Posted by undopaminergic on August 7, 2022, at 8:15:21
In reply to Re: This was a mistake » undopaminergic, posted by Jay2112 on August 6, 2022, at 13:26:08
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> > > I think you mentioned you have a schizoid disorder?
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> > I think I have schizoid personality disorder, which got diagnosed as Asperger's. And they say I have schizophrenia but I'm skeptical -- the psychoses I've had have not been very chronic, with or without antipsychotics. I do have persistent negative symptoms, but that could be better explained by the SPD, the depression, and the dissociative disorder.
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> I was diagnosed as being on the ASD spectrum when I was very young, but this was before it was more widely explored these days. I know you said you didn't respond well to Risperdal, as that is often the go-to med for autism.
>I was prescribed Risperdal for a presumed problem with obsessive perfectionism. It was the worst neuroleptic I've tried; it stimulated appetite but the worst thing was that it made me feel weak. However, that was a long time ago (decades) so I would probably not have the same reaction today.
> But, I have a good friend, also autistic, who did not respond to Risperdal. How about Abilify?
>No effect, other than disturbing my accomodation (focussing the eyes) and apparently stimulating salivation.
> It has that D2 partial agonism..which actually turned up my irritability. Any older antipsychotics? Haldol, etc?
>I tried haloperidol for a short time. I did not notice an effect, but the dose was probably low.
> Is your DID really problematic? I know it may seem 'odd' to some, but as long as it's not causing you any distress, do you really have to worry about it?
>The switching is not a problem, as it generally happens less than once a year, and indeed I would like it to happen more often, maybe just to make life more exciting. The dissociation is a problem, however, because it keeps me from recalling important (but undoubtedly unpleasant) memories of traumatic experiences, and it gives me depersonalisation and derealisation, which means my experience of reality is watered down as if in a movie, and I'm emotionally numbed.
> > I guess the schizoid tendency to solitariness is why I haven't tried cannabis. I've not been to many parties where I might have run into it, and I don't have many friends or acquaintance to introduce me to substances.
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> The solitary aspect, for sure...I honestly thought that was part of my autism. My social anxiety, unmedicated, is through the roof!! Growing up, I was as 'square' as they come. I had just one or two friends, and we often sat in our parent's basements, played D&D, drank soda, and ordered out for pizza's. lol.
>My social anxiety used to be pretty bad -- I was extremely shy, but it's been getting better with time, especially after I had my first psychosis.
> > > Benzo's don't usually do anything for those with that type of illness.
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> > Interesting. I've come across a number of schizophrenics who find benzos helpful. Maybe SPD is different in that regard?
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> Again, no hard and fast rules, but I have worked with a lot of kids with SPD, and ASD, and benzo's brought out the worst in many, with their relaxing inhibition. I honestly think it's possibly genetics, and for some AP's calm them, and some benzo's calm.
>Amphetamine-like stimulants (in my case phenylethylamine (PEA) with selegiline) calm me down amazingly, at least if I don't take them chronically. This is one of the things that suggest I have ADHD.
> So, what meds/drugs have helped you best? You mentioned Latuda before. Did that poop out on you?
>Yes, I tried Latuda. It didn't poop out, but in fact I'm not sure it had any effect at all. The most effective drug treatment was a combination of methylphenidate (Concerta) and buprenorphine. Stimulants in general make me feel better, and also help me intellectually (I get a lot more interesting ideas). I've encountered some one hit (or few hits) wonders, including sulpiride (stronger stimulant response than methylphenidate!) and pramipexole (the only relief from anhedonia).
-undopaminergic
poster:undopaminergic
thread:1120203
URL: http://www.dr-bob.org/babble/20220530/msgs/1120250.html