4 Signs Your Schizophrenia May Be Treatment Resistant
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- Опубликовано: 9 мар 2021
- About 30% of people with schizophrenia continue to have psychotic symptoms even on medication. Treatment resistant is when you don’t have an adequate resolution of your symptoms after taking at least two antipsychotic medications that are not clozapine.
A 2019 study analyzed several research studies and found common factors that predicted that someone would like fall into the treatment resistant category. They are:
Early age of onset (most robust predictor)
Being male
Being born in the autumn or winter
Poor functioning before the diagnosis
Clozapine is the strongest medicine we have to treat schizophrenia. No other medicine has come close to the power it wields in knocking out symptoms. Why don’t we use it all the time? Because it has lots of side effect including the potential for massive weight gain. I talk about the negative effects of antipsychotic induced weight gain in this video on Metabolic syndrome. • What Is Metabolic Synd...
If you can’t tolerate clozapine or don’t want to deal with it, other treatments are electroconvulsive therapy, repetitive transcranial magnetic stimulation, called rTMS and deep brain stimulation. ECT has been around the longest and has the best track record of improving schizophrenia symptoms. rTMS is still new and experimental as is deep brain stimulation. Deep brain stimulation requires surgery and we need a lot of more information about its effectiveness before it becomes an accepted treatment recommendation.
Schizophrenia treatment requires medication to manage it. However supportive therapy is still very helpful. Online therapy is becoming the standard delivery method during the pandemic. IF YOU’RE LOOKING FOR A THERAPIST, BetterHelp offers affordable counseling from licensed therapists for $260/month which gets you once a week video or phone sessions and unlimited text/emails between sessions. Check them out at betterhelp.com/drmarks. This link gets you a 10% discount on your first month. I get a referral commission that goes toward supporting the costs of maintaining this channel with free mental health education for you.
Looking for a therapist?
Option 1 - Psychologytoday.com you can find a therapist or psychiatrist in your area
Option 2 - Betterhelp.com/drmarks
This is a virtual option with REAL therapists who do online therapy via messaging, phone and video. They also have webinars on various topics. The unlimited texting feature allows you to type out your concerns and get a well thought out response from the therapist. Some of them will help you set goals, give you worksheets, etc. If you use this link you will get a 10% discount on your first month. betterhelp.com/drmarks This is an option I've researched. I get a referral commission if you sign up.
References
Smart, S., Kępińska, A., Murray, R., & MacCabe, J. (2021). Predictors of treatment resistant schizophrenia: A systematic review of prospective observational studies. Psychological Medicine, 51(1), 44-53. doi:10.1017/S0033291719002083
Sinclair DJ, Zhao S, Qi F, Nyakyoma K, Kwong JS, Adams CE. Electroconvulsive therapy for treatment-resistant schizophrenia. Cochrane Database Syst Rev. 2019;3(3):CD011847. Published 2019 Mar 19. doi:10.1002/14651858.CD011847.pub2
Nucifora FC Jr, Woznica E, Lee BJ, Cascella N, Sawa A. Treatment resistant schizophrenia: Clinical, biological, and therapeutic perspectives. Neurobiol Dis. 2019;131:104257. doi:10.1016/j.nbd.2018.08.016
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WATCH NEXT: *Antipsychotic Medications and Metabolic Syndrome* ruclips.net/video/H__G0UxLCbQ/видео.html
Hi Dr. Tracey Marks. Is there any way I can email you to ask you a personal question about mental illness? Specifically mine
I don't know. I wish they'd do more research on disorganization in schizophrenia. When I was in a group home, I was with disorganized schizophrenics who never came back to reality and the meds did not help them at all minus to curb some of the anxiety they had from a chaotic world. Antipsychotics did next to nothing for them. Sometimes, I will randomly lose organization or start responding to strange thoughts and be tangled, but I come back to reality with help, time, and perphenazine. Less vague. I am not a disorganized schizophrenic as they are. I've had issues since I was 8 but had some family politics that prevented me from getting care. I'm also dyslexic. I don't know the difference. Writing helps me along with reading as well.
Studies shows reason for more chance to develop schz for winter born babies can be due to increased chance of maternal influenza virus infection
How does rTMS work?
