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I feel like treatment is taking too long

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savavdpeas

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I feel like my treatment with antipsychotics is taking far too long. I've been on 30mg/day of Zyprexa for almost two straight years. Not to mention adding other medicines along the way. Will I ever be normal? And if so, when??
 
fazza

fazza

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Oh sorry to hear this. I have been on all sorts of meds including clozapine. There is no easy answer to this as everyone is different. You just have to hang in there. Hopefully you will find the right combination of drugs that will reduce your symptoms to a level that you can cope with.

Its not an easy fix. If your current meds are not working ask your pdoc for a review. Hope you feel better soon
 
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savavdpeas

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Thanks. I have been feeling closer to realisty. I think the medications make me clsower to reality.
 
NWiddi

NWiddi

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I started out on 20mg of Olanzapine for two years then switched to 30mg of Aripiprazole then onto 6mg of Risperidone, I had the least amount of symptoms when switching the second time so asked my doctor to put me back on 10mg of Aripiprazole and reduce my Risperidone to 4mg, I've been much happier since.

The voice I hear is persistent and won't go away so I'm fully prepared to be on anti-psychotics for the rest of my life.
 
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linus

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Ok, but beside the voice, do you have any other negative or cognitive symptoms?
 
OCDguy

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For me it's all about control, which is often gained through understanding. Once you have control of a situation you have a certain amount of freedom where you can eventually steer free of situations. This may or may not include the quality input and support of others :)
 
NWiddi

NWiddi

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Ok, but beside the voice, do you have any other negative or cognitive symptoms?
I used to get facial twitches in the left corner of my mouth and my eyelids would twitch and that's why I went back on the Aripiprazole aswell as the Risperidone, between the two it reduces my Dopamine levels to as close to zero as possible which was what my voice was using to do the twitches and hurt me. I know it's hard for a non-voice hearer to believe a voice can actually cause physical pain but it is quite common.

So no negative symptoms any more and nothing cognitive as far as I can tell unless you count my explanation of where voices come from which was hard fought for, my voice at every turn tried to hide the truth of his origins. It was only after I started taking anti-psychotics I gained enough insight to study my voice and what he could do to me like a science project and I'm very good at science, I particularly excel in biology and chemistry (top group and top of my class at school) and my physics isn't too shabby either which came in handy for voices aswell.
 
OCDguy

OCDguy

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Does your voice cause you any grief these days :)
 
NWiddi

NWiddi

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Only by what he says. He's constantly begging, whining and ranting about me not talking to him as I've ignored him for just over two and a half years now and he hates being on medication as it takes his power away from him.
 
OCDguy

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Have you ever conversed? I ask as ignoring this voice doesn't seem to be helping either :)
 
NWiddi

NWiddi

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I used to talk to him all the time, it's how I learned so much about him, he'd talk to me and tell me about his life before he decided to come out to me.

Apparently he's had no friends his entire life, my friends voices weren't ever his friends and his family alienated him at an early age aswell, pretty sad really but when he had a chance to talk to me he attacked me mentally and physically and made me his enemy instead of making friends with the only person in the world that could be good for his life.

I'd have been very generous with him when it came to giving him experiences in life, time with the body, money and talking to him often. Unfortunately he's very selfish and won't give me any peace and quiet at all and tries to mess with our body all the time even though he can't do it very much thanks to the medication so I just ignore him until he's ready to negotiate.

Some therapists will help you open a dialogue with your voice, my CBT specialist tried getting him to talk to her through me but he was having none of it at the time.

Find out what they want from you and if it's within reason find out what they'll offer in return.
 
midnightphoenix

midnightphoenix

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I feel like my treatment with antipsychotics is taking far too long. I've been on 30mg/day of Zyprexa for almost two straight years. Not to mention adding other medicines along the way. Will I ever be normal? And if so, when??
idk about normal but i know you are special, like everyone on this forum is :hug:
 
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linus

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What you describe is extrapyramidal effects of SGAs for which you should get Parkinson type of meds.
“Negative Symptoms of Schizophrenia: Things That Might Stop Happening

Negative symptoms refer to an absence or lack of normal mental function involving thinking, behavior, and perception. You might notice:

Lack of pleasure. The person may not seem to enjoy anything anymore. A doctor will call this anhedonia.
Trouble with speech. They might not talk much or show any feelings. Doctors call this alogia.
Flattening: The person with schizophrenia might seem like they have a terrible case of the blahs. When they talk, their voice can sound flat, like they have no emotions. They may not smile normally or show usual facial emotions in response to conversations or things happening around them. A doctor might call this affective flattening.
Withdrawal. This might include no longer making plans with friends or becoming a hermit. Talking to the person can feel like pulling teeth: If you want an answer, you have to really work to pry it out of them. Doctors call this apathy.
Struggling with the basics of daily life. They may stop bathing or taking care of themselves.
No follow-through. People with schizophrenia have trouble staying on schedule or finishing what they start. Sometimes they can't get started at all. A doctor might call this avolition.”

Bringing down dopamine to 0 doesn’t seem like a good idea. Risperidone more than 3mg/day rarely gives good results without unpleasant effects. If you can find ways to cope with the voice and not have other side effects, it might be better on the long term. Do you have special beliefs? Conspiracies, delusional type? (i guess it’s hard to have insight in such case but maybe someone let you know)
 
NWiddi

NWiddi

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I have no sex drive due to the medication if that's what you'd call a negative symptom other than that I seem to suffer no side effects that I can tell without a blood test done telling me how high my prolactin levels are.

Lots of special beliefs regarding the origin and abilities of voices but all my friends and family believe me when I explain it to them and they can even see they have a voice hiding away inside them but they don't talk to them like mine does to me.

No conspiracy theories or delusions as far as I'm aware.
 
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linus

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In my message I quoted exactly what are the negative symptoms, being diagnosed with such mental illness you should educate yourself on this subject. Talk to your pmed to reduce in time the meds to a level you get your sex drive, I think it’s a reasonable request with good benefits for your well-being. As far as these voices, they are your thoughts rendered by your brain in a different way, you’ll find a way to cope with them.
 
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