Mr L. was referred to me after his attending psychiatrist at the Institute of Mental Health went into private practice.
He was a slight, trim man with greying hair and was in his mid-50s when I saw him. He had had schizophrenia for the past 20 years. Going through his voluminous medical records, a pattern emerged. He would become acutely unwell and had to be hospitalised, and then would get better after the reinstatement of his medication. After discharge, he would turn up at the outpatient clinic for a follow-up session, but these visits would soon taper off.