Millions of people believe that psychiatric medications have saved their lives, while millions of others report that their psychiatric medications were unhelpful or made things worse. All this can result in mutual disrespect for different choices. I can think of no better antidote for this polarization than the recently revised, second edition Harm Reduction Guide to Coming Off Psychiatric Drugs. This 52-page guide, published by the Icarus Project and Freedom Center, is now available free online in English as well as in Spanish, German, and Greek.
Harm reduction is pragmatic and recognizes that there is no single solution for every person. Instead, as the guide states, “Harm reduction accepts where people are at and educates them to make informed choices and calculated trade-offs that reduce risk and increase wellness.” Harm reduction is about providing information, options, resources and support so that people can make choices that fit their situation and who they are.
I wish the Harm Reduction Guide to Coming Off Psychiatric Drugs had been in existence for my entire career as a clinical psychologist. It would have been especially helpful for one particular couple whom I saw several years ago for marital counseling. Cathy and Jim (not their real names) met during their psychiatric hospitalization, both having been diagnosed with serious psychiatric illnesses. After their hospitalization, they dated, moved in together, and married.
Cathy told me, “Jim is an intellectual, smarter than anyone I have ever met in my life,” to which Jim blushed and responded, “Bruce, sometimes it’s good to have a wife who is a little delusional.” Jim then told me that “Cathy is the most beautiful woman in the world,” to which Cathy laughed and said, “Sometimes I worry that Jim is hallucinating about another woman.”
After a year of marriage, their marital bliss began to erode over the issue of psychiatric medications. One day, Jim quit taking his antipsychotic Zyprexa. Cathy, who continued to take her antipsychotic Risperdal, was worried that Jim, without Zyprexa, would become agitated, do something “crazy,” and would be forced to return to the hospital. Jim said, “Even if Cathy is right that I am increasing my chances of going nuts again — and I don’t know that she is right here — the reality is that with Zyprexa I can’t take a decent crap and I can’t concentrate when I read, and books — besides Cathy — are the most important thing in the world to me.” And then Jim added that he was worried about the short-term and long-term adverse effects of Risperdal on Cathy, and that he wished she would stop taking it.
Ultimately, and quite beautifully, both Cathy and Jim came to see that risk in life was unavoidable, and they learned to respect each other’s choices and risks with respect to psychiatric medications. Both would have appreciated the Harm Reduction Guide to Coming Off Psychiatric Drugs, which is all about informed choice that allows one to take the risks that make most sense given one’s situation.
Read the rest in Bruce’s latest Huffington Post entry…