[lsj0627]

It's understandable, as talk therapy is basically useless against untreated Schizophrenia. Unlike other mental illnesses, a tether to reality has to be created first - and that can only be done chemically/biologically through medication.

Psychotherapy requires a relationship; relationships are built on trust. The psychologist simply cannot complete against the will of the patient's reality (their untreated persona/thoughts). Not even their loved ones can, and doctors are complete strangers (and when it comes to those whose symptoms include paranoia, doctors are in fact the enemy). It's a fool's errand until an effective medication regimen is underway.

[2snakes]

It is worth noting that the tether to reality is consensus-based, and that noone really knows why the drugs work. For example, consider philosophical idealism as compared to philosophical dualism or materialism. Besides materialism the other two frameworks have a long and respected history. One could say the medication is a transpersonal mental process as seen from across a dissociative boundary. So reality should really be in quotes.