My wife age is 38, she is suffering from schizophrenia last four years but she does not take medication, she don't think that she is ill if we say that she is ill she become very aggressive what should we do? Please advice.

Dr. Saul PereiraPsychologist46yrs exp

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She must somehow have the medication, if it has been prescribed. Some of the patients can be difficult about taking medication for fear of some unfounded reasons: the dull feeling, the weight gain, the low energy, etc., which are some of the drug reactions. There are medicines to counter these drug effects and if she is convinced she may cooperate. If you can talk and reason out the facts with her then she might be convinced more readily. If not she can be taken back to the doctor who diagnosed her and let him do the explaining. The other alternative is to talk to her doctor and see if s/he is willing to give some medication which can be slipped into her food or drink without her knowledge. In the worst case scenario she can be told that she will be admitted into the hospital or institution, if she does not cooperate. But you must be very careful that she does not do something drastic out of the fear of force being used. So you will need to monitor her 24 hours for her safety. There are also long-acting injections for schizophrenia, which may be administered too but in the guise of treating some other problem. Do consult her doctor to see if s/he has any other ingenious approach. 

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