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Questions re neuroleptic drugs and other psychotropic medications

Answers from Wendy Lawson and David N. Andrews, APANA's Patron and Chair, appear first. They are followed by the same questions without answers for you to download and fill in if you/the autistic individual in your life have experiences of non-autism-appropriate (especially neuroleptic) prescribed drugs which you would like to share with APANA.

The questions are intended to help convey a clear picture of those experiences. If in doubt go with what suits you best, write as much as you feel like and skip any questions that you don’t feel like answering.

1.Did you have another diagnosis before? - if so, what diagnosis or diagnoses did you have? And how old were you when given that diagnosis or diagnoses? WL: Yes, I did. I was thought to be intellectually disabled and at 17 was diagnosed with Schizophrenia. DNA: There was a query-dx of schizophrenia. It's easier and cheaper to treat, so they tend to save money by wrong diagnosis!

2. What sorts of treatments have you been given? WL: By way of drug treatment I was firstly given Largactil and a variety of anti-depressants. I don't really remember their names. Later I was given Modecote injections every month. DNA: Chlorpromazine and Stelazine... adult dosage for schizophrenia maintenance, without an accurate dx of schizophrenia.

3. When did you receive the various treatments - at what ages? And were you in hospital at the time? In residential care? Or at your own or your natal home? WL: At 17 I was given Largactil and anti-depressants, I was in an institution for the mentally unwell. Around 20-30 I was given modecote and different antidepressants (Melleril?)I spent the day in a day centre, went home at night. I came off meds each time I was pregnant. I went onto Stellazine at forty, came off it finally at 46, then took zoloft. I return to zoloft sometimes. DNA: I was at home, and I would be 13 and 15 at the time.

4. If you were prescribed medications, were you told what they were for? were your family told what they were for? WL: No I don't remember being told exactly what they were for (my nerves). No, nor I nor my family were told about side effects. DNA: None of us were told! had we been, my father would have questioned the schizophrenia "dx"...

5. Were either you or your family told of possible side effects? DNA: No, although I have a text that shows clearly that side-effects were well documented at the time!

6. Were you given a choice about receiving medications? WL: No I was not given a choice about recieving medication. No... no info given, no dx mentioned, and the chlorpromazine (largactil) was given ostensibly to "help with concentration", despite the fact that it is known to fuck your concentration to bits!

7. In your view, did any prescribed medication make you more sociable? If so, what medication? WL: No, none of the meds made me more sociable...actually, they did the opposite. DNA: not at all!!! my mother describes me during that time as being like "a zombie"

8. In your view, did any prescribed medication make you more communicative? If so, what medication? WL: No, they did not make me more communicative either...just more sleepy. DNA: No... see above...

9. In your view, did any prescribed medication make you more creative or imaginative? If so, what medication? WL:No, they did not. DNA: not at all!! desroyed what creativity I had... stopped playing guitar....

10. In your view, did any prescribed medication improve your cognitive abilities? If so, what medication? WL:No they did not.

11. Would you describe the effects of any prescribed medication as helpful? - for you? Or for those around you? WL:Maybe....they enabled me to further rertreat from a confusing and scary world....sleeping lots seemed like a good idea at the time.

12. Did you experience any side-effects? If so, what? WL:Yes, constipation, weight gain, involuntary movements, the shakes, dry mouth, dizziness and tiredness, very difficult to concentrate or think, reactions to sun light, rashes.

13. Are you still suffering from side-effects? If so, after how many years? WL:Yes, I still have some involuntary movements and find concentrating difficult. DNA: with stelazine, serious bone-breaking extrapyramidal effects like having tetanus ALL OVER MY BODY!!!

14. Was the prescriber interested in your views? WL:I don't know...nothing was ever said or discussed about it. DNA: Was he fuck!!!

15. If you raised concerns about any medication did those result in a change in your medication regime WL:I never knew that I could raise concerns....it didn't occur to me and no-one ever asked. DNA: I had no idea what was happening! · decrease, · increase, · addition of another medication or · replacement with another medication?

