I am a nurse that has worked with the mentally ill for many years and there are a lot of these individuals that refuse help or do not take the medications that help control these psychotic episodes. Was the kid on medication and if he was, had he been taking it? Some of the medication have to taken for a substance amount of time before the desired effect occurs. If there was a substance abuse problem in the family, did the kid have any at all to take? Some of the psychiatric medication are desirable o drug dependent personality.
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