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Schizophrenia and movement disorders

Mental Health | Last Active: Oct 6, 2022 | Replies (20)

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@lisaben

Hi John,
Thank you for replying so quickly. I have joined NAMI and went to Family to Family about 7 years ago. Then I became a facilitator through Indianapolis but the group I joined was not recognized for some reason and it got political. We have not met since Covid.
I am so happy that your son was able to find his way. Thankfully for my son, he has tremendous family support and a lot of love. Without his brothers, this once popular athlete would have no friends. They all abandoned him in high school bc of his behavior.
Unfortunately, the negative symptoms are most prominent in my son, and his illogical thinking keeps him from sustaining a job. Now with his mannerisms increasing, he is getting stranger. I wonder if the mannerisms are precipitated by boredom? It’s so hard to see him circling the house every day with nothing to do. I try to take him places and he likes to go out with his brothers.
Honestly, we have yet to find a doctor that really cares. The U of Chicago doctor did not warn me about how much clozaril we would have to achieve for therapeutic effect. He landed in the hospital after trying to kill my husband. U of C has no inpatient for mental illness, so he spent 7 weeks at Regional. His doctor never followed up. We moved to St. Catherine hospital with a doctor he likes who did both in and outpatient, but he rarely kept appointments being stretched so thin. He was fired. Now we have a nurse practitioner and I find myself checking his clozapine levels through my chart. I am his advocate. By law, blood tests must be taken but the doctors are too busy to check if the levels are too high or too low. A month ago, after adding another med, his levels were double the highest range. I alerted the doctor. Shouldn’t this be the other way around? I seek better care for him. I know he could be on a better place for his normal. I just can’t find a doctor with the experience, time and concern for him. If you know of anyone, I am all ears.

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Replies to "Hi John, Thank you for replying so quickly. I have joined NAMI and went to Family..."

Our son is in the Mayo Clinic system but I'm not sure who his doctor is currently. When he was a teenager he had to have the regular blood tests also and I think he was on clozapine but I'm not sure. His meds have changed several times since the early years. He's now taking olanzapine and citalopram which can have a drug interaction rare side effect of increasing the heart rhythm but fortunately it hasn't been a side effect for him. I do think it's important for your son to have a doctor that he likes and can communicate with. I don't believe his current medications require blood testing. I think the medications have gotten better since our son was diagnosed so it might be worth checking with his doctor if you think the meds aren't helping. A few times early in his diagnosis our son had stopped taking his meds and had a setback. Now he's really good at taking his meds and keeping a regular schedule.

I don't know if it's helpful for you but I did see an article on clozapine versus olanzapine that explains the difference and how it works. Also, included an article on another promising medication.
-- Clozapine versus olanzapine for people with schizophrenia:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517029/
-- Promising New Medications for Schizophrenia: https://www.treatmentadvocacycenter.org/fixing-the-system/features-and-news/4263-research-weekly-new-medication-schizophrenia

Mayo Clinic has some good doctors in their Psychiatry and Psychology department if that is an option - https://www.mayoclinic.org/departments-centers/psychiatry/doctors.

Do you think your local NAMI office might have some recommendations for a doctor?