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Posts by Kevin Nguyen3

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Psychotropic medication discussion thread in Psychology & Therapy ·
Melissa Sanchez59 said:Tiny little thing, definitely under 110 lbs😬

But honestly, I handled everything else pretty well after those initial side effects passed... One time I took 45 mg of Calixte (the standard dose back then), 2 mg of Misara (same thing), and 15 mg of Sanval, and I could barely even fall asleep. My mind was just racing everywhere.

Body weight really doesn't dictate how the therapy works.
Especially when you're dealing with antipsychotics.
Certain medications—like Torendo Q-tabs, for example—might be prescribed based on weight, sure.
But how your body actually tolerates a drug? That’s caused by a massive cocktail of factors: what you eat, your stress levels, how much sleep you get, your environment, physical activity, and so on.

So, what does that mean? It means your scale reading and your razor blade, or my own 180-pound frame and a razor blade, could react to a specific medication in the exact same way. It all comes down to which disorder we're talking about; we might see a typical response to the drug, or perhaps an atypical one.
Schizophrenia - General Discussion in Psychology & Therapy ·
Arthur Scott5 said:There is something I really shouldn't be sharing, but I suppose I have to. About a week ago, while I was still inpatient at the hospital, I developed this intense, irrational craving to eat raw organs. The doctor was actually encouraging my nutrition, telling me to eat up, but once we finally stepped outside for some fresh air and a walk, things took a turn. I was just sitting there in the courtyard when a Twitter bird flew too close, and before I knew it, I lunged. I actually managed to catch it, though unfortunately, I ended up eating it. Of course, the doctors rushed over immediately to calm me down and they had to take me back inside the facility. Now, they've put me on a new medication, and I must say, it makes me incredibly drowsy; everything feels quite slow and heavy. I felt the need to share this with everyone here because, frankly, I have no one else to talk to. It seems everyone looks at me like I'm some kind of serial killer, but I assure you, I am just an ordinary man—perhaps just slightly different from the rest of you.🙂

Jesus Christ, superstar.😲
While you are in the hospital, the treatment will be more intense than usual because you are under supervision... hopefully, anyway, you should be.
Until things settle down a bit, you're dealing with a bad episode until you hit rock bottom.
Regardless of how unsettling it sounds for a Small town in the Midwest 😍 it is a standard consequence of the disorder.
Things will stabilize very soon and return to some sort of normalcy, and then you can go home.
I cannot quite grasp how you allowed yourself to end up in such a situation?
Stick to the therapy, and you will also have to attend those regular "workshops"—the check-ups—at the hospital where you are currently staying, and all of that combined should produce results.
Yes, once the illness retreats to those "hidden places within the body"... you aren't any different from the rest of us.😉
Psychotropic medication discussion thread in Psychology & Therapy ·
Melissa Sanchez59 said:I’m not really looking for any fixes here—just kind of venting a little bit 😁

I don't have a doctor at the moment, which is causing me some pretty big headaches, I guess.

Listen.
Just split one of those 25 mg tablets in half.
Have you tried that yet?
There is absolutely no risk involved, and honestly, it might actually work—(ugh, I hate using that word) quite well.
Psychotropic medication discussion thread in Psychology & Therapy ·
Melissa Sanchez59 said:I think you misunderstood me—not really. Of course I get up and go to work, but the issue isn't just that I'm sleepy. It's more like I'm completely slowed down and my brain feels totally blunt. I just can't think. I don't know how to put it, everything is just... foggy? I can barely make even the simplest logical connections...

So, if I see that I won't be able to get enough sleep, I'd rather just nap for a couple of hours on something milder, then just power through the next day with coffee to stay somewhat functional. Because, honestly, I'm just sleep-deprived. What I'm talking about isn't just being tired—it's much worse than that.

I get up at 6:30 AM. If I want to try and sleep, I have to take an AP by 8:30. By 9:00, I'm already feeling totally drugged, and by 10:00 at the latest, I've passed out. So, you can probably imagine that sometimes I just have way too much going on and I can't exactly afford to sleep that much every single day.

