• N&PD Moderators: Skorpio

Stim. Psychosis (from 2DPMP)? HPPD (from 5-meo-MiPT)? Seroquel didn't help...

etcetera

Greenlighter
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Oct 8, 2008
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Hey everyone in ADD.

Recently, I feel altered more-or-less all of the time. Like low dose DOC or something. I also occasionally "hear voices" and have some pretty minor delusions that I can overcome by just telling myself they're voices, but they make me pretty fucking anxious.

I think this was either from stim. psychosis from mixing amp and 2DPMP once (which sent me into a real psychotic breakdown) or from doing 5-MeO-MiPT and 2DPMP once. Maybe.

For about ten days, I took 100mg seroquel every night. I didn't feel especially then, and since then I haven't taken any drugs and still feel a tad bit psychotic.

Anyway, all that drug use was maybe two months ago. Since then I've done no hallucinogens, no opiates, no stimulants. I've drank alcohol a bit and drink coffee regularly.

Any advice? Is this HPPD? Permanent amp. psychosis? What should I do?
 
cut back on the caffeine (-->stimulant!!!) and alcohol; and wait....
relax, two months isnt really that long and it doesnt surprise me in any way that the seroquel didnt help your symptoms. its shit...
best wishes,
brbg
 
how often do you sleep? do you eat regularly - do not allow your blood sugar to drop way down for a period of time this will exacerbate your state.

Possibly consider learning some relaxation exercises, like focusing on your breathing when you're anxious.
 
I am not familiar with 2dpmp but it sounds like a bit of HPPD but more than likely you use brought about latent psychiatric problems. I would follow the advice of brainbug and lay off the alcohol and especially caffeine. As for seroquel that a tough call, some theorize that APs actually exacerbate mental illnesses in the long run and may cause permanent damage through maladaptive neuroplasticity. Only you can make an informed decision as to their use, but I would certainly consult a professional for guidance. If the voices are managable and you are not feeling paranoid or violent then perhaps a year or so of abstinence would be a better first step than medicating yourself heavily.

The best medication reported by HPPD sufferers is clonazepam specifically, preferred over all other benzos. However I feel sobriety is a better bet for now so long as you do not become dangerous or unmanageable. You should ask a family member or friend to monitor your behavior and attitudes over the next few years and be honest with you if they feel you need to be medicated or are becoming dangerous, delusional, egomaniacal, etc. Put this in writing as a promise between you two so you understand what the agreement was if you become delusional.

Other than that just hang in there, most of us have fried ourselves at one time or another and recovered well. Just keep a positive attitude and clean lifestyle.
 
You're asking if you got HPPD from 2 separate "trips", one of which didn't even involve a hallucinogen. HPPD is by definition chronic and characterized by visual perceptual disturbances. So no and no. I can't find any reliable data on HPPD epidemiology but I'm pretty sure it's uncommon.

Several things in your initial post got my attention:


1) You're asking for confirmation on something you've already made up your mind about, I think.
2) You put "hear voices" in quotes.
3) You conflate hallucinations, paranoid ideations and delusions in paragraph 2 (they're 3 different things, unless you're having fears that you have occasional false beliefs that you hear voices [e.g. "The patient presents with paranoid ideations, evidenced by his reported suspicion that at times he undergoes dissociative episodes during which he assumes the identity of a psychotic Mongol named Vaa."]).
4) In paragraph 3, are you using the phrase "real psychotic breakdown" with clinical precision or are you just saying you wigged out?
5) You weren't taking the therapeutic dose of quetiapine, which for psychosis is 200-400mg bid (twice daily, as it is short-acting)

So then, there are auditory hallucinations and on the other side of the token there are illusions, just as there are bonafide delusions vs. anxiety-fueled paranoid ideations. And there is also a hysteria sweeping across the literate world now that any bizarre experience or behavior is pathological (this is especially seen in college-educated women who think they have their boyfriends, husbands, fathers and bosses figured out and would report them to public health officials if the appropriate channels were in place).

If it's any consolation, I hear pseudo-voices too, and have so much self-doubt that the moniker "little pussy boy" could subtitle my autobiography thus far.

I've seen aripiprazole work pretty well for mild psychotic disturbances. Then again, except for the anxiety, being "altered" is a blessing.
 
100mg of Seroquel is a very low dose. For comparison, I take 600mg in the nigt to sleep.
 
1) You're asking for confirmation on something you've already made up your mind about, I think.

2) You put "hear voices" in quotes.
3) You conflate hallucinations, paranoid ideations and delusions in paragraph 2 (they're 3 different things, unless you're having fears that you have occasional false beliefs that you hear voices [e.g. "The patient presents with paranoid ideations, evidenced by his reported suspicion that at times he undergoes dissociative episodes during which he assumes the identity of a psychotic Mongol named Vaa."]).
4) In paragraph 3, are you using the phrase "real psychotic breakdown" with clinical precision or are you just saying you wigged out?
5) You weren't taking the therapeutic dose of quetiapine, which for psychosis is 200-400mg bid (twice daily, as it is short-acting)

...

I've seen aripiprazole work pretty well for mild psychotic disturbances. Then again, except for the anxiety, being "altered" is a blessing.

Aye, as for:

1) I'm wondering if it's HPPD or Amp. Psychosis, basically. Not that anyone can really tell, psychiatrists included.

2) Sometimes I hallucinate voices. Literally hear given people say things about me. And it's usually in the delusional form that people are ganging up against me to trap me / attack me / snitch on me / whatever else idiotic shit.

3) See above? I'm not sure if this is a sufficient explanation.

4) I hallucinated like in 2, but actually saw the people coming to attack me... I thoroughly believed friends had come to attack and kill me. I saw people on a distant roof, heard their voices, and tried to call them to ask if they were nearby. They were not.

5) I'll try the clinical dose for a week or so.

---

Anyway, I'm quitting caffeine as of day (decaf mocha in hand) and I'll cut back the alcohol to once every two weeks, if not less.

Now, to respond to some others:

Gaian Planes: Yeah, I definitely get enough sleep since I started aerobic training again. I eat constantly and fully thanks to the aerobic exercise too.

I claim that running is my relaxation exercise, but I'll try these breathing exercises.

theWorldWithin: No access to benzodiazepenes. :[

---

Thanks for all the input, everyone.
 
Man, please try to stay the hell away from benzos; I wish I had never been introduced to the damn things as I've been dependent on them for 5 years now.

Your reality-testing abilities seem intact. Do you really wish to take on the plenary lifestyle changes that a neuroleptic (even an atypical antipsychotic) will bring about simply because you're having moderate perceptual disturbances? The orthodox line of thinking in the US mental health industry is "First regulate the psychosis, then elevate the mood, then work on the anxiety." Sometimes I think this hierarchy should be inverted. What I'm saying is, let the voices speak, so long as you know full-well that they cannot harm you.

Check these people out:

http://www.intervoiceonline.org/
 
Everyone has their own evils. Benzo's are very helpful for some people.

Ecetera, you are asking a forum board to diagnose you with several lines of description?

I knew a person personally, whom, after a sizable dose of HBRW sucuumb to sudden onset schizophrenia. Was it the drugs or the genes, blah blah? Even knowing if your expeirences began immediately after your drug use, it doesn't tell us, nor a well trained doctor what happened.
It does sound terribly similiar to schizo-like symptomatology. I recommend reading Szasz's Myth of Mental Illness and relaxing. I personally like a benzo occassionally.
Also, a doctor may help more than some drug nerds.
 
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