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Notes -
Sticking strictly to the antipsychotics, it's more that the meds help, but can only ease the symptoms and not actually rid most folks entirely of schizophrenia when they take them. If you've watched Reservation Dogs, the character of Maximus is a good example there. He knows he needs his medication when he's on it, and he tries to take it regularly, but he forgets sometimes and starts to spiral until his behavior catches up with him or he recognizes that he needs help. Either way, he gets treatment and can hold down his life again.
When it comes to not even believing that medication is needed, and with the caveat that I'm not a psychiatrist, etc. etc., my impression based on what I've seen is that for the most part is that there's a host of different justifications for that thinking, but the practicalities tend to boil down to a either a lack of insight or awareness that their behavior is even problematic in the first place, and/or an attachment to their particular flavor of schizophrenic ideation. On top of that, the side effects of antipsychotics tend to suck, too. More generally, kinda like how Hassan has the rigid belief that police officers want to have (homosexual) sex with him, in his world the police wanting to have sex with him is the problem, medication's got nothing to do with it! Or in my example above, of course the unaccompanied kids are in danger, there's no adult present to look after them! If the police were doing their jobs, they'd be either looking after the kids themselves, or going after the parents of the kids for not looking after their own!
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