Why “Just Take Your Meds” Isn’t So Simple: Schizophrenia and the Med Adherence Dilemma

Up to 70% of people with schizophrenia don’t take their medication as prescribed. This nonadherence is tied to higher risks of psychosis, relapse, ongoing symptoms, and even suicide attempts. So why do so many people with schizophrenia struggle to stay on their meds — despite such serious consequences? And what can actually be done about it? In this episode of Inside Schizophrenia, host Rachel Star Withers — who lives with schizophrenia — and co-host Gabe Howard explore the complicated reality behind medication adherence. Rachel shares her own experiences with skipping or stopping meds, shedding light on the emotional and psychological challenges that aren’t often discussed. They’re joined by Dr. Alberto Augsten, a toxicologist and psychopharmacologist who consults with pharmaceutical companies and helps shape best-practice guidelines for psychiatric medications. Dr. Augsten brings expert insight into how treatment can be improved and what steps can be taken to support long-term recovery. Listen now to learn more! Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights. Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters. Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices