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Schizophrenia - General Discussion

Started by briskgull27 · · 👁 255 views · 7.5K replies

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David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1641 ·
Lithium salts—usually lithium carbonate—are the heavy hitters when it comes to treating and preventing Bipolar disorder. We still don't fully wrap our heads around exactly how lithium works in the body, though. Sure, we see some cool effects happening in lab tests in petri dishes, but there's always that big question: does an experimental model actually mirror what’s going on inside a real human being?

But check this out: a recent study done on mice suggests that using lithium at the same therapeutic doses we use for Bipolar disorder might actually help prevent Alzheimer's from developing.

Basically, lithium shuts down an enzyme called GSK-3, which plays a huge role in creating those nasty hallmarks of Alzheimer's, like plaques and neurofibrillary tangles.

Using these therapeutic doses showed a massive drop in brain tissue plaques. Now, there's another group of meds called NSAIDs that tackle plaque reduction through a totally different route. Because of that, experts are thinking that combining these two could potentially create a "super effect" for clearing out those plaques.

Of course, the whole lithium theory is still pretty much in the experimental phase. Some researchers are throwing up caution flags, warning that blocking that GSK-3 enzyme might lead to bad side effects, like colon cancer. That said, so far, none of the studies have actually shown a link between lithium and colon cancer.

When it comes to the usual baggage you deal with when taking lithium, people often report headaches, feeling super sluggish or sleepy, slurred speech, tremors, cramps, and ataxia. You can also mess with your stomach, dealing with stuff like nausea, vomiting, or diarrhea. The kidneys are a particular concern too, since they handle most of the sodium excretion. That's why if you're on lithium, you've gotta stay on top of regular kidney function checks.

Because of all this, experts are currently looking into alternative ways to inhibit that GSK-3 enzyme—aiming for something just as effective as lithium but without all the heavy side effects.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1642 ·
What are the adverse effects of antipsychotics?

Just like any other meds, antipsychotics come with their own set of adverse effects. With first-generation antipsychotics, some people might deal with stuff like dry mouth, blurry vision, constipation, trouble peeing, dizziness from blood pressure drops, weight gain, or even menstrual cycle changes. Usually, some of these things just chill out after a few weeks of treatment.
Then there’s what we call extrapyramidal symptoms—things like restless legs, feeling like you constantly need to move, body stiffness, tremors in your hands or body, weird body movements, involuntary eye movements, muscle tension, or moving more slowly. Even though these feel super uncomfortable, they aren't medically dangerous, so there's no need to freak out. Once you take the right steps—like lowering the dose, adding another med, or switching up the antipsychotic—they go away. Plus, not everyone gets these side effects, and they don't happen with every single drug.
If you notice any of this happening to you, definitely hit up your psychiatrist right away. Don't just stop taking your meds or tweak your dosage on your own. If your doctor figures out it's an adverse effect from your current med, they'll decide if it's better to drop the dose, throw in a second med, or just pick a different antipsychotic altogether.
With second-generation antipsychotics, these kinds of side effects happen way less often, or sometimes not at all.

edit: or not at all :rolajz:
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1643 ·
So, what exactly is maintenance therapy, and what's the deal with depot injections?

When you're dealing with Schizophrenia, maintenance therapy is super important to keep those relapse risks low. Once someone gets a solid response from a specific antipsychotic during the initial phase, they move into maintenance. Usually, the plan is to stick with the same dose that actually worked for at least 6 months. After that, you can slowly taper down—maybe dropping the dose by 10% every 6 weeks, or gradually easing off over a few months in 2 to 4-week intervals until you hit the lowest effective dose.
Basically, the doses used during maintenance are lower than what you'd use during an acute episode.
Now, depot preparations are basically esters of the active drug formulated as an oil-based solution. We're talking about antipsychotics (mostly first-generation antipsychotics like haloperidol) that get given via intramuscular injection every three or four weeks in 25 - 50 mg doses. This setup allows the medication to release slowly into the system, providing a much longer-lasting effect. Depot shots are a total lifesaver when someone isn't really sticking to their meds, maybe because they forget or just struggle to stay consistent with daily pills.
*Note: These are generic names; definitely check with your doctor or pharmacist for the actual brand names available locally.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1644 ·
So, what’s the deal with stigma?

