Bipolar 1 and psychosis

I had a psychosis 9 years ago and it was probably mania that triggered it…but I haven’t had neither a high that high or a psychosis since.

So if I come off the antipsychotic with permission and under guidance what are the chances of it returning ?

Want to stay on the mood stabiliser though

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Yep.I am off all meds now,I am at the next chapter of my life.Life is still bearable,but I still get depress half the time and anxious mostly.Didnt have any psychosis at all,I was probably misdiagnosed.10 month clear antipsychotic

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If mania triggered your psychosis then most doctors would want to keep you on an antipsychotic, even if it was 9 years ago.

Besides, the Abilify has mood stabilizing properties.

But I do understand.

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What was your psychosis like? What symptoms did you have?

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I guess so @wave but I’m going to think about coming off if I don’t development another psychosis in the next five years.

@moonwalker , very vague recollection of having delusions. I kind of got obsessed with a colleague … To the point I wrote loads and loads to him. In terms of delusions…

One I remember was I started looking for properties to move out in because (I worked in a hospital at the time) my colleagues thought I had such empathetic powers they were gonna invest in me being a doctor. So I could afford it
t he parcels in the office belonged to me as it was my new lab coat … So stupid

Basically I was full of myself I thought everyone was in love with me

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I’m no dr, but my feeling is that you probably don’t need an AP

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It was definitely psychosis and I’m not denying that. I will look into coming off in a few more years hopefully.

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Bipolar with psychotic features is a short term state. I don’t see why you’d be on an AP when the psychosis is gone

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Bipolar disorder type 1 with psychotic features is a long term chronic illness.
It is usually managed with medications like mood stabilizers and antipsychotics.

Nothing to take lightly.

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What’s the difference between that and sza. I always thought that bp with psychotic features was temporary. I was originally dx that so I’m curious

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schizoaffective disorder is a mood disorder combined with separate psychotic symptoms that are not attached to mania or depression.

That answers part of it

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There is usually a very fine line between bipolar 1 with psychotic features and sza.

Basically with bipolar, the psychosis happens during a mood episode, but with sza the psychosis can occur outside of a mood episode.

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what meds’re you on?

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10mg Abiify and 600mg Tegretol

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I think the most important thing for a person with bipolar is to take their mood stabilizer whichvyou already said you plan on doing. So that’s good. I don’t know if it’ll return but you can always call your pdoc if you start to lose it again.

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You shouldn’t tell her not to take her AP.

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In Bipolar 1 the episodes themselves are temporary, but without proper medical intervention the episodes will typically reoccur throughout the persons life.

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I don’t think @Moonwalker meant that besides I plan to do it under supervision if I do and my pdoc did say it was an option but I’m waiting for the right time as I recently come out of depression.

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