I've met a couple of people who had severe schizophrenia complete with the famous "word salad" and neither one of these people ever seemed to get better. One ended up in hospital for more than two years, the other was in a halfway house. I talked to one of these people at quite some length, the way she talked was almost like poetry sometimes and she would mention strange things like "the smoke in the garden" (where there was no smoke). It seemed almost as if she was on an ongoing drug trip, except her emotions and reactions seemed opposite to those of someone who's tripping. She seemed flat, uninspired, unhappy. Not terrified or paranoid but very flat and although she would often laugh for no apparent reason usually she seemed bored and unhappy and extremely unfulfilled. Whatever they were giving her obviously didn't work and I couldn't help wondering how ill she would be on no meds at all.
Thats disorganized schizophrenia i got it and if you have it you just dont really care that you have it because it makes you feel indifferent, but pretty much anyone with it doesn't respond to medication much thats the problem with it.
I tried a low dose of Abilify but my diagnosis was Autism Spectrum Disorder. It did make “simultaneous” thinking less constant (I have endless thought parallelism that takes me out of the moment). But ultimately Vyvanse turned out to be a better tool. For me, medication just takes care of enough of the neurological to give me a fighting chance to improve the psychological. None are “magic.”
I could see how it wouldn’t be magic for you with autism spectrum. There’s so many facets to ASD that there really isn’t one medicine to treat the issues. But I’m glad the Vyvanse gives you that fighting chance
Thanks for speaking openly about your experiences on your platform. That is really heartwarming !! It's beyond cool to see you in Dr Tracey Marks' comment section :))
Oh my, hello TayZonday! Wow I didn't know about "simultaneous" thinking until you just saying something, I didn't have the words to explain that. Thank you so much, also, your music is fire. The can't dance is helpful for my mental health a lot actually. 😅
Antipsychotics are one of the worst medications ever used to treat anything. The way they work is completely inefficient and even dangerous. It ruins the life of people who already suffer alot masking it as the only way out of the condition. Modern psychiatry is completely missing the point with most of what they do and it just requires a look in the history books on what kind of foundation it's built.
I myself got diagnosed with schizophrenia about 5 years ago the meds pretty much took everything I loved in life ranging from creativity to social interaction to sexual pleasure. A year ago I quitted my risperdal single handedly against anyone's advice and by now I moved out of my home country, married a beautiful woman, regained my creativity and joy for life and my mental health struggles were extremely severe I used to destroy the flat I lived in with my mom because I thought higher forces are about to execute me, behaved toxic and delusional in many ways but all of that didn't got any better from engaging in psychiatric "treatment, in fact it got worse. I'm not telling anyone what health decisions they should make but I definitely see it as crucial to make choices coming from within than to blindly accept anything beeing told to u by doctors or psychologists because every human is unique and there's no one group medications that works for everyone especially not in the mental health field.
Please let me know if you still take anything and how do you feel? I have same opinion on those nasty meds and seeking the way out
Thankyou for sharing you story ,my son was diagnosed with schizophrenia when he was 21 ,5 years on and numerous antipsychotic he is no better, he is now deemed medication resistant, there is no one to help him ,the mentally sector have let him down ,do you have any ideas as to what or how he can get better
@@MM-eb4fl I use many different ways to manage my symtoms without using meds. I do believe that those natural treatments don't work as well whilst on the medications but even if your son is still on them it does help alot.
The things I recommend and what has helped me to recover are
- natural supplements like magnesium, zinc, vitamins, cbd, kratom, vitamin b12 and all of those kind of things but you have to do your own research on how it works how to take it and for some things like cbd or kratom it can't really be combined with antipsychotics and should definitly do alot of research on them and considering if it's worth a try because for some it doesn't work whilst for others it's a miracle medicine.
- exercise, even if it's just a little. In beginning I used a small trampoline to just slowly get into it because I was not in a good shape, I also got my testosterone levels checked by a doc where he confirmed that my levels are very low therfore receiving replacement therapy wich has helped me so much and also those medications tend to disturb hormone balance so it's worth asking a doc to check your son's testosterone levels.
- mindfulness, meditation, creativity, yoga. Can do that in many forms and it's not for everyone but it can definitly restore alot of inner calm and prevent psychotic episodes.
All of those are very deep and subjective fields so it's my subjective experience too but it worked for me so it might work for him too. Good luck.
@@Jamiroproductions thankyou so much for replying, my son as read your comments and will try your suggestions, he said he will give anything a try .I pray yiur recovery continues, and if it's ok with could I let you know how my son gets on .many many thanks
Maria
@@MM-eb4fl I'm praying for both of you too, recovery is a long journey but it is possible with god.
