Medications are a great tool for living, and I think, regarding medications, it is important to do two things: a) not reject them entirely, b) not settle into them. By this I mean, you should not insist on ignoring what happens to your brain because of the medications, and you should also not insist that everything is okay because of the medications.
I take Zyprexa, and it helps a great deal. However, when I settle into my medications, I become a complete imbecile. I can barely remember what day of the week it is. I forget to wash my clothes. I go to bed at 9:30 in the evening and wake up at 12 in the afternoon, and then I take an hour nap. It's useless. This is one reason why I insist on being kept at a low dose. On the other hand, when I have in the past rejected my medications, I ended up in the mental hospital.
To deal with schizophrenia, you cannot just take your meds and go about your business. You have to deal both with medications and, occasionally, with symptoms. I think there is a simple reason for this: medications regulate the chemicals in your brain, and that's it. The problem is, delusions aren't chemical imbalances: they're thoughts. If you have the thought, "everyone is out to get me," no medication in the world is going to take that away from you. Consequently, a large number of people continue to have delusions despite the fact that they are on enough medications to kill a horse. On the other hand, I'd be willing to bet that there is a significant number of people who technically have schizophrenia, but they don't settle into delusions, and so the disease doesn't bother them and they don't have to take any medications at all.
I think the bottom line is, diseases, especially mental ones, cannot be cured or controlled by conventional science. The reason is, conventional science labors under a cocktail of delusions that don't really accord with reality. Here are a few of them:
- There is an objective reality which everyone has access to.
- Mental phenomena don't exist until you can observe them.
- Mental phenomena cease to exist when you can no longer observe them.
- The mind is separate from the body and cannot communicate with the body.
Note that for number 4, in my experience, most mental health professionals tend to think that the mind is separate from the brain and the mind cannot communicate even with the brain, which is, of course, completely ridiculous. Many mental health professionals probably won't admit to thinking this, but that is the underlying assumption when they have the thought, "You are not well until you take your medications," or, "You can try cognitive therapy and physical therapy and so forth, but ultimately, you must take your medications before you feel better."
I agree, most people with schizophrenia who are not taking their medications are indeed not well. But the medications have very little to do with that. In my experience delusions are not created by chemical imbalances. Delusions are created by the subconscious mind. In other words, I have experienced episodes of schizophrenia that haven't bothered me at all. The reason is because I withheld creating delusions. The chemicals in my head led me to think, "The world is ending now." But I withheld having the thought, "The world is ending now." I didn't actively refuse to think the thought, I just withheld having it. Because I withheld having it, I did not get upset, I did not go wide-eyed and start shouting at people, and I did not end up in a mental hospital. And so I believe that for anyone who has schizophrenia, it is indeed possible to live a normal life without taking medications. Unfortunately, I cannot recommend trying it: most people, including myself, cannot fully control their subconscious. If we have an itch, we tend to think, "I have an itch." If we can have an itch without thinking "I have an itch," then it may be a good idea to stop taking medications.
I take my medications. This is because, and this is a key point, I respect my medications. They truly have real benefit. It is extremely important for people with schizophrenia and their family and friends to understand that modern psychotropic medications are very helpful. But even if they were not very helpful, it would still be beneficial to respect the medications. For any medication, someone out there had a very good reason to believe that it would be of benefit, or they wouldn't be selling it. They may be relying on the placebo effect, but the fact that the placebo effect exists proves my point. Furthermore, modern psychotropic medications are not placebos: large teams of highly educated scientists spent years of hard work developing them. So if someone tries to get you to take medications, this person is almost certainly trying to help you out. And so, it is good to respect the medications. But medications are not everything.
Consider this. When we were children, our friends told us, "You should really try doing a flip off of the diving board," and we tried it, and it felt good. (For most of us anyway.) Or, we were the path-breakers, and we decided on our own to do a flip off of the diving board, and it felt good, so we told all our friends how cool it is. I don't think many of us would have done the flip, thought it was the greatest thing in the world, and not have told our friends. Well, when dealing with schizophrenia, the same principle applies. Scientists get people to take medications, and if it works, the good feelings of the people who took the medications back them up when they say, "This medication works." If, on the other hand, everybody who took the medications sincerely believed that it did not work, and someone gave you the medications and said, "I sincerely believe this medication will not work," it probably wouldn't work. This is because, for the most part, if someone takes a medication and sincerely believes it didn't work, it is because it didn't work. But on the other hand, if they believe it works, it is because it works. Unfortunately, many people who have schizophrenia or other mental illnesses are surrounded and constantly attacked by demons, and so it is very difficult to get them to believe, "I really think this will help you." The person will simply think it is another demon trying a clever way to attack him or her. For example, I have heard someone with schizophrenia say, "I don't know if medications are placebos or mind control or what," and this was a person who regularly took medications. I have heard another person who sincerely believed that the medications he was taking actually caused the mental illness. This person was taking about 240 milligrams of Geodon, which is a high dosage, and obviously it didn't help at all.
Now consider this: when you expand a liquid, it sucks up heat. And when you contract it, it spits the heat out. Isn't that bizarre? Who would have thought of that? But someone did indeed think of it, and later somebody else invented the refrigerator. My point is: reality is weird. But even our weird experiences are caused by something, though it is impossible to determine exactly what. So what makes medications effective? What makes some people with schizophrenia successful at dealing with their symptoms, while others are not so successful? I say it is the same thing that causes us to do a flip off the diving board, and the same thing which causes water to suck up and spit out heat: a spontaneous occurrence, a culmination of realizations of scientific truths and efforts made by our friends and other people. It is a real, rock-hard experience of our world, including both medications and absence of them. Spontaneous occurrences require more than just some mythical objective reality outside of our minds. If Michael Faraday didn't actually try expanding then contracting a liquid, the refrigerator would never have been invented. Similarly, if people with schizophrenia don't actively try to control their symptoms, medications will do no good and may actually hurt.
I think it really is dangerous to get in a situation where you think drugs are the reason for your well-being, no matter what those drugs are. Even if you're just taking antibiotics. First of all, diseases will come along no matter what drugs you're on, second of all, many diseases will not be cured no matter what you do, and third of all, there are a great many factors which contribute to a disease or lack of one (not just chemicals and drugs), and many of these factors are mental. For example, if you exercise and maintain a happy, healthy state of mind, you are less likely to get diseases, antibiotics or no. Why should schizophrenia be any different?
I know that mental health professionals, in general, wish for the best. But one of the more pernicious attitudes of mental health professionals is arrogance. It is pernicious because they don't even realize they're doing it. They try to convince people, "You have a mental illness and there's nothing you can do about it, and the things you think are false while the things I think are true." It breaks my heart when I see someone say, "Yesterday I time-traveled to combat my evil twin but someone scratched my brain. However, THIS IS JUST MY DELUSION." That person doesn't believe it's just their delusion; they are just sycophantically sucking up to their mental health professionals. So now they have two problems: schizophrenia, and sycophancy. I say, if you honestly believe you can time-travel, more power to you. It's your experience, not mine, so why is it my business?
Solving the problem of symptoms is a spontaneous marriage of all the right elements, which often indeed include medications. It is like solving any problem: you get an "aha" moment, and then you are able to solve the problem. If we can learn to put out the appropriate effort, guided by our experience and mindfulness, we can solve our problems—schizophrenia included. This is how problems are solved. You don't solve problems by just taking medications.
