#(kind of normal given i have psychotic issues and positive schizophrenic symptoms)

[stabyou]

anyone else's moods fluctuate such an insane amount that you basically shape shift into different people with different ideals and worldviews + personalities or do i have some other shit going on

[the-lewdest-concubine]

How do you manage your schizophrenia? If you don't mind me asking ofc. Don't answer if you don't feel comfortable. (:

Nah bro.  It’s 100% okay.  I tend to be fully open about this online because its a condition that scares a lot of people...because they don’t fucking know what it actually entails...or they don’t understand that you CAN in fact live a normal life with “serious” mental illness in many cases.  But like, if you don’t talk about it...then people stay fearful and uneducated.  And LMAO...I don’t take shit from anyone.

I'm technically Schizoaffective, which is like the diagnosis of schizophrenia plus a diagnosis of bipolar...so it's a little different than someone who is only schizophrenic. But like I'm very torn on this issue.  

The more I tend to read studies and what not, the more I find that schizophrenia/schizoaffective tends to look a lot different between males and females--so females tend to present with mood problems earlier in life that are negative symptoms--meaning something is taken away (depression, blunted affect, withdrawal from life, etc), whereas males tend to present first with positive symptoms (hallucinations, delusions, hearing voices) and receive a schizophrenia diagnosis right away, regardless of whether their mood is affected.  Hence the literature tends to say that males develop the disorder earlier (late teens-early 20′s) and females develop it later (late 20′s-early 30′s).

So like me, I was first diagnosed with depression, then psychotic depression, then bipolar, then schizoaffective once I could prove that I had psychotic symptoms outside of an extreme mood.  It seems like the older I got (and thus the longer I went untreated), the more symptoms I had, until I could pretty much write down that I experience every single symptom of schizophrenia that exists in the DSMV. I really wonder what would have happened if my initial signs of depression and what I call my "sterile mind" allowed me to be considered a possible "future schizophrenic"...and then if I'd been given medications early on, if I'd have progressed into what I now live with.  Especially since no matter what I took, those traits would get “better” but I’d never actually recover.

But I generally control mine with daily medicine. In the morning I take Wellbutrin (an NDRI) and Vybriid (an SNRI) to manage the mood symptoms. Without these medicines, even just not taking them for a day, I will start randomly crying, refuse to go outside, not talk to people, and feel basically like a dried up husk inside...even though outwardly I appear to be showing emotion. Like its super weird...I'll be either crying or incredibly irritable and agitated...but my brain feels blank inside. No feelings, no thoughts...just annoyance in the fact that my body is just expressing stuff that I don't really actually feel, lol. At night, I take my antipsychotic which right now is Latuda, which is a 2nd gen medicine falling into the category of neuroleptics.

I also go to therapy every Tuesday...which like, it used to exist to try and help me deal with my anxiety and depression aspects of working again after being on disability so long. But honestly, since it took a decade of medication trial and error to both find a diagnosis and get proper treatment...my biggest problem was just the fact that I essentially had a decade of my life stolen that most people use to build themselves. All of my friends were working full time jobs and had been for like 5 years. They were buying houses, and having retirement funds. Some were having children--others said no to kids but traveled the world. Like it was like the world around me had gone on and I'd been frozen in suffering, unable to progress from essentially being 18 to being 28 when I got the correct diagnosis. I have missing memories from periods of cognitive pseudodementia that constitute years of time that other people have built lives from. And being that age and having nothing to have or say for myself for a decade other than "I survived, didn't kill myself, I cry less, and I only remember about 3 out of the last 10 years" was just kind of hard to swallow compared to what was expected of someone my age and socioeconomic class and education. THAT is what I needed to uncover and process before I could move on and function well in the world.

Other things that help me are getting regular sleep. One of my old medications (Geodon) gave me brain damage and ruined my ability to regulate sleep/wake...so I ended up developing narcolepsy when I was around 25. So the bugaboo there is that without medication to treat that, I'll be exhausted all day, but when I do sleep, it's very light/not deep and restful. So I do have some medicines that regulate that--Nuvigil allows me to stay alert during the day, and I either take melatonin at night or Lunesta if I truly cannot sleep.

Any anxiety that I have, which tends to be exacerbated by psychosis (I mean you try lying in bed and hearing some strange lady screaming in your room with nobody there to be found, or suddenly believing that people on the radio are playing songs with lyrics that are talking about you, or watching strange creatures or corpses pop into existence in your livingroom) I treat with the drug Klonopin, which is a benzodiazapine. Lol, like it's amazing how much psychosis can progress if you have nothing to stop the feelings of anxiety, when your brain that already isn't thinking correctly, then drives itself further into places with NO rational thoughts. Like only when I'm relaxed and calm can I be like "gee...it makes zero sense that a mythical being is standing in my living room--perhaps it’s not actually real?”So yeah...medication and coping strategies is the short answer. TL;DR is above.

But thank you.  I hope this gives some insight into what living with this sort of thing is like.  I may write the madness espada...but I’m in much much better shape.