Posted by SLS on November 2, 2015, at 15:38:22
In reply to Re: Nardil, posted by Lamdage22 on November 2, 2015, at 14:54:56
> We can agree on "a bipolar component".
>
> The real question is what is the best treatment for me taking potential and actual side effects into account.The short answer is that I don't know. The long answer is that I don't know.
:-(
At baseline (untreated), how would you describe your schizoid symptoms? To what degree do you become psychotic, and what do you experience? For example, do you have auditory hallucinations (hearing voices) or visual hallucinations (seeing people or things that are not there)? Some people have themes to their schizoid psychoses. For instance, believing that there are always intruders in the house would be a theme. Others are visited by spirits that help them predict the future. Some are scared that the world is filled with powerful witches.
It has been my observation of a few people with schizoaffective disorder that mania precedes psychosis, which is then followed by depression. I don't know that this is necessarily universal or described in the literature, but it makes sense to me. Here, if you can prevent triggering the mania, you will also help prevent schizoid psychosis, and, hopefully a severe depression. I have seen the appearance of anxiety lead to mania. One woman was actually able to prevent her schizoaffective cycling by taking Xanax when the anxiety first appeared. This is only one person, of course.
I think the place to start with you is to determine the severity of your depression and make decisions at to whether an antidepressant should be used in addition to antipsychotics. A friend of mine is doing extrememly well on a combination Wellbutrin, Navane, and Saphris. Adding the Saphris actually had an energizing antidepressant effect. She is now in college and working. She is a true success story.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1083826
URL: http://www.dr-bob.org/babble/20150929/msgs/1083849.html