Hello bluebunny,
With the history of SZ and depression in your family, you need to consider carefully what's going on in your own life. How often do you cycle in and out of stress-provoked schizophrenic episodes? How quickly do you bounce back into a well state after each episode? Are you able to function to the degree that you would like? Are the schizophrenic episodes disabling? I don't see how any schizophrenic episode could be a good thing, and if I had the choice, I'd rather not have a schizophrenic episode at all, then to keep riding them out when they come and go.
There is a diagnosis, "Brief Reactive Psychosis" that psychitrists give a patient who has undergone extreme stress, and I agree with everything Jerry, the other expert, wrote. He said that even mild stress could provoke a schizophrenic episode in someone who has a tendency towards SZ.
You have to be honest with yourself about the level and intensity and frequency of the stressors that set off your schizophrenic episodes. One major life stressor could cause a brief reactive psychosis; everyday irritants that cause a similar reaction are another story. Be honest with yourself: do you want to keep having psychotic episodes when medication could possibly stop them, or at least alleviate their severity and frequency?
The point is, stress can cause schizophrenia. From what you've said, you haven't been able to control, stop or halt your stress. You seem to be suggesting that if the stress is out of your life, the schizophrenia will be gone too. Again, you need to be honest about your history of having symptoms.
I know others [and I myself had stress-induced schizophrenia] who decided to stop their medication once they got better, and this resulted in the SZ coming back in full force. It's like playing Russian Roulette: you don't know when the last episode will occur that will send you permanently over the edge, and that could happen if you just keep letting stress "pull the trigger."
If I had the choice between having symptoms or having an episode every so often, and being on the medication and not having symptoms or being able to control the symptoms so that I didn't have a psychotic episode, the choice is clear to me.
My break with reality was sudden, total and irreversible. Even though the stress was out of my life, when I stopped taking the meds, I relapsed.
I believe you owe it to yourself to consider taking some kind of SZ medication. Having a schizophrenic reaction every time you're under stress is not healthy, and you deserve peace of mind.
Respectfully,
Christina
Hello Betty Boo,
I'm not certain I have a specific answer related to your question however I will try to answer it in the way I feel I can.
I have a similar thing where I would worry what people thought of me and started to get anxious. I was also on stelazine for 20 years until it stopped working and I was prescribed Geodon which has been like a miracle drug.
The first thing that comes to my mind is that maybe your dose could be elevated to 5 mg if you've been on 2 mg for 20 years. I can't tell you to do that becuase I'm not a psychiatrist you would have to consult your own doctor.
Otherwise what you describe appears to be situational. What happened for me I recall vividly was at the rehearsal dinner for my brother's wedding. My mother catered it at her house and I sat at the dining table across from a woman who was in the bridal party. I was worried all night what she thought of me so kept a smile plastered on my face.
Recently I had 10 sessions of cognitive therapy which helped greatly.
I would suggest for you cognitive therapy and also like I said a possible dose change. Cognitive therapy worked wonders for me.
Regards,
Christina