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Re: psychosis and AP substitutes » nellie7

Posted by yxibow on September 13, 2006, at 1:35:13

In reply to psychosis and AP substitutes, posted by nellie7 on September 12, 2006, at 14:40:27

> Hi,
>
> Does anyone know if people suffering from psychosis but who have some ability to doubt their delusions and to question their judgement can benefit from CBT or some form of "thought training" in order to gain increased ability for reality testing? Could this possibly help such people if they cannot tolerate side effects of APs?
>
> TIA,
> Nellie.

Yes, there are non-medical psychotherapy routes for psychotic disorders. And even antipsychotics may not block out things fully, as the math virtuoso John Nash has experienced although his psychosis has lesseneed in later life as some people with schizophrenia have experienced.


But it would depend on the intensity of your psychosis and your absolute willingness to return to an emergency room or your doctor when you felt any self-harm or other thoughts (I don't know your particular disorder) and return to medication.


I assume you have been through all the atypicals and some of the less active at D2 typical antipsychotics? Have you tried amoxapine ? Have you been through clozaril or decided that wasn't a route would be able to give a trial and manage?


Probably by 2008-2009 there will be several new ones on the market but I can understand that EPS is unpleasant, I do take Seroquel but not for a psychotic disorder. Akathisia is usually the most prevalent and intense EPS for me with the ascending order of D2 activity of medications.

-- tidings

Jay

 

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