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Re: lamictal induced psychosis - psychotic on anti » Jeroen

Posted by Racer on July 20, 2008, at 13:04:44

In reply to lamictal induced psychosis - psychotic on anti, posted by Jeroen on July 19, 2008, at 17:30:44

> psychosis treated with Seroquel, Abilify
> not reversed,
>

I'm not sure what you mean by this? If you mean that you had improvement in your symptoms on Seroquel and Ability, then I strongly suggest you give one or the other a longer trial, perhaps at a higher dosage.

I know far less about psychosis than about depression, but I know that depression is best treated by continuing effective medication for a significant period of time after remission is reached -- and that many antidepressants continue to improve symptoms for the first three months or so. That is, a medication which is partly effective at six weeks, may be even more effective at twelve weeks. It may be that you've stopped medications prematurely, and one of those medications would have provided the relief you're seeking had you stayed on it longer, with or without an increased dose.

Jeroen, I know that you've been suffering a very long time now. I have to agree with some of the other posters here who have noted that focusing on side effects is often counter-productive. If you are looking for side effects, you're almost guaranteed to find them. Similarly, if you are monitoring yourself constantly for any effect whatsoever, you're far less likely to notice genuine improvement, which tends to be gradual. It's like when someone goes on a diet -- it's better to weigh yourself once a week, and note trends in weight, rather than a daily weigh in.

Do you have a therapist or case manager who can help you with ways to cope with the start up phase of a drug trial? Maybe that would help you tolerate the inevitable adjustment phase effects of medications, and thus make it possible for you to give an adequate trial of an adequate dose of a medication.

Best luck to you.


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