This chapter provides a brief orientation to the medications most often prescribed to the clients, and an overview of the benefits and drawbacks of their use from a research and clinical psychiatric perspective. It specifically explores the use of long-acting phenothiazines, particularly Prolixin, and lithium. Generally, the use of these meds as a significant part of treatment for those psychotic persons who enter the mainstream treatment system has benefited mental health personnel, patients, their significant others, and society at large. Prolixin elicited mixed feelings, neutral to negative, about self and others identified with the drug. Clients struggled to assess the role of Prolixin in their lives, accepting or rejecting their need for it and weighing its costs and benefits. The resulting complex mix of attitudes, behaviors, and consequences contributes on multiple levels to creating the image of crazy.
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