Maybe there’s another AP you could try that would be less sedating like geodon or abilify? I dont think everyone with bp needs to be on an AP all the time either. If your psychosis only comes with extreme manic or depressive episodes and a mood stabilizer prevents that, you probably wouldn’t need an AP IF that mood stabilizer works well. I will say from my experience and from anecdotes from others, it seems to be uncommon for someone who has psychotic episodes to not need to be on an antipsychotic, but it does happen.
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