However, many practitioners continue to believe that the content of psychotic symptoms should be ignored and that any psychological work or engagement attempted with psychotic symptoms is liable to lead to increased distress and exacerbation of symptoms, as a result of having opened up disturbing areas. This perspective has meant that people with schizophrenia have had few opportunities to explore and understand these distressing and debilitating symptoms. They have also not been encouraged to use their own internal resources to manage their distressing symptoms and even test out the validity of their beliefs because it has not been believed that this could help. Physicians thus have had no alternative but to progressively increase antipsychotic medication. This might have some additional effects but often simply leads to further distress from side effects, especially akathisia (so-called restless legs), and disability through other side effects (sedation, tremor, weight gain, impaired concentration and memory).
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