I've a lady who I've been seeing for a few years, she's now in her 70's. She has schizophrenia. She's been well for the most part, not needing either regular or frequent review, so we've kept meeting up haphazardly maybe once a year or so when she or her family or her friends or her GP reckon there's merit in doing so.
Last time we met up was a couple months ago, she was well, but wanted to talk about her medication. She was worried. She used to be on more, when she was a lot younger, did we need to increase it? She was well. She had no major problems with her mood, her motivation, her thinking, her memory, her disposition and personality or of her functioning (being motivated and able to do everything she wished to).
She's always been somewhat anxious, as reflected in her worry that she needed more drugs even though she felt all was well. She's sought reassaurance and not unreasonably so. She's had experiences of prolonged paternalistic health and social care so is accustomed to others taking responsibility and telling her how things are. Decades of this has resulted in a lady who, on talking with health or social care staff, is happy to share her 2p worth but then waits for the doctor to Tell Her How It Is.
Her anxiety has been worse of late. I wonder if her contact with me 2 months ago was because she had an awareness that things were changing and she needed more support. But, being a meek and mild and institutionalised wee thing, didn't have the voice to say so and my prejudice against over use of antipsychotics meant I tackled that issue and surveillance of significant symptomatology suggesting relapse but not her ghost of a notion that things weren't quite right.
Her anxiety means she calls her family for support. This is usually once a day and never through the night. Family are unhappy about this, but not so unhappy that they want to stop her 'phoning so much that they act on this. No, family say "she's a nuisance" and want her "sectioned, or something" to "put her away, for her own good."
For her own good. Methinks not.