So I learned what happens in sz brains. I will also talk about AP effects on sznics.
There are 4 dopamine pathways in the brain: mesolimbical, mesocortical, nigrastriatus, and tuberculoinfundibular.
The mesolimbical is related to the reward mechanism so action reward. Here is where sznics have excess dopamine that causes positive symptions
The mesocortical is related to cognition, memory, emotion, and we sznics have low levels of dopamine in this pathway. This pathway is responsible for the negative symptions.
The nigrastriuatus pathway is related to movement. dopamine levels on this pathway are not effected by sz. Low levels of dopamine on this pathway cause parkinsons.
The tuberculoinfundibular pathway dopamine levels are not affected by sz. This pathway has to do with the production of prolactine.
So basically we have hallucinations because we have too much dopamine in the mesolymbical pathway. reward mechanism of the brain. action then reward. We have negative symptons because we have low dopamine in the mesocortical pathway which is related to memory, emotions, and cognitivity.
The rest of dopamine distribution is just like in a normie.
AP decrease dopamine over the entire brain.
It solves positive symptions because it decreases dopamine in the mesolymbic pathway.
It worthens negative symptions because it makes dopamine levels already low into much lower in the mesocortical pathway: memory, emotions, and cognitivity.
It decreases dopamine in the nigrastratus pathway that is why AP overdose causes parkinsons. The other effect of this is extrapiramidal symptons such as stiffness, pointy extremities, and so on. The decrease of dopamine in the nigrastratus pathway causes akathaesia which to me was terrible for a long time.
AP decreases dopamine in the tuberculoinfundibular pathway which causes hyperprolactnaemia, excess of prolactine.
APs must decrease dopamine in the brain by at least 60% to solve positive symptons.
First generation APs such as haldol decreases overall brain dopamine by over 80% and thus the enhanced extrapiramidal effects. Passes 80% causes trouble moving, mouth dryness, stiffness, I had all of this with haldol to solve my first pshycotic ephisode. also terrible.
second generation APs add an inhibition to serotonine which causes the decrease of overall brain dopamine by around 70% not causing th extra piramidal effects. The rest is just like the first generation.
APs worthen negative symptons and anticholinergic drugs are prescribed to work on this but that is something else. Overall APs worthen negative symptons.
Akatheasia which to me was always terrible and prohibits pleasure absorcion is caused by low dopamine in the nigrastratus pathway. Too much AP and you get parkinsons.
Amenorrhea and galactorrhea are caused by hyperprolactinaemia caused by low dopamine on the tuberculoinfundibular pathway.
That is basically the history with us.