Basically, stigma is when someone gets labeled negatively just because they have a mental health diagnosis—most of the time, people are talking about Schizophrenia. It all boils down to these deep-seated prejudices and negative vibes fueled by the total myth that Schizophrenia can't be treated.
At its core, stigma is born from a mix of pure ignorance and fear, which creates these stubborn myths and biases. Looking back at history, Schizophrenia has remained one of those rare medical fields where even just mentioning it makes people feel uneasy, scared, or like they need to steer clear.
When you mix a serious mental illness with discrimination and stigma, it can be absolutely devastating for patients. Historically, this combo has played a huge role in forcing people into emotional and social isolation, making their suffering so much worse. A common fallout of stigma is discrimination, which is honestly a massive violation of basic human rights. People dealing with mental health issues are often unfairly painted as dangerous, incompetent, or irresponsible, leading to isolation, homelessness, and economic struggles. This totally tanks any chance they have at living a normal life, holding down a job, getting treatment, or going through Psychiatric rehabilitation to reintegrate into society.
Because of all that discrimination, someone struggling with mental health often ends up withdrawing socially and feeling completely misunderstood. Luckily, though, there are signs that discrimination is actually starting to fade in certain parts of society. More tolerance and actual understanding are stepping in to replace those old prejudices and stigma.
Also, we can't ignore how the media constantly tries to link mental illness with criminal behavior, even though everyone knows there isn't a significant connection there. They just gloss over the truth because sensationalized, clickbaity headlines make way more money.

http://i169.photobucket.com/albums/u...x28/EmoSad.gif
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1645 ·
Schizophrenia usually shows up in episodes. Between those bursts, if you're staying on top of your treatment, there can be periods where you aren't showing any symptoms at all—we call that remission. Honestly, sticking to your meds is the absolute best way to keep things from spiraling again! When an episode does come back, the symptoms might feel just like the last one (like similar delusions or behavioral shifts), or they could look totally different. It’s super important to catch a relapse early, whether it's something you notice yourself or your family picks up on, so that therapy can be adjusted ASAP to get everything back under control.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1646 ·
Psychotic disorders

Here’s a breakdown of the main psychotic disorders:

Psychotic disorders.
One of the most frequent indicators of these issues is Delirium. Basically, Delirium hits your attention, memory, and how you orient yourself to the world. Someone struggling with dementia is usually totally lost regarding time and place, often rambling with incoherent thoughts and speech.

Substance-induced psychosis. Substance use disorder is one of the biggest drivers behind psychosis. Mixing alcohol with depressants can actually be fatal. Even messing up with certain meds can cause brain damage so intense it leaves someone stuck in a permanent vegetative state.

Some of the scariest and most trippy mental breaks happen after taking hallucinogenic drugs like LSD, mescaline, psilocybin, PCP (you know, "angel dust"), and sometimes even marijuana or hashish. This stuff can trigger massive panic, anxiety, a terrifying feeling of "going crazy," total disorientation, delusions, illusions, and hallucinations.

Bipolar disorder. Sometimes—though not every single time—it swings back and forth with depressive periods, but Bipolar disorder involves these huge spikes in mood. When someone is in a manic phase, they might be way too optimistic, super high-energy, heavy on the drinking or drugs, barely sleeping, talking a mile a minute, and showing zero common sense, which leads to some pretty reckless or wild decisions.

Schizophrenia. Around 1 percent of people in the US live with Schizophrenia. It's essentially a condition characterized by disorganized social and psychological function, which often looks like pulling away from society or acting in eccentric ways. The psychosis involved in Schizophrenia shows up in different ways. Usually, a person will hear voices that act like a constant commentator on everything they're doing. In the really intense cases, those voices can be super scary and harmful. Folks with Schizophrenia can also deal with heavy paranoia, which might make them isolate themselves just to avoid being "watched." That paranoia can get so bad that someone actually believes there's a tracking device inside them, leading them to try and pull it out—which usually ends in a medical nightmare.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1647 ·
Girl, Interrupted (film) analysis

Critical analysis paper: Girl, Interrupted

The movie Girl, Interrupted (film) tells the story of nineteen-year-old Susanna, living in the 1960s, who ends up at a psychiatric hospital, specifically McLean Hospital, for a supposed "rest" after a suicide attempt. Her doctor basically told her that her fling with a family friend—plus the fact that she thought washing down a whole bottle of aspirin with vodka was a fine idea—pointed toward borderline personality disorder. So, now she’s stuck trying to stay sane while being totally surrounded by people who are struggling just as much as she is.

