Psychiatrist Questions Psychiatrist

Antipsychotic?

At 44 I developed depression which led to paranoia. The doctor tried several antidepressants and I lasted on Wellbutrin for a while. After years the paranoia became severe. I started an antipsychotic (Latuda) and within a few weeks developed severe akathisia. It was not caught for months and was so severe and lasted so long after withdrawal that the NP who prescribed and a Neurologist said I should never take another antipsychotic. My son just developed schizophrenia. He’s on meds and so far clozapine is the only med working for him. My fear now is, I have to go through menopause and am afraid of recurring paranoia and possibly full-blown schizophrenia with less estrogen. (My son's is very severe). What does someone do if they can’t take an antipsychotic?

48 years old
Complaint duration: Yr
Medications: Antipsychotic
Conditions: Paranoia

6 Answers

There are different types of antipsychotics available. Please discuss this with your neurologist and psychiatrist to have them help you get the correct medication.
I am sorry to hear about your ordeal. I would highly recommend a good psychologist who specializes in treating schizophrenia and depression. It can teach you to manage and develop insights.



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See this link...
https://www.mind.org.uk/information-support/drugs-and-treatments/antipsychotics/alternatives-to-antipsychotics/
or
https://www.theguardian.com/science/blog/2014/mar/07/treat-schizophrenia-antipsychotics-drugs-cognitive-therapy
or
https://www.alternativetomeds.com/blog/antipsychotic-alternatives/
I'm not sure you would want to hear my response. You might find it too controversial. This involves facing harmful treatment and messages from parents (who were children too). I would seriously review the early events of my childhood to identify the source of my paranoia. I would then tease these false messages apart and operate from the position that my paranoia is based upon unresolved trauma. I would face my fears head on and prove to myself that they once happened, but they happen no longer. I would attempt to resolve that trauma, as you are no longer a vulnerable child. Further, I would work to develop the ability to identify the difference between beliefs and facts. It is my opinion that paranoia and schizophrenia are not inborn. Paranoia comes from sudden, unexpected trauma, and schizophrenia comes from intolerable mixed messages. You need to sort out truth from fiction, and you need to get out repressed feelings about how you were treated. This could include screaming and crying, perhaps into a pillow. There are therapists who can help you with this.

Dr. Faye
Hello Madam, 

I sympathize with your concerns. Unfortunately, I am not a psychiatrist, nor in state of Florida are psychologists allowed to venture opinions on medication related issues. I would suggest you contact your primary care physician or a doctor who has specialty in Integrative Medicine. And, of course, contact the prescribing physicians including the Neurologists. 
Take care and remain safe. 

Dr. Lata Sonpal
What a terrible dilemma. As a psychologist, I am not well-versed on medications - you should consult a psychiatrist with experience in medication for psychosis and schizophrenia. It may be that a different class of drugs is available that will be possible for you. Also, expertise. Women’s Health would be useful. In many medical fields, there have been new findings - I hope there is a good solution for you. You are obviously an intelligent and thoughtful person. Find someone who is committed to finding a useful answer for you.

Peace,

Dr. Marian Shapiro