My schizophrenia certainly was treatment resistant. I didn't allow myself to be treated. I decided that I needed to trust my delusional mind over that of someone wanting to medicate me. Anyway, I cured myself by ignoring my hallucinations delusions and beliefs so that they lost their power over me. I have been symptom free since about 1984. I retired at the age of 62 after working 30 years at a high security airport. I'm glad, so glad I resisted treatment.
That's bad ass ... Great job man....
@@minnesota7010 😁
how long before the voices went away?
@@terryvargas2885 a couple of years.
My son doesn’t want help he’s been in psychosis for about 3 months he doesn’t want help he just keep say to stop the voices in his head I’m scared because I don’t know what to do how did you do it
As a new pharmacist, I love using your videos to help elevate my counseling skills on side effects to patients. Thank you again!
Thanks Tracey, I’ve been in the industry for many years but find your videos refreshing and clear...
Thank you for another explicit and detailed video. As always the explanation of potential medication interactions, side effects or its absence is much appreciated. This information helped my friend to explain the reoccurring psychotic symptoms despite medication treatment in place.
Many thanks! :)
Thank you for making these videos Dr Tracey, they are extremely helpful in educating us about mental illness.
Hi Dr. Tracey I love your videos they really helped me with anxiety and panic disorder in the past. Your explanations are so insightful and I've learned so much watching your other topics. I would be very interested if you did a topic on overcoming guilt/self forgiveness and some mind tools to overcome guilt. Stay safe love from Arizona
Wow I’ve had schizophrenia for almost 10 years now and I really appreciate your explanations of the technical/medical meaning of a lot of these labels. I’ve tried many antipsychotics and NONE of them did anything to my voices. Because of this, I’m very anti-psychiatry. I do however keep an open mind and am always willing to try something new based on a newer theory than the dopamine theory.
This was very enlightening! I am so grateful. This whole list fits my relative to T. I mean everything but the male part. But born in the fall, early adult onset 18-19, and even the pre morbid history. That one was new to me but it totally adds up. Thank you for this bit of insight 💜
Keep safe Dr. Tracey!!💜
Thank you! You too 😊
I love the new background!
Forced treatment that supposedly prevented my psychosis going into schizophrenia has made me depressed for over 5 years. Abilify and invega sustenna injections are evil.
100%
Dr. Marks 😭😭 i can't express how this video and your videos in general has helped me. This one in specific has helped me in what I need to speak with my mom psychiatrist about because yesterday Dr visit had me on edge and I did feel hopeless. Again, thanks for all you do
I’m so glad this gave you hope Carolyn! All the best for you and your mom 😊
@@DrTraceyMarks your videos are best...can we say to our family doctors to give us CBD OIL AS A a best herbal meficine ,as I learned from you tube,it has no side effects....
I love that new place where you recorded your video
Hello Dr. Tracey Marks, in the future, would a video on common antipsychotic medications be a possibility? If possible, could you discuss first generation or typical antipsychotics and second generation antipsychotics. Thank you!
You’re so knowledgeable! Thank you!!
Everyone like this is a sista educating on mental health …
This is needed 🥰🥰🥰
AYYY WHAT IT DO DR. TRACEY HAVE A GREAT WEEKEND :)
Thank you very much, Dr.Tracey, for sharing this.
You’re welcome 😊
I hope you see this comment please never stop making these videos I love and adore you😍❤❤🙌😢
I have schizophrenia. But, I barely ever hallucinate .I mostly have negative symptoms. I know I'm one of the few who can handle my symptoms without meds . I've proven this over and over. On the other hand: My mother had far more serious schizophrenia than me . This disease can vary alot among different people. It's not one size fit all.
I miss the thumbnail you had for the original "What is Schizophrenia" video. There are those of us who live with a loved one who suffers schizophrenia, and didn't know that's what it was (most YT videos "clean it up" so much, to not "offend" people, that I almost bought into the delusion that family member does _not_ have schizophrenia.) Yours was the first video that made "schizophrenia" seem like a good diagnosis (versus, as police think, methamphetamines, or "PTSD" though there had been no trauma prior to sudden psychotic "fits").
I know people didn't like that thumbnail, but I probably never would have clicked had I not seen that scary thumbnail. It may have offended some, but it was a truthful representation of an untreated ill person. They're paranoid and that thumbnail and title REALLY caught my attention.
I am wondering who is thumbing down for this video. It's pure informative.
Thanks Mehdi. 😊
Dr.Tracey, can you make a video on how to put myself back out there? I think I am not the only one who feels this and is experiencing it.