While staying at McLean Hospital, Susanna gets close to several of the other residents. You've got Georgia (a total pathological liar), Polly (a burn victim who is constantly terrified), Daisy (who deals with agoraphobia and trauma from her past), and Lisa (a super charming but manipulative sociopath). Honestly, the Character analysis shows that Lisa was the only one who really nailed the portrayal of her specific disorder. Antisocial personality disorder involves chronic patterns of manipulating, exploiting, or violating the rights of others. As it says, “Individuals with antisocial personality disorder are often angry and arrogant but may be capable of superficial wit and charm. They may be adept at flattery and are very skilled at manipulating the emotions for their own personal gain” (www.nlm.nih.gov). I actually thought they got Lisa's disorder spot on—even though she completely ignores everyone else's feelings (and safety), she still charms you because she's so brutally honest and just doesn't give a damn about anyone's opinion. Antisocial personality disorder seems to involve people having zero emotional connection to anyone or anything, rarely showing any remorse when they step on others' toes. Lisa’s knack for observing people gave her this creepy ability to spot weaknesses, which she definitely used to her advantage, just like most sociopaths would.

Then there was Daisy, an obsessive-compulsive agoraphobic whose history with her father left her dealing with a whole laundry list of different personality issues. Her character was a perfect look at a neurotic recluse whose disorders essentially hijacked her life, leaving her feeling like she had no shot at living independently from her abusive father. Other Characters include Polly, whose self-inflicted burns make her seem perpetually childlike, and Georgia, the pathological liar who rooms with the borderline Susanna. It was through interacting with this group that Susanna finally found the grit to face her own chaotic mental state.

Susanna’s character works well to help the audience see the internal thought processes of someone battling depression or personality disorders. Even though she definitely showed traits of borderline personality, I honestly felt like she leaned more toward depression. According to research, “A person with depression or bipolar disorder typically endures the same mood for weeks; a person with BPD may experience intense bouts of anger, depression, and anxiety that may last only hours, or at most a day” (Zanarini 1998).

edit: haven't watched One Flew Over the Cuckoo's Nest yet, maybe this weekend🙂
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1648 ·
http://i141.photobucket.com/albums/r...ght_jacket.jpg

There are so many different ways to tie those things, I've actually given it a shot!
Honestly, the absolute worst part is waking up parched after taking your meds and needing to hit the restroom
but you're stuck there because you're restrained.🙂
Noah Sanchez7 Noah Sanchez7 Regular
276 messages
joined Dec 2007
#1649 ·
David Kern14 said:http://i141.photobucket.com/albums/r...ght_jacket.jpg

There are so many different ways to tie those things, I've actually given it a shot!
Honestly, the absolute worst part is waking up parched after taking your meds and needing to hit the restroom
but you're stuck there because you're restrained.🙂

That really ought to be banned outright!!
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1650 ·
Noah Sanchez7 said:That really ought to be banned outright!!

I don't even know, man, things are just so messed up that everyone's terrified of these illnesses.
But honestly, people are just doing the best they can with what they've got.
If everyone started wandering around the halls of a hospital in the middle of the night, it would be pure chaos.
Plus, some folks just can't sleep, so they end up walking around anyway.
It’s pretty wild how medicine treats psychiatry like it's this totally unexplored frontier.
At the end of the day, a lot of it comes down to me personally too, since mood swings are part of the whole condition.
It’s all just one big cycle.
How are you holding up?
Look, I'm not defending those primitive methods, but there really isn't any other way!!!!!!! You feel me!!!!!!!
Noah Sanchez7 Noah Sanchez7 Regular
276 messages
joined Dec 2007
#1651 ·
I’m not wrong here.

I think I saw a segment on some news network about specialized rooms lined with soft padding so patients can't hurt themselves.
Even in those extreme cases where someone just can't control their actions despite medication—which I know isn't common—they should just be placed in one of those rooms.

No matter how ill someone is, nobody should have the right to restrain them!
Besides, you don't need to be a genius to see that physical restraint doesn't help at all; in fact, it actually makes things worse.

