Heart disease is a tough diagnosis to receive, especially when you are a young person.

I doubt this is due to Geodon. Antipsychotics can cause QT-interval prolongation, which is a symptom visible on an EKG, but you are describing different heart symptoms. When did you last have an EKG?

I have been on Geodon, on and off, since late 2009. Probably more off than on, but I plan to stay on it for a long time, unless there is a paychopharmacological breakthrough. It does not cause severe weight gain, unlike some other antipsychotics, and also does not cause severe EPS, unlike yet other antipsychotics. Its side effects profile is pretty good. I hope you will be able to stay on it.

The heart disease has to be treated, of course. Same for high blood pressure.

Occasional cognitive lapses can be caused by all sorts of things. It is all too easy to blame them, or what ails you, on long-term antipsychotic use, but it is very likely, although untestable, that you would have done much worse had you not been on a consistent antipsychotic treatment regimen.

You have been undergoing cross-sex hormone therapy, right? What are the typical sequelae of such therapy? Maybe you need some antidote to hormonal therapy to protect your heart?