While in terms of professional guidelines it would be considered good practice to go through these steps in patients responding poorly or frankly resistant, most are largely empirically derived, and such evidence as there is does not encourage optimism about their overall likelihood of success.

As was noted, the one treatment of established efficacy in resistant schizophrenia is clozapine. (65> While in individual cases impressive benefits may become evident, especially in quality-of-life parameters, improvements attributable to clozapine over standard drugs are far from dramatic. Despite this, clozapine is probably underutilized and should be more readily considered in treatment of resistant cases. (See Chapter6.2..i5 for further discussion of new-generation antipsychotics.)

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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