Waking up tied down? Of course you're going to spiral even harder.
It’s an embarrassment to modern medicine!
Noah Sanchez7 Noah Sanchez7 Regular
276 messages
joined Dec 2007
#1652 ·
And yeah, the same goes for those crazy patterned shirts !!
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1653 ·
Noah Sanchez7 said:I’m not wrong here.

I think I saw a segment on some news network about specialized rooms lined with soft padding so patients can't hurt themselves.
Even in those extreme cases where someone just can't control their actions despite medication—which I know isn't common—they should just be placed in one of those rooms.

No matter how ill someone is, nobody should have the right to restrain them!
Besides, you don't need to be a genius to see that physical restraint doesn't help at all; in fact, it actually makes things worse.

Waking up tied down? Of course you're going to spiral even harder.
It’s an embarrassment to modern medicine!

Yeah, I'm with you on that.
Of course it makes you spiral more.
Every time I run into someone from the hospital, we end up talking about this exact thing.
And what am I supposed to do?
If they don't have you in a straitjacket, you might actually be able to get out. 🙄
But then you've got two burly orderlies rushing in to "fix" things.
What else are you gonna do besides freak out?
Thinking back, I've always been a little bit unhinged myself (ugh, I hate even writing about it.
I've been in such a bad mood ever since I can remember.
That's why I'm popping pills like they're candy. 😢
Noah Sanchez7 Noah Sanchez7 Regular
276 messages
joined Dec 2007
#1654 ·
David Kern14 said:Yeah, I'm with you on that.
Of course it makes you spiral more.
Every time I run into someone from the hospital, we end up talking about this exact thing.
And what am I supposed to do?
If they don't have you in a straitjacket, you might actually be able to get out. 🙄
But then you've got two burly orderlies rushing in to "fix" things.
What else are you gonna do besides freak out?
Thinking back, I've always been a little bit unhinged myself (ugh, I hate even writing about it.
I've been in such a bad mood ever since I can remember.
That's why I'm popping pills like they're candy. 😢

🙂

So you're saying it's not just the orderlies??

Hey, something just occurred to me. I see you're quite the activist when it comes to breaking down prejudices (which I really support), so maybe we could organize some kind of protest against being restrained and those crazy straitjackets.
Human rights, man!! Or are psychiatric patients not considered people??!! 😠

We would just need to get a few experts in the field on our side. I don't think that would be hard..

By the way, have you seen that show "The Kingdom"? If not, give it a watch—if you don't know where to find it, we can just stream it online..
Basically, the series argues, in a very valid way, that patients aren't "crazy" in the sense we usually mean; they just think differently than the average person..
Brandon Gray2 Brandon Gray2 Newcomer
4 messages
joined Apr 2007
#1655 ·
David Kern14 said:http://i141.photobucket.com/albums/r...ght_jacket.jpg

There are so many different ways to tie those things, I've actually given it a shot!
Honestly, the absolute worst part is waking up parched after taking your meds and needing to hit the restroom
but you're stuck there because you're restrained.🙂

😲
I don't really get why they bother tying the mouth too, it just doesn't make sense to me.😕 😕
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1656 ·
Brandon Gray2 said:😲
I don't really get why they bother tying the mouth too, it just doesn't make sense to me.😕 😕

Yeah, I don't have that thing sitting right by my mouth here in Los Angeles either, this is just some random pic from the internet
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1657 ·
Noah Sanchez7 said:🙂

So you're saying it's not just the orderlies??

Hey, something just occurred to me. I see you're quite the activist when it comes to breaking down prejudices (which I really support), so maybe we could organize some kind of protest against being restrained and those crazy straitjackets.
Human rights, man!! Or are psychiatric patients not considered people??!! 😠

We would just need to get a few experts in the field on our side. I don't think that would be hard..

By the way, have you seen that show "The Kingdom"? If not, give it a watch—if you don't know where to find it, we can just stream it online..
Basically, the series argues, in a very valid way, that patients aren't "crazy" in the sense we usually mean; they just think differently than the average person..


