Impact of childhood trauma on antipsychotic effectiveness in schizophrenia

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Interesting. Childhood trauma leads to a delayed response.

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It also makes a lot of sense. If someone has childhood trauma, they are likely to have PTSD symptoms, and those aren’t treated with antipsychotics. So even if the AP was able to treat the psychosis, it wouldn’t have any impact on the PTSD, and as many of us know, the PTSD can influence every other aspect of mental health.

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I wonder if studies like this will make it easier for our UK friends to get access to therapy as part of their treatment. Now that there is evidence to back up what we mostly know (therapy alongside medication helps most of us way more)

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For it to work you have to have therapists that aren’t total f*****g idiots with the IQ of a houseplant. I wanted help to cope better with things as result of severe verbal bullying in my teens. Instead I got a pig ignorant twat that did the ‘If you want to be a good person…’ routine. Having said that it’s a damned site worse for mainly traumatised women who get dxed with BPD and are treated as though they are bad people.

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@firemonkey, your phrasing of this (“For it to work you have to have therapists that aren’t total f*****g idiots with the IQ of a houseplant.”)…made me laugh. I have thought that, but never expressed it this way. Thanks for the interesting article. I wondered why, but @Ninjastar gives a pretty logical explanation.

Hopefully this study will lead to therapists being more trauma informed, also. I think that, currently, one of the criteria for BPD is “Does not improve with medication” and it gets used as a way to scapegoat patients who don’t respond to treatment. The newer generation of therapists are really trying to get away from the “I’m a medical professional so the sun shines out my behind and everything I say is ironclad fact” and more into “Let’s focus on the treatment that best helps the root causes of these observable symptoms” but they run into roadblocks because specific treatment is only covered for specific diagnoses.

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I actually saw the psychiatry landscape shift in this, though as slow as a turtle would reach a pond.

But if I look back to ten years ago versus now… I see a difference in being trauma-informed. In the past they would call me crazy if I dared say trauma is important in patients with psychosis and therapy needed. Now they actually admit it, which is a big step forward. Even if they are still totally clueless as to how to treat it.

The “sun shines out of my behind”-trouble is still not changing much here though… you have to be lucky to find someone who understands they are actually human beings too, and not gods.

That could explain a few things.

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Please don’t insult the house plants. They might not know much but they give us oxygen and comfort our eyes. And they don’t judge us.

On a more serious note, yeah I’ve heard a few members here talk about ptsd and they don’t seem to be faring so well, despite being med compliant. Upon thorough analysis I realized I too have been traumatized in the past, although not on purpose and never to the point of causing a breakdown immediately. But the consequences might’ve shown up much later.

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ptsd can be treated with antipsychotics sometimes

I believe it. Certain things that happened to me have led me not to trust people, which gives rise to a host of my delusions