This is the pharmacy she was taking and without question during that time:
Perphenazine 2 mg t.i.d. and 8 mg h.s.
Prozac 60 mg q.a.m.
Trazadone 150 mg h.s.
Cogentin 2 mg b.i.d. p.r.n
This is a lot for a 100 lb small framed lady. Why was she on this? It all started with Paxil. Side effects were misinterpreted as symptoms of BPD.
The prescribing cascade, misdiagnosis and cognitive biases contributed to iatrogenic harm.
Some individuals are vulnerable to medication side effects. It's probably genetic and has to do with how they are metabolized by the body.
If hallucinations, impulsivity, and suicidal ideation manifest themselves shortly after a medication is started, it is most likely due to that.
I had psychosis in my mid twenties that developed spontaneously. It was very different than the hallucinations I experienced from medication and delirium.