CBT was the game changer for me. It changed how I reacted to the voices and got me out of the positive feedback loops I would keep getting stuck in. Now I can fly steady on a fraction of the old doses because the symptoms can’t wind me up like they used to (so long as I maintain my insight).
I cannot cope off AP’s I’d be too violently agitated and depressed and my avolition will be bad. I’m starting therapy soon and hope it will help with coping strategies but I doubt I can cope completely off meds.
This is my strategy as well. I’d rather err on the side of incomplete symptom relief than unnecessarily tolerating side-effects. Besides, some APs have a “ceiling effect” wherein higher doses yield side-effects without greater benefit.
I’m on the lowest dose of Invega trevicta. Cognition is OK. Emotionally I’m quite flat,but have been laughing a bit more recently. Experience functional hallucinations + irrational fear/paranoia of people getting into my flat. Can reality test but it’s a persistent f****r