Every Saturday and Sunday morning I face a group of 12 to 18 people who have similar diagnoses. I have to spend only 12 hours with them, but what I do works. It turns absolute animals into productive human beings with a chance at happiness and fulfillment.
The Hammer:
10mg Prolixin, 2mg Ativan, 50mg Benadryl—Intramuscular Injection with one 5cc and one 3cc syringe. One shot in each deltoid, or both in the rump with a three-inch needle.
When they become cooperative, I give 300mg Seroquel and 10mg Prolixin, orally.
The above IM cocktail can be used every six hours if needed to subdue hostile mania, aggression, severe paranoia, delusional thought, aural and visual hallucinations, homicidal and suicidal behaviours.
The Therapy:
The Seroquel is three times a day.
The Prolixin is every twelve hours.
The hostility and paranoia should dissipate within three days. When this occurs, stop the injections. Tweak with oral psychotropics as needed according to physician’s advice.
Over the next 12 month period, the patient, now in intense counseling, should be guided toward more passive, effective therapies such as yoga and meditation and taught a variety of new coping skills. If these seem to have a positive effect, carefully wean the patient off the meds under intense monitoring. success depends on the patient’s will to get better and compliance. Most patients give up and go with the phamaceuticals or just find the phamaceuticals more effective. Getting well is hard work.
That should do it.
In other words, this person might need to come under a good doctor’s care in order to live a full productive life.