there are, according to experienced family caregivers, several reasons why a loved one would be so resistant: a) they may lack the needed understanding and insight into their illness; b) they may not believe that they are ill, so medication is unnecessary; c) some may believe that the medication is whatís causing their illness; d) if your loved one is experiencing paranoia, they may think the medication is part of a plot to keep them from functioning; e) they may be having unpleasant side effects as a result of the medication, and think that they feel better when they arenít taking anything; f) they may have to follow a very complicated medication regimen that involves taking several pills a day, and it may be too confusing to stick with it; g) your loved one may begin to feel so good that they begin to forget to take their medication, or think that itís not necessary any more; h) a loved one may even welcome the return of certain symptoms, like voices that say nice things, making them feel comforted and special, giving them incentive not to take their medication.

For obvious reasons, your loved one needs to take their medication as prescribed. When dealing with the initial dose of medication, it must be continuously monitored, so listen closely to your loved oneís complaints about any possible side effects. Do your best to empathize with any problems they may be experiencing from the medications. Keep-in-mind that "bad" symptoms (hallucinations, voices, delusions) will not reappear immediately if a loved one should go off of their medication. Anti-psychotic drugs stay in the system between six weeks to three months. You do have some time to deal with the problem before their extreme symptoms return, however, after the three month mark, getting them back on a maintenance dosage may mean "starting over" at a higher maintenance level than before. When a loved one balks at taking their medicine, explain to them that they may end up back in the hospital if the medication is not taken (this should not be a threat). Donít be surprised if they donít accept this warning, or if they actually want to return to the hospital. One thing that might help is if other people in your family are on medication, you can make taking pills a positive, group event. Everyone takes their medication at the same time (even if itís a vitamin pill). This will encourage your loved one to take their medicine regularly, and they wonít necessarily assume that they are being monitored if everyone else has to take their medication as well. If your loved one must take several pills, it can make the process much more difficult. Find out from their doctor if there is a simpler form in which your loved one can receive all their medications.

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