Yeah, I agree, human rights matter
but unfortunately, that’s just where medicine stands right now


And don't even get me started on the lack of funding and all that mess
I don't think they're monsters just waiting to tie you up
Theoretically, there's always a chance a patient might actually smash a floor in a ward, for example

As for my own take, it hasn't really changed much
My family knows I definitely think differently, but I still function just fine in society

A Danish series? Then I'm gonna need subtitles
I'll see if I can download it, and if not, I'll let you know😘

Haha, magicians... honestly, I have no idea how they pulled that off😁
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1658 ·
Low Potency Typical Neuroleptics

Promazine falls under the low potency category. You might know it best by its main U.S. name, Sparine, though you'll see it listed as Liranol, Prazine, Primazine, Protactyl, Prozine-50, Savamine, or Talofen too.

Then there's Triflurpromazine, which is another low potency option. In the States, it's mostly called Vespers.

Chlorpromazine is a heavy hitter in the low potency group with a rating of 100. Most Americans just call it Thorazine, but it goes by a ton of other names like Ampliactil, Artomin, Aspersinal, Chlomazine, Chloractil, Chlorazin, Chlorprom, Chlorpromanyl, Clonazine, Contomin, Dormazine, dozin, Esmino, Ethibernal, Fenactil, Hibernal, Intensol, Klorazin, Largactil, Matcine, Megaphen, Novochlorpromazin, Ormazin, Plegomazine, Promachlor, Promacid, Promactil, Promapar, Promaz, Protran, prozin, Romazine, Sonazine, Taroctyl, Thaorazine, Thor-Prom, Winsumin, and Wintermin.

Chlorprothixene is also rated at 100 potency and belongs to the low potency class. Its primary U.S. name is Taractan.

Thioridazine is another one sitting at 100 potency in the low potency tier. It's widely known here as Mellaril, but you might run into names like Aldazine, Calmaril, Dizine, Mallorol, Meallaril-S, Meleretten, Meleril, Mellaril, Mellaril-S, Melleretten, Melleril, Mellerettes, Mepiozin, Novoridazin, Ridazin, Sonapex, Thnin, Thiomed, Thioril, or Winteril.

Mesoridazine is a slightly milder low potency option with a 50 potency rating, usually sold as Serentil in the U.S.


Medium Potency Typical Neuroleptics

Droperidol is categorized as a medium potency neuroleptic. Its standard U.S. name is Inapsine.

Acetophenazine hits the medium potency mark with a 25 rating, commonly known in America as Tindal.

Loxapine is a medium potency choice with a 10 rating. It's primarily called Loxitane here, though some folks refer to it as Loxapax.

Molindone is also a medium potency drug with a 10 rating. You'll most likely find it under the name Moban, or sometimes Lindon.

Perphenazine is another medium potency option with a 10 rating. The go-to name in the U.S. is Trilafon, but it's also called Avomit, decentan, Etrafon, Fentazin, Perphenan, Triavil, Trilafan, Triomin, or Triptafen. Just a heads up—Etrafon, Triavil, and Tiptafen actually have Amitriptyline mixed in for anxiety relief.

Prochlorperazine sits at a 10 potency level in the medium category. While Compazine is the big name in the States, it also goes by Buccastem, Compa-Z, Cotrazine, Cotranzine, Nautisol, Nibromin, Normalmin, Novamin, Novomit, Paotomin, Stell, Stemetil, Steremal, Tementil, or Vertigon.


High Potency Typical Neuroleptics

Thiothixene is a high potency option with a 5 rating, typically known as Navane.

Trifluoperazine is another high potency drug with a 5 rating, mostly recognized as Stelazine. It carries a huge list of aliases including Calmazine, Clinazine, Domilium, Eskazine, Espazine, Flupazine, Jatroneural, Modalina, Nerolet, Novoflurazine, Pentazine, Psyrazine, Sedizine, Solazine, Suprazine, Terfluzin, Terfluzine, Triflurin, and Tripazine.

Fluphenazine is a high potency medication with a 2 rating. It's widely used as Prolixin, but you'll see it called Anatensol, Dapotum, Flunazine, Funazine, Lyogen, Moditen, Motipress, Motival, Omca, Pacinol, Permitil, Sediten, Selecten, or Siqualone. Interestingly, Motipress and Motival both include Nortriptyline to help with anxiety.

