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Unusual med reasons for my few months psychosis-free - Printable Version

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Unusual med reasons for my few months psychosis-free - SkyeAlexei - 09-17-2025

Disclaimer: This post is not meant to imply advice; everyone's needs, triggers, and experiences are different.
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Well, it's been 2 or 3 months since I was last in full psychosis. I have ideas as to why, but they are unusual in that they are non-antipsychotic medication reasons:

1. Anxiety medication (benzo broadened from just for panic to for anxiety in general)
  • I believe this move, which happened in the hospital when I was last psychotic, helped because I became more capable of lessening the intense stress/distress that usually triggers my psychotic symptoms.

2. ADHD stimulants (the return to after a few years without)
  • When I was put back on these during that same stay (which particular med has varied since), I came to feel more capable again. You know what that means? I have the feeling of having (more) agency over things in my life; more agency (for me at least) = less delusion fuel

3. Lithium (for the first time)
  • I was put on lithium the most recent time in the hospital, which was not for psychosis but for suicidality. The relation: the hospital time before that was for both psychosis and suicidality intertwined. I think that when my delusions (and intermittent internal conversations or arguments with the entities) are intensified by depression and distress, that it tends to spiral quickly into dangerous territory. My entities generally want me to kill myself, so when I agree with them, that's a big problem, especially as the main one has presented itself as an evil double that can take over my agency over my actions. So the upshot here? Less agreement with suicidal-flavored delusions and internal auditory hallucinations (achieved via reduced depression) seems to be helping me not get as immersed in the symptoms with these themes, themes which tend to be central to most of my episodes.

My two antipsychotics have actually both DECREASED since these measures were taken, with absolutely no ill effect.

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Once again, I'd like to reiterate: This is all relayed as anecdotes of my particular experience(s) and not as implied advice. Elaboration for clarity: My own symptoms and triggers were addressed by these medication changes, and everyone's triggers and symptoms vary; what addresses mine may not address, or may even worsen, yours. Please keep this in mind!



RE: Unusual med reasons for my few months psychosis-free - Silent_Odd - 09-23-2025

I am still unmedicated as of now, but it is good to read about positive experiences that can happen with medication.