Oh, absolutely—it's not as simple as just taking a pill and calling it a day. I struggle with this too sometimes; like, if I wanted to go to a concert or something, I know I couldn't take my medication afterward because I wouldn't be able to wake up in the morning. So instead, I just stay up all night reading.
And then I just make my own life miserable the next day.
The only way out is to take a smaller dose of that Associated Press you're using... I can't recall the exact name right now...
The caffeine will kill you😁, well, not literally, but the coffee can spike your anxiety, and then everything just goes to hell.
Psychotropic medication discussion thread in Psychology & Therapy ·
restlesstrucker15 said:I thought I should share this experience as well. For years, I have been struggling with panic attacks and anxiety-depression. My panic attacks were more or less managed through my antidepressants—everything was fine, except for those occasional crises where I’d feel more anxious, though the depression itself was almost non-existent. I attend regular psychotherapy and work on myself as much as I can, but there always remained this lingering sense of anxiety that was incredibly difficult to shake. Usually, I don't touch Xanax; I only take it very rarely when a panic attack hits me particularly hard.

Then, due to a completely unrelated issue of a neurological nature, I was prescribed Lyrica. Since I started taking it, there hasn't been even a trace of anxiety left, and unlike other anxiolytics, I don't feel that heavy sense of sedation after taking it. My psychiatrist mentioned that it's a newer medication approved for generalized anxiety disorder, and it's also used for epilepsy and neuropathy because of its analgesic effects. It seems far superior to Xanax because it doesn't lead to dependency, though you have to take it for a week or two before you feel the effect since it isn't instantaneous. For me, this was the missing link in my antidepressant regimen. I actually take a very low dose, just 50 mg, even though the instructions suggest at least 150 mg. As for side effects, I've noticed a decreased libido (which might pass, similar to what happened with my AD), and it does give me energy, though I don't feel "wired"—likely because my dosage is quite low. I figured I'd share this since people don't talk about it enough.

Just a heads-up: it isn't covered by Medicare. You can get coverage, but only if you are being treated for epilepsy, even though the drug is officially approved for the conditions I described.

Lyrica isn't exactly ancient history—it came out around 2007, if I recall correctly—but its primary specialty is actually treating temporal lobe epilepsy.
So, you were prescribed Lyrica to supplement your current treatment plan, right?
As for the drop in libido or just a general shift in how you feel sexually... well, that’s one of the uglier side effects of this medication. Honestly, I have my doubts about whether that will ever level out over time.
The reason you aren't feeling that crushing weight of anxiety is because the Lyrica is doing its job for your Generalized Anxiety Disorder.
You're on what seems to be a very low dose, which is fine. The most important thing is that it's actually working for you.😉
Psychotropic medication discussion thread in Psychology & Therapy ·
Larry Lewis said:I didn't blow it. For two years straight, I held down the job—hitting the sack around midnight and dragging myself out of bed by 6:30 AM every single morning. It was brutal, sure, and I lived off caffeine, but I showed up. And honestly, I don't need to bring up my diagnosis just to justify it—it wasn't like I was spending my evenings on some "manly" session of AP therapy.

What, is every person dealing with schizophrenia supposed to just quit their job because the medication makes them a zombie in the morning? That's ridiculous.

Of course I was sleepy, and yeah, I was usually in a foul mood until about 10 AM, but I had to work. Period. You just grit your teeth and deal with it.

Did you ever stop to wonder why I can manage while so many others end up passing out from these meds?
A huge number of people rely on APs just to get some sleep.
But you? You take them because of your actual diagnosis.
For them, the effect is hit-or-miss, totally inconsistent; but for you, they work exactly the way they are supposed to.
You handle them better because your body processes them differently than someone who doesn't have psychosis—any kind of psychosis.
Sure, it’s an extreme way to knock yourself out, but sometimes there isn't any other option.
That right there is proof that an AP isn't a "one size fits all" solution, and you shouldn't play games with them. I'm talking to those people who skip their anxiety meds and jump straight to APs without thinking.
I take them too, and for a few hours after, I'm basically a houseplant. Just sleeping. And I've been doing it that way for years, damn it.😢
Psychotropic medication discussion thread in Psychology & Therapy ·
Larry Lewis said:Hmm... well, I spent quite a bit of time on various antipsychotics during my working years, and honestly? I still managed to drag myself out of bed simply because I knew I had to be up.
Sure, those drugs tend to dull your edge—they definitely cloud things—but you still have your own willpower and discipline to fall back on.

