I'm very sensitive to side effects and I think that is why they are so hesitant to add meds. The last med change they did the med worked really well (latuda) but I developed a severe shake in my arm. They added cogentin but cogentin clouds my head too much. I even had a med that caused me to stop speaking. But one med I'm on, Lithium, causes problems but they won't change it no matter how much I ask and it's a double standard.