Misc Olanzepine alternatives - Under Treatment Authority

[Kalma Electra]

Hey everyone,

Just wanted to throw this out there to see if anyone’s been in a similar spot or has some wisdom to share.

I had a meth-induced psychosis earlier this year and ended up in the psych ward for 12 days. Got slapped with a Treatment Authority and was put on 10mg olanzapine. I’ve now been off meth for over 140 days, off olanzapine for about 4+ months, and my TA officially ended recently. So I’m no longer legally required to take anything, but the mental health team still wants me on “something” for another 6 months.

Before this all happened, I was on 6mg clonazepam and 2mg Xanax daily, prescribed. That all got pulled of course, and now I’m only on Valium at a much lower dose for anxiety. I’m actually okay with that and want to stay clean and build a stable life, but my sleep is trash, and I still deal with low-grade anxiety, especially when I’m not doing much.

The problem is, olanzapine just kills my soul. Even 5mg makes me flat, joyless, no motivation, no spark – like I’m a zombie. I don’t want to go back to taking it, but I’ve been tempted to pop it some nights just for sleep, since I try to reserve Valium for when I really need it during the day. But I know it’s not sustainable or healthy.

I’m trying to find a win-win here – something that:

• Helps with sleep/anxiety
• Doesn’t make me feel dead inside
• Is still technically in the antipsychotic or mood stabiliser category, so my team is satisfied
• Ideally not sedating 24/7 like olanzapine

I’ve come a long way and really don’t want to go back to using street benzos or whatever to cope. I want to stay on track, but I also don’t want to be medicated into apathy. So yeah – anyone been in a similar situation post-psychosis/TA and found a less gnarly alternative to olanzapine? Could be another antipsychotic, mood stabiliser, or even an off-label option if it ticks the boxes.

Appreciate any input