Well, look at you now—you've gone and embarrassed both your boss and the whole station.😁
Where exactly is this "willpower" and "discipline" coming from... the bottom of a bottle at a dive bar?
The reality is simple: you need to take your medication earlier, and that's the whole story.
As for me, I’m done for the night after 10 PM... because once I take my pills, I’m out for the count.🙄
Schizophrenia - General Discussion in Psychology & Therapy ·
ruggedtinker9 said:I have been two years without any bouts of psychosis now... I am currently on 5mg of olanzapine, though I barely even feel the effects of the medication itself... Perhaps it calms me down slightly in the evening, which I suppose is fine. I have managed to find a job, I am in a relationship, I live on my own, and I handle all my responsibilities; I have also started taking certain supplements that seem to assist me by providing great energy, focus, and a sense of rejuvenation, or so it feels to me. I am not experiencing depression or any cognitive issues—essentially, there are no positive or negative symptoms. A great deal can change in the span of two years, and I believe the worst thing one can do is fail to try or lose faith that things can actually improve. More devastating than anything else is the treatment process for that crisis state known as psychosis. Even the psychosis itself isn't the most terrifying part; rather, it is the way people treat those who are in such a state. I hope I won't experience psychosis again, as my doctor wants to taper me off my medication, but I don't feel quite ready for that step yet. Furthermore, I suspect that the entire "mental illness" sector is somewhat exaggerated; I still maintain the view that mental illnesses aren't true diseases, but rather specific mechanisms for coping with life itself.

You have unconsciously opened up a topic that I have been trying to write about with such dread, constantly delaying it... I don't even know why myself.
I am convinced that mental illnesses are, in some way, curable. At least, that is how I have come to perceive it.
But regardless of that... every single day, I find myself becoming more and more convinced that this might actually be the case. I cannot claim it as an absolute fact, but certain things suggest to me that this could be one of the alternatives.
It concerns the number of neurons connected within what we call neural circuits. Now, it isn't vital to know exactly how they are grouped, but generally speaking, groups of neurons constitute neural systems.
By grouping these systems, you get systems-of-systems.
So, when neurons become active—using the jargon, "firing"—an electrical current travels from the cell body to the synapses, and that is where the release of chemical compounds, namely neurotransmitters (like glutamate, for instance), begins.
Through interaction with neighboring neurons—the synapses—it is determined whether the adjacent neuron will activate.
Perhaps it seems somewhat complicated at first glance, but in reality, it is quite simple.
There are over 10 billion neurons and 10 trillion synapses! (since every single neuron can have up to 1,000 synapses).

And this brings me to the reason why I am writing.
Because of this massive number of neurons and synapses, a neuron can only "communicate" with its neighbors—which means a very small subset of neurons—and never with the majority or all of them at once.
Logic dictates that if one group of neurons is damaged, it only communicates with the immediate neighboring groups.
Which means, if we are talking about a specific disorder, it is localized to just one small cluster of neurons, certainly not to a large portion or the entire system.
When medication stimulates normal function and the exchange of neurotransmitters, the illness is essentially bypassed. Neuronal communication stabilizes. It returns to normal operation.
We might still possess the awareness (or rather, the subconsciousness) that we were ill, but that is not the true state of the organism.
The illness is then gone. We don't have it.
It is worth reflecting upon.
Schizophrenia - General Discussion in Psychology & Therapy ·
Nicole Barrett76 said:Suppose we find ourselves in a small American town where two individuals living with schizophrenia both know each other's diagnosis—perhaps they even attended the same group therapy sessions together.

Now, imagine one of them suffers an acute psychotic episode; his family calls 911 immediately, but in this scenario, neither the paramedics nor the police can arrive in time. In that desperate moment, all they have left is the option to ask the other individual—who is currently stable—to share his antipsychotic medication to help calm the situation.

The complication, however, is that both men are prescribed entirely different types of antipsychotics for their specific needs.

In such a dire crisis, is it more prudent to wait for the emergency responders to arrive with the correct prescription, or is there any wisdom in reaching for the medication held by the other person?

