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Wish I had some advice for you. Taking/not taking medications was never an option for Miss KT. I do understand what you mean about the neighbors...and the horrible noises coming from your house. Miss KT used to scream that I was killing her, usually when we had the screen door open so everyone could hear her. Risperdal has been very good for Miss KT...no more holes punched in walls, and a lot less screaming.