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11. Medication: a question of choice?
For Tim Newey, being prescribed the right type of medication was the equivalent of a rope being thrown to him in a 'very dark place'. So, he writes, when it comes to quality of care for mental health patients, you get what you pay for
For Tim Newey, being prescribed the right type of medication was the equivalent of a rope being thrown to him in a 'very dark place'. So, he writes, when it comes to quality of care for mental health patients, you get what you pay for

Should we prescribe typical or atypical drugs in the treatment of schizophrenia and related disorders? I hope in the next few lines to clarify the debate over this.

My own experiences of schizophrenia date back to around the turn of the 1990s. This was a very difficult time incurred by the use of cannabis and other factors. These included family pressures and pressures of university, relationships and so on.

There is no doubt to me that I was quite unwell for the first three or four years of the last decade. Some of my symptoms - both positive and negative - were very frightening. Looking back on them, my nature of recovery today is all the greater an achievement given what a mental state I was in. I owe myself - and others - thanks for coming back from this.

I would sometimes feel most uneasy in the simplest of situations. More difficult tasks became almost impossible due to the grip of my psychoses. Something like surviving a simple Underground journey became - to me - close to a true nightmare.

It was quickly apparent to my immediate peers that I needed treatment. The first treatment I was offered was an unusual atypical antipsychotic - sulpiride - that never worked. It is notable that this drug, in fact, consistently worsened my condition no matter how compliant I was.

This set of events continued almost unchecked until my first productive admission in 1993 at the Royal Bethlem Hospital. Here - with horror - I was immediately removed from this treatment and placed on a typical medication that quite evidently changed things very fast. This older style pill began to work where the supposed newer treatment had failed. It was - as I often describe - a rope being thrown to me in a very dark place. I have no doubt it was a turning point in my journey.

However, with the use of occupational and "normal people" therapy there remains conclusive evidence that a very recent couple of atypicals effected the true brilliant light in this journey of constant darkness. Their difference from the very first treatment began to make their mark.

And I sit here today and write with the above lucidity thanks to their research. I could list a very large array of real successes since that moment in 1996. There is no doubt that these achievements have been supported by the backbone of remaining compliant with the real new age order of medication. In fact I am convinced they will completely sustain this.

There are still difficulties regarding my situation and there is often discrimination about mental health issues within the community. It remains often the last taboo of the ignorant. We are unable to take up prejudice against race, background, sexuality. So some small minded individuals remain of the opinion that this is fair game. In fact research would show that it is the most unfounded prejudice of all and absolutely the least fair.

Statutory agencies often remain no better. There is a huge distance between what they claim to offer and what the client actually receives. Time and time again I have myself been made false promises by various parties that insist they are protecting my interests. When all is said and done they are simply protecting what they view as theirs.

Nonetheless it is certain that the basic step of providing a bare minimum of the appropriate choice of tablet has time and time again enabled me to find breaks in these clouds. Often when I have finished a day's work and taken my medication, the positive effect of simply being permitted to do this has, in itself, been of genuine encouragement.

I have brought the debate of atypical versus typical medication to a good number of lecture stands in a good breadth of places. Every time the audience has conceded that the most recently evidenced atypical treatments are the true source of hope within psychosis.

My conclusion is that you get what you pay for. The amount spent on development of the real class choice of "Rolls Royce" atypicals tells. It is without any doubt to me that the handful of these (and you probably can guess them) outweigh perhaps all treatment options within the entire scope of the psychosis debate. This I feel sure is a given.

I want you to sense the hope I feel in my journey now. But I really want you more to feel how it is due to compliance with, and respect for, these atypicals in the way I have written above. It is the undeniable duty of those who hold the power to supply everyone, who is in need of this chance, with this opportunity. So much of my success is tainted with a sorrow for those who are denied this chance. These drugs are, undoubtedly, the only real way forward.


Tim Newey is an actor and artist
 
pH7
Also in this issue:
01. About Lilly

Lilly UK

02. Introductin to Special Focus

pH7 - Special Focus on Schizophrenia

03. Britain: the stressed man of Europe?

Dr Ian Gibson MP analyses theresults of an exclusive pH7 / Harris Poll of Members of Parliament on mental health

04. The great leap forward

The inclusion of mental health in the NHS Plan is a fantastic step forward which will revolutionise how services are delivered, says Louis Appleby

05. Out of sight, out of mind

No-one paid attention to Christopher Clunis until he murdered Jayne Zito's husband. Sally Dawson reports

06. The Cinderella Service

The government is simply failing to deliver on its mental health promises, says Oliver Heald MP, and sufferers remain forgotten

07. Eyes wide shut

When it comes to mental health, people still turn their heads away, says Sandra Gidley MP

08. Rhetoric and reality

People need recognition of their individuality not one-for-all placements, writes Marjorie Wallace

09. Shrink-wrapped services

The image of psychiatry is all too often one of protocol bound inflexibility, writes Dr Martin Deahl

10. Severe mental illness: time for a rethink

We need to challenge ourselves and our approaches if we are to overcome stigma and break down barriers so people can access the best treatment available, writes Cliff Prior

11. Medication: a question of choice?

For Tim Newey, being prescribed the right type of medication was the equivalent of a rope being thrown to him in a 'very dark place'. So, he writes, when it comes to quality of care for mental health patients, you get what you pay for

12. Ending the stigma

If there was no shame attached to a visit to a psychiatrist then people would be more likely to seek help when they need it, writes Lynne Jones MP

13. Re-engaging the world

Sally Dawson reviews A Beautiful Mind

14. Postcards from the front line

Sally Dawson reports how Dr David Pelta and his team have transformed the delivery of community-based mental health services

15. Financing new drugs in the NHS

Dr Roger Bullock shares his experience of the challenge of getting appropriate care to patients

16. Labour mental health policy: coercive or creative?

So often for the mentally ill, second best - it seems - is good enough, says Professor Ray Rowden