Wait.
Taking someone else's medication—especially drugs meant for a different condition—can only lead to making the illness worse.
Psychotropic medication discussion thread in Psychology & Therapy ·
Jason Vaughn482 said:I have been relying on both Xanax and Ambien for five years now... I am acutely aware of the implications, but I once heard a psychiatrist mention that one can stay on Xanax long-term, provided the dosage remains strictly controlled and doesn't escalate.
By the way, I find that Prazines actually prevent me from falling asleep, so I won't be touching them; I have no desire to exceed a 25mg dose. Perhaps there is another anxiolytic out there that might actually induce sleep, because honestly, I am at a total loss as to how to wean myself off the Ambien... the Xanax doesn't help me sleep, it’s simply my lifeline when panic or anxiety strikes. My only saving grace is that I refuse to push past 1.5 mg; while I take less on certain days, I still take it daily.

It is quite a struggle, frankly; my mental state dictates this entire cycle because my doctor recognizes that I am resistant to antipsychotics, yet every time I attempt to start an antidepressant, the initial side effects are so overwhelming that I simply cannot endure them.

Jason Vaughn482, I honestly don't know what wise advice I could possibly offer you that you haven't already realized.
Every single anxiolytic triggers some level of dependency, whether you feel it or not.
The real trouble starts when you reach a certain dosage and realize you aren't getting the result you expected—whether that's sleep or just feeling calm.
What do you do then?
Naturally, everyone just bumps up the dose because they want the effect. But in doing so, they are also ramping up the addiction.
Everything seems fine until the moment you have to stop the treatment; then, everything goes completely sideways.
It is classic withdrawal, much like coming off drugs.
I support taking medication as needed, but taking it every single day for months on end? Not so much.
I know, because I have been there myself.
For you, the only real solution is finding the right antipsychotic, specifically the one you were prescribed.
If I recall correctly, your doctor recommended somewhere between 25 and 50 mg.
That shouldn't cause dependency, and your body shouldn't develop a tolerance to it. If you follow the recommendation, there shouldn't be any issues.
And it might actually help.
Try tapering off the Ambien slowly and gradually. And maybe increase your Prazines dose to 50 mg.
If nothing changes after that, then it's best to sit down with your psychiatrist.
Psychotropic medication discussion thread in Psychology & Therapy ·
Mark Nelson said:So what you're saying is I can't really use Lorraine on a long-term basis? The key word there is "occasionally," right?

You can.
Schizophrenia - General Discussion in Psychology & Therapy ·
steeleagle36 said:That’s exactly what I’ve been wondering. All I know is that an agreement has been reached.
He’s used his connections to bribe enough people to keep this under wraps.

I won't get into the specifics, but the truth is I warned everyone from the start that he was physically and mentally abusive toward the children.

You really should have started a new thread for this topic on a different forum, because clearly, this isn't just about a simple misunderstanding; we are dealing with a much deeper issue here.
The man needs professional help, plain and simple.
Honestly, how else are you going to handle this? The best move would be to report him to the authorities.
Schizophrenia - General Discussion in Psychology & Therapy ·
steeleagle36 said:Scold me all you want, but I’m doing this because I care about my kids' future.

I actually realized that even before you had children.🙂
Nothing makes sense to me here.
What on earth are the kids doing with him if he has a "criminal record"?
Has a judge actually barred him from seeing you or the children? Or even being near you?
If not... then why?!
Why hasn't the court mandated rehab or some kind of treatment for him?
Schizophrenia - General Discussion in Psychology & Therapy ·
steeleagle36 said:I filed the report. He was convicted, yet he still denies everything. We split up after the assault, and in that moment, I realized he’s a man with at least two different faces... then he had the nerve to claim it wasn't even him who attacked me.

My biggest concern is the risk of him doing it again since he refuses to get any help.

Relapses are a completely standard occurrence, especially when someone refuses to undergo any kind of medical care or therapy.
Why does that concern you?
Schizophrenia - General Discussion in Psychology & Therapy ·
steeleagle36 said:I want to know if schizophrenia can go undiagnosed for an entire lifetime. I’m asking because my ex is hurting the kids, claiming he isn't even aware he's doing it. Thanks in advance.

Of course it is possible.
A patient often lacks any actual awareness that they are ill at all.
And frankly, the people surrounding them are often part of the reason why it stays hidden for so long.
Why haven't you reported him?
Psychotropic medication discussion thread in Psychology & Therapy ·
Mark Nelson said:Does this bolded part apply to Lorraine too?


Yes.
Basically, the recommendation is to stick with it for four weeks, plus whatever extra time you need to taper down the dosage and actually stop the treatment.

