Hey invegatorture, how did you get off the CTO in 6 months as their saying it’ll be 12 months for me, glad you’re doing well man!
Thankyou mate.
My advice to get off the CTO is to go along with it and give them zero reasons to keep you on it.
I don't know where you are located, but in England they review your CTO after 6 months.
A person is more likely to remain on a CTO if clinicians believe they will stop taking medication once discharged, have a history of non-compliance with treatment, are at high risk of relapse, or may pose a risk to themselves or other people.
I played the game.
This is what I did:
- I did not refuse any injections.
- I stated I am grateful the medication worked to manage my psychosis.
- I did not constantly complain about side effects.
- I stated I believe the benefits of the medication out weigh the negatives that come with side effects.
- I showed the psychiatrist respect and gave him the impression I believed everything he said.
- I never let the psychiatrist know my opinions on forced medication and medication in general were different to his.
- I would talk about plans for the future that included medication, I specifically asked about what my maintenance dose would be when I reach greater stability.
- I specifically stated I plan to stay on medication for as long as recommended because I never wanted to become unwell again.
- I never argued with him.
- I stayed obedient and did everything they told me to do.
- I did not miss any meetings.
- I did not give them any reason to believe I would relapse again and that I was taking recovery seriously.
- Never talked about suicidality.
- I talked about how I noticed myself improving in terms of mental health and my daily life.
- I stayed well groomed and kept good hygiene.
- I created an illusion I was functioning well even though I was not.
- I never pushed for a lower dose. Instead I only asked if it was worth going to a lower dose to reduce side effects.
- I never asked about how long my CTO could last, I gave the impression I was completely content while on it and it made no difference to me whether it ends or not.
- I stated I prefered injections to oral meds because it was more convenient. (To reinforce the impression of being content on the CTO).
- I never asked for a tribunal or contested the CTO.
My psychiatrist took me off the CTO after just 6 months, even though I had been diagnosed with schizoaffective disorder, had a history on medication non-compliance and this was my second CTO. He told me he did not have enough reason to keep me on it. He asked me if I would take my next injection once the CTO ended, I answered "yes". I never took it. Once I was free, they had no power to force me to take anymore.
A friend of mine I met in hospital gave me some very valuable advice for when you are locked in a ward or being forced to take medications you don't want. He told me you must "lie and comply".
This was my strategy to get off it as soon as possible.
I could potentially have switched to oral medication, but they told me for the first 3-4 weeks they would have a nurse come to my house to watch me take it. There was also the possibility for regular blood tests to measure levels of the drug in my body. For me personally it was not worth the stress or hassle, and I did not want them thinking I may want to switch to orals to be non-compliant.
However if you want to switch to orals, this can be used as a reason for them to no longer enforce the CTO as well. As CTOs are typically for injections, not pills. This happened during my first treatment order, so this is also a way of getting off it. Maybe work towards this if you know the CTO will certainly last more than 6 months. I believe injections are harder to recover from than pills. Reasons you can use for wanting to switch to oral meds is fear of needles, pain at the injection site, the desire to have more independance/responsibility over your treatment and wanting too feel more normal as injections can be seen as socially taboo with a stronger stigma attached to them compared to pills.
A CTO can last many years. Hopefully you don't experience more than 12 months of this. If you don't give them any problems I would say it's unlikely and it may even be cut short.
I know this reply was long but I did not want to leave anything out. Getting off a CTO is not easy and you should be aware of what is going on.
Good luck and keep your head up, this won't be forever.