I got a second opinion from a psychiatrist from different team within same service.
They concluded the diagnosis was in fact treatment resistant schizophrenia.
At follow up clozapine and ect were mentioned as possible treatments. Though negatives of both left the notion in limbo.
Lamictal was added.
- 400mg clopixol depot
- 4mg rexulti
- 100mg largactil
Ativan 1mg as needed
I started off at 25 mg Lamictal.
Now at 50 mg.
I feel different effects.
More voices particularly outside the head when no physical being is there.
More paranoia about family. Community. Feelin’ trapped. Usual thoughts but more distressing .
There are reports Lamictal is effective in this novel iteration of the schizoid illnesses.
Although case studies reporting adverse psychiatric events such as manic and psychotic episodes.
Overall at day 8 of Lamictal I’d say it’s mildly amusing.