Those are just the official guidelines, though... it's a completely different story when people start playing doctor with themselves and deciding their own dosage based on what they "think" feels right.
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:I honestly have no idea where you're pulling this information from, but you're talking nonsense. Look, your subjective opinion doesn't bother me, but sometimes you go overboard spreading misinformation, and I feel compelled to step in. Pharmacogenetics is a recognized scientific discipline. Anyone with actual expertise knows exactly what I'm talking about, and frankly, anyone can just look it up on Google. Personalized pharmacotherapy (which seems to be what you're actually rambling about) is a completely different thing. I don't want to get dragged into a long debate with you because there's just no point, but I'm going to keep calling out the misinformation when I see it.

Thank God, our goal here is simply to minimize mistakes.
Anyone who possesses more knowledge or deeper experience is always welcome here.
I am certainly not claiming that you are writing "nonsense" or "stupidity" or any other variation of those insults.
Fine, then why not jump in and help when you see someone crying out for assistance?
Or do you just not know how?
I am absolutely not against being corrected or having my errors pointed out, but there is a civilized way to handle it—using arguments, data, hard facts, and things of that nature.
Instead, you act out offensively, almost like a little girl whose Barbie was stolen from her.
That isn't the way to behave, but it doesn't matter.
Theory is one side of the coin, while actual practice is something else entirely.
Which side of the coin are you standing on?
Psychotropic medication discussion thread in Psychology & Therapy ·
mistyskipper90 said:So you think you know everything, huh? Well, join the club. I'm right there with you. 😁 Haha, who do you think you are, some kind of medical expert? At this rate, you might as well just write out my entire prescription for me while you're at it. 😉

I don't know anything.
People spend lifetimes studying medicine... only to make mistakes all over again.
I've said this a million times already. I've been dealing with this illness for twenty years, taking all sorts of meds... most of them aren't even on the market anymore.
And I've been reading up and researching these drugs for just as long... back when finding information wasn't as easy as it is today.
The medications used to be completely different than they are now, and the side effects were much, much worse.
I can speak from personal experience.
Your doctor is the one who prescribes your treatment; we're just here to swap stories and share what we've been through.
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:I don't owe you an explanation. Your subjective experience is practically irrelevant when you factor in your own unique pharmacogenetics. And "bioequivalence"? It's hardly some exotic concept in generic drug manufacturing. What you're calling "SIMILAR" is actually strictly defined by science. Claiming that 100 mg of Seroquel is stronger than 200 mg of Qpin is, to put it mildly, completely nebulous. Honestly, I won't even dignify your claims about which medication is "good" for what.

Well, let’s get into some theory for a moment.
The science of pharmacogenetics—in any practical sense here in America (I can't speak for everyone else)—is still mostly just a collection of assumptions.
We aren't actually using anything that hasn't been officially validated yet. It's all speculation at this stage.
The whole idea is trying to apply knowledge about a patient's specific DNA sequence to improve therapy by boosting drug efficacy? Or perhaps avoiding adverse reactions entirely? The goal is to target medications specifically to patients who will actually respond positively to them.
So, essentially, pharmacogenetics has been gaining traction lately as one potential way we COULD improve hospital patient care.
I don't even need to mention that it's all still stuck in the lab testing phase... when it will actually walk through the doors of mainstream medicine? Ask God.

On another note, isn't a subjective opinion or personal experience just as valid in psychology? Especially when you look at neuroanatomy or neurobiology.
Psychotropic medication discussion thread in Psychology & Therapy ·
Timothy Wood38 said:I don't owe you an explanation. Your subjective experience is practically irrelevant when you factor in your own unique pharmacogenetics. And "bioequivalence"? It's hardly some exotic concept in generic drug manufacturing. What you're calling "SIMILAR" is actually strictly defined by science. Claiming that 100 mg of Seroquel is stronger than 200 mg of Qpin is, to put it mildly, completely nebulous. Honestly, I won't even dignify your claims about which medication is "good" for what.

I am asking for actual arguments.
When I was on Seroquel, I would sleep for 20 hours straight on just 100 mg; during those two months of use, I practically turned into a houseplant!
Now, I’m taking 200 mg of Qpin and I only sleep 5 to 6 hours.
How is that possible?
Please, give me a coherent explanation, because saying... "I don't have to" tells me everything I need to know about how serious you're being about this.