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Re: Beginning to think I have schizophrenia SLS

Posted by undopaminergic on October 8, 2021, at 8:49:08

In reply to Re: Beginning to think I have schizophrenia, posted by SLS on October 7, 2021, at 15:47:05

> Hi, UD.

Hi SLS.

>
> 1. How do you differentiate between schizophrenia and schizoaffective disorder?
>

In schizoaffective disorder, a mood episode (depressive or manic) is ongoing for most of the whole duration of illness.

> 2. How would you describe the difference between bipolar mania and the delusions that persist after the manic episode resolves?
>

Classic mania is an episode of elated mood or even euphoria, as well as associated symptoms such as impulsiveness and a lack of critical thinking. The impulsive thinking leads to (typically grandiose) delusions. The delusions remain although the mania subsides.

> 3. What exactly is meant by saying "depressed mood"? I really don't know.

I think in the DSM, it is meant to be self-explanatory.

> 4. Does "depressed mood" differ from "melancholic depression"?

Depressed mood is a feature of melancholia, but can occur in the absence of the latter. As I understand it, it is a condition of low mood that can include feelings of sadness, worthlessness, guilt, hopelessness, etc..

> 5. [psychotic depression and amoxapine and loxapine]

I'm not familiar first hand with psychotic depression. From what you say, I agree that it would make sense to treat it with loxapine. Another option would be trimipramine, which is a dopamine antagonist and has substantial antipsychotic properties. (I'm currently on trimipramine.)

> 1. Mixed-state bipolar with psychotic depression?
>
> 2. Schizoaffective disorder presenting with a bipolar mixed-state?
>
> 3. Schizoaffective disorder presenting as a bipolar mixed-state where the depressive component is that of psychotic depression.
>

What about them?

> Is there any history of seizures, traumatic brain injury, or multiple concussive injuries?
>

In my case? No. I even tried high doses (maybe 900 mg) of bupropion without even a hint of seizures.

> Lyme Disease? I doubt it, but Lyme infection produces a plethora of strange combinations of psychiatric symptoms.
>

Yes, but I didn't have a tick bite until long after I fell prey to mental illness.

> In treatment resistant psychiatric disorders, some very smart doctors often subscribe to the ancient adage that if you throw enough crap against the wall, some of it is bound to stick.
>

You mean throw more and more medications (in combination) at the problem to see if it begins to help a little?

I don't have access to any smart doctors.

-undopaminergic


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poster:undopaminergic thread:1117083
URL: http://www.dr-bob.org/babble/20210723/msgs/1117189.html