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Unread 11-08-2013, 12:03 AM   #1
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Default Do your psychotic episodes come on suddenly, or gradually?

Do you become psychotic very quickly, or is it a more gradual process? I've been delusional in the past, but I can't remember if it all happened at once or if it was a gradual process...I ask because lately I've been having some minor symptoms that are gradually worsening. (mild hallucinations, like seeing words change color and seeing shadows of people hiding in bushes, thinking I have powers like invisibility and precognition, intense dissociation (feeling like everything is a dream/not real), preoccupation with time and whether the past is less real than the present, and I believe in alternate realities).

Should I call my pdoc and ask for more zyprexa? I really don't want to take anymore due to weight gain, but the last time I got like this I was sent home from Italy for being suicidal/delusional, which could have been prevented if I took more zyprexa. Does it sound to you like I'm losing my grip on reality?
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Unread 11-08-2013, 12:33 AM   #2
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its gradual. takes a few days for onset.
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Unread 11-08-2013, 08:36 AM   #3
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

Gradual for me too, but I know others who've had sudden episodes. Might be worth upping the Zyprexa or asking to switch to a more weight friendly AP.

All the best,

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Unread 11-08-2013, 11:01 AM   #4
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Default Do your psychotic episodes come on suddenly, or gradually?

For me it's a gradual thing.
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Unread 11-08-2013, 12:29 PM   #5
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

My daughter is gradual and I am thankful to be able to see it coming.

Talk to your T soon because the sooner you feel it coming on and get taken care of, the quicker things can get straightened out.

As always.... just my experience.

Also, My daughter is on zyprexa for 2 years now and gained almost 100 pounds. This last hospital stay, they doubled the dosage and added thorazine, metformin and Cogentin.

She isnt hungry!!!! This is crazy because she used to sneak food all day long. I looked into the meds and found that Cogentin is what is canceling out the side effect of the zyprexa.

It may help you too. cogentin is taken to prevent TD. The shaking spasms sometimes caused by anti psychotics. It may be worth asking your T about it.
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Unread 11-08-2013, 02:29 PM   #6
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

gradually it sneaks up on me and I do not know it is really happening until it is full blown
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Unread 11-08-2013, 03:06 PM   #7
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

It's gradual for me too.
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Unread 11-08-2013, 09:26 PM   #8
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

There are little signs that I don't really notice for either a day or two, sometimes even just for a few hours. Then WHAM. It smacks me & I have no idea where it came from... Not until later, at least!

I'd up your dose temporarily just to be safe. Would suck for a preventable setback to send you back home!!
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Unread 11-11-2013, 10:50 AM   #9
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

Gradual for me.
It always seems to start with something small and something real and then It expands slowly into something much bigger.
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Unread 11-11-2013, 07:05 PM   #10
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Default Re: Do your psychotic episodes come on suddenly, or gradually?

It just sneaks up on me and starts happening. Music plays, pictures start moving, things talk that can't talk... all of that. I'm supposedly Bipolar 1, but my dr wrote Schizoaffective last time when i checked out, so we'll see. I don't feel like bipolar catches everything even though I do have mania and depression.
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Last edited by Moose72; 11-11-2013 at 07:22 PM.
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