. If others raised concerns about any medication did those result in a change in your medication regime? If so, was that in the direction of DNA: My mum had them take me off the stelazine.... · decrease, · increase, · addition of another medication or · replacement with another medication?

17. Approximately how often did you experience changes in your medication regime? What proportion of those would you say came about in response to your wishes?

18. Were any prescribed psychotropic medication introduced in gradual steps? If so were the steps separated by days, weeks, or months? DNA: not stepped at all.... straight in with adult doses!

19. If you have stopped taking a medication under medical supervision was this withdrawal carried out through stepped reduction over days, weeks or months? WL:I don't really know how often....changes occurred, but I don't remember them. I did start off on Stellazine gradually, build up to a higher dose and then because of shaking and restlessness the dose was reduced. I have withdrawn my medication by myself. I thought that the doctors might be cross and might discourage me.

If you would like to tell us your own experiences, please download and mail your answers to apana@supanet.com. Please BE AWARE THAT YOUR ANSWERS WILL NOT BE CONFIDENTIAL sent electronically, unless you take steps to ensure confidentiality is preserved. However only APANA will be privy to it, and APANA will maintain confidentiality if it is desired, and will not publish it without your consent. Either anonymously or with attribution, we would like to add your answers to the APANA dossier and put them on our site along with Wendy and David’s answers.

Your stories could be ammunition for our campaign.

1. Did you/the autistic individual in your life have another diagnosis before? - if so, what diagnosis or diagnoses did you/the autistic individual in your life have? And how old were you/the autistic individual in your life when given that diagnosis or diagnoses?

2. What sorts of treatments have you/the autistic individual in your life been given?

3. When did you/the autistic individual in your life receive the various treatments - at what ages? And were you/the autistic individual in your life in hospital at the time? In residential care? Or at you/the autistic individual in your lifer own or you/the autistic individual in your lifer natal home?

4. If you/the autistic individual in your life were prescribed medications, were you/the autistic individual in your life told what they were for? were you/the autistic individual in your lifer family told what they were for?

5. Were either you/the autistic individual in your life or you/the autistic individual in your lifer family told of possible side effects?

6. Were you/the autistic individual in your life given a choice about receiving medications?

7. In your/the autistic individual in your life's view, did any prescribed medication make you/the autistic individual in your life more sociable? If so, what medication?

8. In your/the autistic individual in your life's view, did any prescribed medication make you/the autistic individual in your life more communicative? If so, what medication?

9. In your/the autistic individual in your life's view, did any prescribed medication make you/the autistic individual in your life more creative or imaginative? If so, what medication?

10. In your/the autistic individual in your life's view, did any prescribed medication improve your/the autistic individual in your life's cognitive abilities? If so, what medication?

11. Would you/the autistic individual in your life describe the effects of any prescribed medication as helpful? - for you/the autistic individual in your life? Or for those around you/the autistic individual in your life?

12. Did you/the autistic individual in your life experience any side-effects? If so, what?

13. Are you/the autistic individual in your life still suffering from side-effects? If so, after how many years?

14. Was the prescriber interested in your/the autistic individual in your life's views?

15. If you/the autistic individual in your life raised concerns about any medication did those result in a change in your/the autistic individual in your life's medication regime? If so, was that in the direction of · decrease, · increase, · addition of another medication or · replacement with another medication?

16. If others raised concerns about any medication did those result in a change in your/the autistic individual in your life's medication regime? If so, was that in the direction of · decrease, · increase, · addition of another medication or · replacement with another medication?

17. Approximately how often did you/the autistic individual in your life experience changes in your/the autistic individual in your life's medication regime? What proportion of those would you/the autistic individual in your life say came about in response to your/the autistic individual in your life's wishes?

18. Were any prescribed psychotropic medication introduced in gradual steps? If so were the steps separated by days, weeks, or months?

19. If you/the autistic individual in your life have stopped taking a medication under medical supervision was this withdrawal carried out through stepped reduction over days, weeks or months?

Chair : David N Andrews : http://www.angelfire.com/in/AspergerArtforms/
Patron : Wendy Lawson : http://www.mugsy.org/wendy
c/o 1 Oak Tree House Redington Gardens London NW3 7RY UK