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From what you describe and the time of onset, it certainly could be a schizophrenic break. If all the people that were using illegal hallucinogenics were refused psychtropic anipsychotic medication, the number of prescriptions would be reduced by millions, He is quite correct that the use of a hallucinogenic is not well advised, but if one follows harm reduction principals he would not be "punished" by refusing to administer antipsychotic medication. All I can say is if that were to be my child I would seek out another psychiatrist as there obviously not a therapeutic relation going on here. i wish you all the best and hopes this clarifies what appropriate treatment is.
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My response disappeared.Never the less your son could be going through a schizophrenic break given his age and the small amount of information provided. He certainly seems to be experiencing an emotional illness despite what the psychiatrist has said. And although he should not be using hallucinogenics as they tend to make things worse, I do not understand the rational of witholding antipsychotic meds because he is doing drugs, otherwise there would be millions who weren t being treat. I, if possible you should hire a psychiatrist for an outside independent opinion. I would also think about changing psychiatrists as there does not seem to be a warm therapeutic relation going on here which is necessary to make progress in treatment. Best wishes and good luck.