Halperidol is a high potency drug with a 2 rating. The most famous U.S. name is Haldol, but it's also linked to names like Brotopon, Depidol, Dozic, Duroperidol, Einalon, Eukystol, Halidol, Halojust, Halomed, Halopidol, Halosten, Haricon, Linton, Mixidol, Novoperidol, Pacedol, Peluces, Pericate, Perida, Peridol, Peridor, Selzyme, Serenance, and Serenase.

Pimozide is a high potency typical neuroleptic with a potency rating of 1. In the States, you'll most likely know it as Orap.

I'm not quite sure about the exact potency levels for these other typical neuroleptics, though.

Then we have Flupenthixol, which falls under the typical neuroleptic category. The standard US name for it is Fluanxol.

Next up is Methotrimeprazine, another typical neuroleptic. Most people here call it Nozinan.

And there's Pipotiazine, also a typical neuroleptic, usually referred to as Pipotril in the US.


Atypical Neuroleptics

When we talk about atypical (or "novel") neuroleptics—basically the "newer generation" stuff—the timeline really starts with the arrival of Clozaril. These guys work a bit differently by targeting specific dopamine receptors and sometimes even blocking or inhibiting serotonin re-uptake.

The big standout when comparing typical vs. atypical drugs is how atypicals can actually help with those negative symptoms of schizophrenia. Plus, there's a general belief that they carry a lower risk for developing tardive dyskinesia.

Atypicals also tend to cause fewer movement-related issues (EPS) and might not hit you quite as hard with sedation.

Right now, atypical neuroleptics are only found in tablet form, and you won't find any generics on the market just yet. Availability outside the US can be all over the map, too—some places get their hands on them way before the US, while others have to wait a lot longer.

In the US, the main atypical neuroleptics you'll see are Clozaril (Clozapine), Risperdal (Risperidone), and Zyprexa (also known as Lanzac) (Olanzapine).

Coming "soon" to a pharmacy near you are Seroquel (Quetiapine) and Serlect (Sertindole).

We also have a few more in the home stretch of testing, including Ziprasidone and Iloperidone.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1659 ·
Here’s a quick rundown on mood stabilizers:

* Lithium carbonate — Lithium is basically the OG mood stabilizer. It was actually the first FDA-approved one on the scene, and doctors still lean on it quite a bit today. Just a heads-up, you have to stay on top of therapeutic drug monitoring. You'll need to keep an eye on those blood lithium levels (aiming for a therapeutic range of 0.6 or 0.8-1.2 mEq/L) and watch out for any nasty toxicity signs like nausea, vomiting, diarrhea, or ataxia. You might also run into lithium orotate, which is just another type of lithium salt.
* Valproic acid (Depakene), divalproex sodium (Depakote), and sodium valproate (Depacon) — These come in extended-release versions too. One thing to note is they can really mess with your stomach, particularly if you're taking the valproic acid version. Doctors will want to monitor your liver function and CBC, and regular therapeutic drug monitoring is a must.
* Lamotrigine (Lamictal) — This one is super helpful, specifically for dealing with bipolar depression. Just make sure to monitor for Stevens-Johnson syndrome; it's incredibly rare, but it can be fatal, so stay vigilant.
* Carbamazepine (Tegretol) — You'll need to keep an eye on your CBC since it can drop your white blood cell count. Therapeutic drug monitoring is also necessary here. Even though it isn't FDA-approved specifically for bipolar disorder, it's been a staple in treatment for years.
* Gabapentin (Neurontin) — This isn't FDA-approved for bipolar disorder. While scientific studies suggest it isn't actually an effective treatment, plenty of psychiatrists still stick with it.
* Oxcarbazepine (Trileptal) — This one hasn't received FDA approval for treating bipolar disorder.
* Topiramate (Topamax) — Also not FDA-approved for bipolar disorder.
David Kern14 David Kern14 Active Member
102 messages
joined Aug 2007
#1660 ·
So, my friend was grabbing coffee with me yesterday and dropped a bit of a bombshell. She told me that whenever I’m drifting into a more psychotic phase, people at the beach actually start gossiping about me—like, total strangers just watching how I act and whispering about it.
She also pointed out that when I’m actually doing well, nobody even notices or says a word.

People are basically talking about me like I'm 🤣 🤣
but honestly, it isn't even funny; we're talking about some pretty heavy stuff here.😍

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