It makes a huge difference to have insight that these are delusional thoughts and ideas. My biggest disasters in life that were self-inflicted were when I lost insight these were in fact delusions and started believing in grandiose conspiracy theories that the great spy powers in the world had bugged my house and were secretly monitoring all of my communications and that I was part of a vast conspiracy to take over the world, or at least Canada... I would go back on zyprexa if I were to start having thought like that and especially act out on them, in addition to my ongoing 1mg of rexulti. Hoping to lower to 0.5 mg in a few months if the thoughts stay at bay. Meds don't help with my depression but i really do get relief for delusions on the right meds. 10 mg of olanzapine will knock me off my feet and I will sleep the day away instead of falling further into a delusional nightmare.