Only with the recommendation of a psychiatrist can a schizophrenic come off their anti-psychotic medication. The psychiatrist assesses the schizophrenic patient’s overall mental, social, occupational and other dynamics to decide if medication should continue or not.
My mom said that if I don’t take my meds then she will take me to the hospital. I HATE the hospital. I have no interest in going back there, so I will just take me meds for now, even though sometimes I think I shouldn’t.
There are three steps in committing a patient (at least in my province).
Any physician can write a Physician’s Emergency Certificate (PEC) which is good for up to 72 hours. The patient will likely be restrained and medication can be given orally, IV or IM. Next the Coroners office sends a psychiatrist. The psychiatrist determines if the patient is a risk to himself, others or is gravely disabled (incapable of caring for himself). If he finds this, he issues a coroner’s emergency certificate. The patient has probably been transferred to an inpatient locked psychiatric ward. The CEC is good for 15 days and then it is bumped to the court level.
There are multiple routes to administer medication. Once the patient is no longer a risk and can take care of himself he is released. At that point he can take or not take his medication. There are patients who bounce in and out of mental hospitals.
These decisions are re-evaluated on a regular basis. The PEC which may have been issued because the patient was high on cocaine may be withdrawn the next day when he is not high. The police are contacted if there was a police hold.
Source(s): My professor, he’s a medicinal chemist.
That’s why I’m on an injection and I prefer the injection since there are fewer to no side effects. I’ve never missed and injection depot since I’ve started.