Length of time children with schizophrenia need to take medication

  In clinical work, we often encounter parents asking questions like, “Doctor, my child is diagnosed with schizophrenia and is now treated with medication, and the control is still not wrong, is it possible to stop the medication?”  For such a question, while we express our sympathy and concern, we have to explain to parents that the treatment of schizophrenia in children requires a relatively long period of time, usually a number of years, and it is recommended that at least 3-5 years (of course, it varies from person to person), the dosage of medication can be adjusted. The reasons for this are: 1. The prognosis of schizophrenia is age-related, and the younger the age of onset, the less conducive to recovery; 2. Relapse of the disease is closely related to incorrect early medication reduction and discontinuation, amounting to more than 80%; 3. The high incidence of schizophrenia in children and adolescents is between the ages of 9 and 15, which happens to be a critical period of psychological and physical development, and if the disease is poorly controlled, the prognosis is poor later; 4. solely with medication, but rather a comprehensive treatment model that requires a healthy living environment, parental support, psychotherapy, and restoration of social functioning, in addition to the proper use of medication.  Parents may ask, “If you take medication for a long time, it will be harmful to your child’s body, right? This is indeed a problem that should be taken seriously, and the key is to use the medication reasonably and correctly. Regular clinic visits, regular blood tests, liver and kidney functions, electrocardiogram, etc. The recommended time is at least 1~2 times a month in the early stage of treatment, and the stable period can be extended appropriately, which can be discussed with the doctor, and if there is no abnormality, there is usually no need to worry too much. So it is still important to find a doctor who is suitable for you.  Hospitalization is best for the acute phase of childhood schizophrenia because it allows medical staff to monitor the patient 24 hours a day, adjust the treatment plan when appropriate, deal with the symptoms of the acute phase, and avoid the chronicity of the disease, which is beneficial to the prognosis.  The treatment of schizophrenia in children is a time-consuming and laborious process, but there is no shortage of successful cases, and as long as parents and doctors treat it with the right attitude and administer treatment reasonably, there will be many rewards.