This is because some of the newer drugs are not very sedating at all and are considered “activating”. Latuda is a perfect example- I tried it and it just made me worse, I need some degree of sedation, and Geodon, my main medication, is mildly sedating, less so than most others but still, I notice that it keeps me easy going. I would suggest Abilify or Latuda, perhaps Clozapine, all of these drugs are known for improving negative symptoms more so than the other anitpsychotics.
My case is low negative symptoms, the “madman” kind- restless, irritable, cold and callous, that is my natural state. I am also on Xanax, a moderate dose of 1mg every 6-8 hours. It keeps me level and helps me feel like my mind is relaxed enough to take things one at a time.
But my case is the “raving mad” kind. I was a gym rat and martial artist when it hit me in full force. I became socially withdrawn and introverted, it was unlike my old self. Today I am extroverted again, I mean I am on here out of boredom because it’s winter break and my GRE books come in like three days. I am going to a new year’s party tonight, cooking dinner right now, for example. I mean I used to exercise excessively and would drink to calm down. My doctors know all about this.
Negative symptoms have been countered to a lesser degree with caffeine and nicotine, both CNS stimulants. I myself drink plenty of caffeine and smoke a little less than a pack a day. I smoke like 15 cigarettes a day. Not that I suggest smoking- there are alternatives, there are even antipsychotics being derived from nicotine. It is a new thing in medicine.
I suggest you get a coffee habit and perhaps research nicotine and negative symptoms. The evidence is strong. I mean you could use a vaporizer, but those are not FDA evaluated and who knows if they cause cancer like cigarettes do.
An antidepressant may help you out. Talk to your psychiatrist about this.
Good post, and to be honest, no, negative symptoms do not often get better unless medications are adjusted. They are very hard to treat.