Narshe81
Greenlighter
Well, I just got back from my doctor's appointment.
I'm not sure if it went well or not. As soon as I got there my doctor asked me how I was feeling. I explained to him in details how I am feeling and how I have not felt any improvement yet. I then asked him that if it is because Invega Sustenna has such a long half life that is why I haven't felt any better. He said no. I then brought up how I have been reading online and explained to him about the cases that I have found where people still experience anhedonia after stopping antipsychotics. He then said that my being anhedonic is because my psychosis was probably induced by weed, and that it is common post weed psychosis to have anhedonia.
I asked if antipsychotics could cause permanent brain damage. He said no again. I then said to him that antipsychotic drugs can cause things like tardive dyskinesia which is permanent. I asked him if that proves that antipsychotics can in fact cause some permanent brain damages. He said no and that I was reading up too much junk.
He then brought out my files and began to go through them. He began to ask questions about my past hospital visits since I was young. He said that the record shows that I was abused as a child which prompted him to believe that I may be in fact experiencing a form of PTSD and mood disorder. After having said that, he made an appointment for me to see a mood disorder specialist on the 24th coming up.
I told him about cigarettes, alcohol, and other substances that used to give me pleasure all have stopped working. He asked me what I meant by stopping working and could not give me a straigth answer. He just brushed it off and then reaffirmed me that this could be PTSD and mood disorder. He said that I will just get better and better.
So that was my appointment with my doctor today. At the end he then prescribed me some more mirtazapine and sent me home. A good thing about this appointment though is that today they have canceled my CTO (Community Treatment Order). This means that cops will no longer come and drag me to the hospital if I refuse my medications or fail to show up for appointments. I really don't know what to make out of it all, but there's really nothing that I can do aside from waiting to meet with the specialist on Christmas Eve.
Also I wanted to add something. I did find an interesting study I thought I might share:
By Harrow, Martin; Yonan, Cynthia A.; Sands, James R.; Marengo, Joanne
Schizophrenia Bulletin, Vol 20(2), 1994, 327-338.
Abstract
Investigated the presence of a full depressive syndrome in schizophrenia years after theacute phase and factors linked to these depressive syndromes. 75 schizophrenia and schizoaffective patients and 32 patients with bipolar affective disorders were studied prospectively at index hospitalization and followed up 4.5 yrs later as part of the Chicago Followup Study. All Ss were aged 17–30 yrs. Over 30% of the schizophrenia patients showed full depressive syndromes during the followup year. Schizophrenia patients on neuroleptics were significantly more likely to show full depressive syndromes than those not on neuroleptics. This relationship held after the level of posthospital psychosis was controlled. Data suggest that neuroleptic use is 1 factor linked to the depressive-like syndromes found in the posthospital phase in nonchronic schizophrenia samplesarrow-10x10.png. The data indicate a strong link between neuroleptic use and anhedonia. (PsycINFO Database Record © 2013 APA, all rights reserved)
I'm not sure if it went well or not. As soon as I got there my doctor asked me how I was feeling. I explained to him in details how I am feeling and how I have not felt any improvement yet. I then asked him that if it is because Invega Sustenna has such a long half life that is why I haven't felt any better. He said no. I then brought up how I have been reading online and explained to him about the cases that I have found where people still experience anhedonia after stopping antipsychotics. He then said that my being anhedonic is because my psychosis was probably induced by weed, and that it is common post weed psychosis to have anhedonia.
I asked if antipsychotics could cause permanent brain damage. He said no again. I then said to him that antipsychotic drugs can cause things like tardive dyskinesia which is permanent. I asked him if that proves that antipsychotics can in fact cause some permanent brain damages. He said no and that I was reading up too much junk.
He then brought out my files and began to go through them. He began to ask questions about my past hospital visits since I was young. He said that the record shows that I was abused as a child which prompted him to believe that I may be in fact experiencing a form of PTSD and mood disorder. After having said that, he made an appointment for me to see a mood disorder specialist on the 24th coming up.
I told him about cigarettes, alcohol, and other substances that used to give me pleasure all have stopped working. He asked me what I meant by stopping working and could not give me a straigth answer. He just brushed it off and then reaffirmed me that this could be PTSD and mood disorder. He said that I will just get better and better.
So that was my appointment with my doctor today. At the end he then prescribed me some more mirtazapine and sent me home. A good thing about this appointment though is that today they have canceled my CTO (Community Treatment Order). This means that cops will no longer come and drag me to the hospital if I refuse my medications or fail to show up for appointments. I really don't know what to make out of it all, but there's really nothing that I can do aside from waiting to meet with the specialist on Christmas Eve.
Also I wanted to add something. I did find an interesting study I thought I might share:
By Harrow, Martin; Yonan, Cynthia A.; Sands, James R.; Marengo, Joanne
Schizophrenia Bulletin, Vol 20(2), 1994, 327-338.
Abstract
Investigated the presence of a full depressive syndrome in schizophrenia years after theacute phase and factors linked to these depressive syndromes. 75 schizophrenia and schizoaffective patients and 32 patients with bipolar affective disorders were studied prospectively at index hospitalization and followed up 4.5 yrs later as part of the Chicago Followup Study. All Ss were aged 17–30 yrs. Over 30% of the schizophrenia patients showed full depressive syndromes during the followup year. Schizophrenia patients on neuroleptics were significantly more likely to show full depressive syndromes than those not on neuroleptics. This relationship held after the level of posthospital psychosis was controlled. Data suggest that neuroleptic use is 1 factor linked to the depressive-like syndromes found in the posthospital phase in nonchronic schizophrenia samplesarrow-10x10.png. The data indicate a strong link between neuroleptic use and anhedonia. (PsycINFO Database Record © 2013 APA, all rights reserved)
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