Whst do you prefere.
@neithr columbus
Personally I prefere having few positives eventhough that it comes with the prize of side effects like amotivation, anhedonia, avolation apathy, cognitive problems. Sexual and weight issues.
I just don’t like hearing voices or have dangerous racing intruitve thoughts.
That I now am on the low dose of antipsychotics(750 mg qutiapine and 500 mg Clopixol LAI every 3 weeks and none 3. antipsychotics 160 mg Geodon) and almost symptomfree I thank a devine power. Thats why I’m almost never on the unusual thoughts forum because I’ve nothing to write back home about.
Personally I prefer to titrate until you’ve just about on the precipice of experiencing symptoms. Since positives fluctuate with mood and stress some light symptoms when you are stressed are okay as long as you can manage them and if you’re on top everything then you get no symptoms. Imo is probably the best place so long as you can avoid relapse. Then again it is also based on your stress tolerance for symptoms as well as the coping skills you develop. If you can handle symptoms well then not having the cognitive fog of medication could be advantageous. Still I think that the main point of medication isn’t really to stop you from being crazy but allowing you to have the stability to rebuild your life and function optimal.
From the point of initial hospitalsation I see a lot of people being dosed up with zyprexa, risperidone, clozapine which have a higher side effect burden and but are more effective on positives. Also sedating stuff which makes you easier to manage and more compliant like benzos and seroquel. If you have a good prognosis/recovery trajectory then I see people who manage their symptoms swaping to less sedating and more metabolically friendly APs like Brexpiprazole and lurasidone, potentially lumateperone, ect. After swaping to the more side effect friendly medication and symptoms are still tolerated well I think that dosage reductions can be made so long as symptoms are under control. Potentially coming off medication altogether in some situations. This is the progression that I see as best in class care.
A lot of people are stuck on the more side effect riddled medications for one reason or another. Also swaping medication and tapering requires a lot self advocacy since unfortunately a lot of doctors don’t see this as the pathway forward.
Did chat Gpt write that. Or is it your opinion that it’s better to manage your symptoms(having fluid symptoms) with a higher functioning level instead of removing the positive totally.
I must say to you if my positives didn’t get removed by the meds I would be a danger to myself and my invironment and then only the Clozapine pills would save me from totally disaster.
To those of you who can manage your positives with little doses of antipsychotics I will recommend you to do so.
To those of you who cannot manage your life with psychosis I will recommend you to get the positive removed with 2 antipsychotics or clozapine.
Excuse me Iris I’m sorry that i replied so arrogant on your post forgive me my stupidity. I’ve been sub manic for some days so this evening I raised my dose of seroquel back on 900 mgs.
No stress you can note my spelling mistakes though I was never that good at English. If you don’t control the positives well then yeah you might find that yeah your Seroquel dosage is somewhere in the range of 700-1100 using that as you upper and lower you can begin to hone in on a place where you stabilise. i.e. if you feel mania at 900 maybe you don’t at 950. As you develop coping skills maybe you will find you only need 925 or 900 later down the track.
Well I just want to say that I dislike my own personality when I go sub so well I just took 900 mgs to get down on earth.
No fights and I really got nothing more to add.
It’s never a good place to be at odds with your own personality, be kind to yourself.