[medicalfox]

For years I've lied about my hallucinations and delusions to the psych staff. Recently my anti psychotic was raised and I noticed a lot of positive changes. I was so excited that I told my therapist how great it was to finally have most of my mind in peace. O.m.g she went bonkers when I told her I had auditory hallucinations and other things when I wasn't manic. I told her it was fine and that life isn't perfect, but she insisted I see my pdoc this month to get a higher dose of risperdal...arg. I really wanted to focus on the borderline personality disorder subject, but this became her main concern. I don't want to go on a higher dose because I'm happy the way I am at the moment. I do need another anti psychotic in the winter, but I don't want them to mess with the risperdal. Any thoughts about this? Should I had kept my hallucinations and delusions a secret? I feel like I'm going to be in trouble and I'm scared.

[mimi2112]

I think one reason the therapist wants you to see the pdoc is that it may have to do w/ your Dx. ? Idk your details of course, but if they were just treating you as if your psychosis was prompted by mania, then that's a whole different Dx.
When the psychotic features are present regardless of mood, then the Dx changes, when the Dx changes, the meds change.

I do commend you for letting them know what you're experiencing, even though it's scary to do that.

[DePressMe]

Medicalfox, congrats on opening up and telling your T about you delusions and hallucinations! It's important to see your pdoc for further counsel. Just because your T wants to up your meds does not mean your pdoc will. After all he is the med expert. If you tell him you are doing okay he might want to keep you at the same dose because generally it is best to stay at the lowest dose possible........D.

[newtus]

Originally Posted by mimi2112

I think one reason the therapist wants you to see the pdoc is that it may have to do w/ your Dx. ? Idk your details of course, but if they were just treating you as if your psychosis was prompted by mania, then that's a whole different Dx.
When the psychotic features are present regardless of mood, then the Dx changes, when the Dx changes, the meds change.

I do commend you for letting them know what you're experiencing, even though it's scary to do that.

yes
thats why diagnosis matters. people says its doesnt but it doesnt. even between bipolar 1 and schizoaffective and schizophrenia - the meds are a huge difference. lithium apparently doesnt work on those with schizophrenia. so it has to be worked gently for those with schizoaffective. im not on lithium. although my current dx is schizoaffective. im on antipsychotic and antianxiety. which is kinda typical schizophrenia medication. im not sure why im labeled as schizoaffective now. but in the past the "affective" part its always been depressive not bipolar.

[medicalfox]

Okay thank you everyone My therapist thinks I have schizoaffective disorder, but I don't see why they would need to mess with my anti psychotic when it's doing quite well. I don't know what my pdoc will think of this and I'm afraid of his reaction. I really hope he's not mad at me and tells me that I'm being silly. My old pdoc was very mean, so I'm getting used to my new pdoc and I've only met him once so far.

Yeah I read about how lithium doesn't work on schizophrenics. I was suppose to go on it, but after learning about how delicate this med needs to be balanced and all the cons, I chose not to go on it. I'm on 200mg of lamictal and my mood has been very stable thankfully.

You can be schizoaffective bipolar type or depressive type. If I was to get diagnosed with schizoaffective disorder, I would be bipolar type.

[mimi2112]

I understand how hard it is to establish a trusting relationship with a pdoc. It may be that for now he doesn't make any changes to your meds since you are doing well. I hope you are able to tell him how you feel about not wanting med changes. It is best he knows your symptoms in order to treat you properly in the future in case things need to be adjusted.
I wish you well.

The same thing happened to me Medicalfox My pdoc knew about everything but he didn't appreciate how bad they were at the time when I was only moderately depressed. He thought it was just when severely depressed (I was bp2 and haven't had any psychotic stuff when 'up' so far). So I had to sit him down and spell it out and was switched to schizoaffective in May.

Hopefully he'll keep your meds the same if they're helping. AP & MS should work for both psychotic bipolar and bipolar sza. Mine weren't which is why they're in the process of being changed.

Also I came to terms with the worsening prognosis by realising that my prognosis is the same as it was beforehand (I am still the same as I ever was), just the name is more accurate now, and hopefully that will lead to a treatment that finally works for me.

All the best

*Willow*