Personal Views

Both sides of the coin

BMJ 1996; 312 doi: (Published 13 April 1996) Cite this as: BMJ 1996;312:982
  1. Fran Reichenberg

    The telephone rang and the person on the other end asked if I remembered her—she was in town and thought that she would get in touch. Things were going well; she'd recently completed her training and graduated, and was taking a few months off to plan her next step.

    I remembered her well. I had taken over her care shortly after her discharge from hospital, where she'd been treated for schizophrenia.

    The girl I had met was stiff, distrustful, and emotionally distant. It was difficult to achieve a rapport or to really know what she was thinking and feeling inside. She and her family had found it difficult to accept the diagnosis or the need for treatment, although she had reluctantly complied when a medication was found that did not cause unpleasant stiffness and akathisia.

    To the team's concern, she had made it clear that she intended to resume her studies as soon as possible, and arranged this with her college …

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