I don't have schizoaffective! :@

In hospital over the years I’ve had mania, but when off meds in the community I have no bipolar and nobody; not friends or family have ever complained of mania or bipolar. In the community setting I’m calm, cool and collected.

The hospital setting presents a negative chaotic environment in which mania and delusions can proliferate. It’s a traumatic environment too.

How can I be said to be schizoaffective when I naturally do not have mania or bipolar?

I don’t meet the criteria for detention but my community pdoc/RC is refusing to let me go home until I get back on a mood stabiliser as a preventative for mania, even though I don’t have mania in the community.

I quit lithium over 2 months ago because I don’t want to destroy my thyroid gland.

I also quit because I’m not manic and I don’t like the sensory issues it causes. (Sensory overload)

On top of that it causes blurred vision and blurred faces with distortion.

And anhedonia. To the point that I can’t even enjoy music, food or vaping.

My community doctor has unconscious bias, and is discriminating me.

I’ve asked for a different community doctor from the CMHRS or a referral to GP services.

I’m trapped in hospital because this guy stigmatizes me and discriminates me.

I’ve never harmed a member of the public in psychosis but in his eyes I’m dangerous.

When will these Doctors quit tryna play God?

SZA also has a depressive type. Do you have depression?

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I’ve had normal depression but even when depressed I still had self care. Still worked on music daily and still weight lifted 7 days a week. So no bipolar depression.

Hospital is making me depressed though. I feel hopeless and stuck/trapped.

Can you ask for meds like Geodon or Vraylar that are less crippling?

I don’t find Paliperidone too bad bar the hyperprolactinaemia. I asked for aripriprazole in a low dose to fix this. They still haven’t done anything.

Maybe Cabergoline would work also cos it’s a dopamine agonist.

When there are patients that can stay asymptomatic off meds I reckon the Doctors should push for no meds to increase quality of life.

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Normal depression is considered the depressive type.

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If I was truly depressed before this admission I wouldn’t have been able to get out of bed. I trained hard, worked hard on music. And made sure to walk 10k steps daily in nature.

And I sure did feel good for those 7 months in the community off meds. I smoked Green as well which is bad for most people, but I think I have dopamine down regulation naturally which is why I chase highs in life.

Weight training would give me a huge rush and seeing my bulging muscles in the mirror boosted my self esteem. Not to mention attention from people on Instagram when I posted vids of flexing my quadriceps.

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If they want you to start a mood stabiliser - they’ll want to observe you and see how you go with it. As you already know, Lithium requires bloods and all that jazz. In the UK, schizoaffective is not considered a schizophrenia. If they are worried about mania or depression, they will not let you go until they are satisfied its under control.

Is it possible to be off meds and be fine?

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You don’t have to be on lithium as a stabiliser. There are others such as Lamogtragine

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I can go off meds and stay well as long as I don’t get suicidal again. I think suicide ideation caused a couple of my most recent relapses.

Apparently Paliperidone can be used as mono therapy (FDA approved) for SZA.

So I don’t need to take an additional mood stabilizer.

I also don’t have a mood disorder rn so staying on Paliperidone seems Ok.

I just want to go home :sob:

There are other ways of being depressed. I function well enough, but was suicidal without Wellbutrin.

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I think I’m depressed but there’s probably a spectrum.

if your not sz y join a sz site?

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@EternalAether If your pdoc has witnessed you in a manic state even one time, or even once in a hospital or clinic setting, that’s enough, that’s all it takes to switch you from a diagnosis of sz to sza.

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I’ve had 9 psychotic episodes.

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