Systemic gaps in antipsychotic treatment for schizophrenia demand holistic, patient-centered reform
Original framing: “[Comment] Antipsychotic medicines for schizophrenia: time to move forward” — The Lancet
In many cultures, mental health is understood as a communal and spiritual matter rather than an individual medical condition. This perspective challenges the dominant Western model and suggests the value of integrating diverse healing practices into mental health care systems.
The current reliance on antipsychotic medications for schizophrenia reflects a biomedical paradigm shaped by pharmaceutical interests and limited by structural inequalities.
By integrating patient-centered care, community-based services, and cross-cultural healing practices, we can move toward a more holistic and equitable mental health system. Historical patterns of medicalization and exclusion must be addressed through reform in clinical research and policy. Indigenous knowledge and artistic-spiritual approaches offer valuable insights into alternative models of care that prioritize well-being over mere symptom management. A future-oriented mental health system must be built on inclusive, evidence-based, and culturally responsive foundations.