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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.


> 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.





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