I've exhausted the AP list too, either they don't work or the side effects are as bad as the psychosis for me. There is a "least shyttiest option" for me though. I haven't been on any meds most of this year, and so far psychosis has only come up with substance use or withdrawal. If it comes back, I'm going with seroquel because it kinda works and the side effects are tolerable.

Is there a certain amount of time he wants you off the meds? or as long as possible? or is he going for forever? maybe generally off meds but put back on when needed?

It just seems like a bad idea when you have multiple psychotic episodes under your belt and not have a back up plan in place if you have a pdoc.