I used to be a goal oriented lady. I am studious, I mind my own business and I always think I have to study well so I can get the best results and have a better life. But so many life obstacles I have been through. I feel like my soul has been crushed. 2 yrs ago, I studied as a pilot trainee. After training for 1 year, I was rushed to ER because I had breathing problem that we didn’t know I have it was due to pressure and asthma. That was the end for me. From that day, I felt so sad and would lock myself in my room. The competitive, insensitive, annoying people also have made it worse by asking me always what happened and they will even give their stupid opinions as if they know what I am feeling and thinking. I also feel like I don’t like to socialize with other people. Only my family and my bf are the people I want to talk to longer and spend time with. I literally feel drained and when I try to do something to change the rut I’ve been through, I just feel lazy, unmotivated to do it. I feel so lost. Days pass that I am just at home, sleeping, eating and watching Netflix. If I’m un the mood I also read some books since I was into books before. I feel like I lost the fun and motivation in life. Dunno how to stop this.
Thank You so much Dr Marks for your info!
Hi doc, great vid. Would like to draw your attention to something. There's a growing movement trying to get PSSD, or post ssri sexual dysfunction, recognised as a legitimate and debilitating side effect of taking ssris. Its supposed to cause permanent emotional blunting, loss of libido and anorgasmia. It's got some big names backing it, and the European Medicines Agency has recently required ssri boxes to state that sexual side effects may persist upon discontinuing treatment. Detractors say people allegedly suffering from it are depressed and undergoing psychosomatic problems. Would really appreciate a video where you unpick the studies and give your unbiased and considered thoughts on this disease. The more the movement gains traction, the more hesitant people will be to take potentially life saving medication. I have no medical background so I would be really curious to hear what you think about this - does it really exist? And if so, what are the chances of getting it? And if it doesnt exist, what else could be causing these horrible symptoms? Thanks!
Thanks for your videos Dr.
Love this video very helpful. I have had ECT before when I was like 16 or 17 Year old. I was diagnosed with schizophrenic as I got older it changed. Love your videos
Oh wow. I’m glad things got better for you (i’m assuming the change you mentioned was for the better) 😊❤️
@@DrTraceyMarks well yes and no Iam 32 years old. I yes young at the time and just experience voices and hallucinations and I didn't understand what was going on. I spent my teenage years in the hospital. When I turned 26 I got diagnosed with bipolar disorder and borderline personality. I am a lot better than I was back then. Meds are helping, symptoms don't fully go away but Iam a lot stable . Your videos are great
Thank you for your videos ❤
You’re welcome Sara thanks for watching 😊
Hey Doctor Marks great video! I think i may have had scizophrenia since I was really young and I'm 19 now , I've been paranoid as long as I can remember but I thought that was normal. I would describe it more as a strong universal feeling of hypervigilance. I have a hard time keeping my composure just walking to the store, because i feel like people can read my mind or that know what I'm thinking. In all honesty it leaves me utterly exausted, and I have a hard time managing my emotions because of it. I'm always in this perpetual battle with myself do I really have this mental illness ? Or is it just my mind playing tricks on me? Did I do this to myself? My parents didn't notice anything off about me growing up, why didn't they do anything. Also Doctor Marks, should I try to avoid the anti psychotics they put me on quetiapine furmate this was my first time trying / engaging with psychiatric drugs for these issues. The quetiapine made me feel like i was on very hard drugs , I barley took it for 3 days. It left me with twitching lips , I couldn't sleep for a week straight it was insane . Any suggestions or ideas.
Best ,
Logan
Great information
5 weeks on a max dose of Clozaril, two month injections of Invega Sustennna. Max dose of Depakote.
Still using slurs in the psych ward and getting violent with the techs during ETOS
We need a miracle for my sibling
You have my sincere gratitude for your videos- much love Dr Tracey❤️
Thanks so much Tracy!
@@DrTraceyMarks I breathe easier after the reassurance you provide. Sharing your knowledge is a gift- I hope to be seeing you at a million subs in the not too distant future- much love ❤️
Thank you dr. Tracey for doing god's work for people who have mental illnesses or who are close to someone with mental illnesses.
Also, is it safe for someone to take 200mg sertraline daily and 60mg flouxetine with 4mg tetrafolate ? My psychiatrist upped the dosage a few months but I have been taking them for 3 or 4 years now. I was 13 when I started them and I just turned 17 in January.
I'm worried that they might have some negative affects on my cognitive ability and academic performance because I've been having some serious trouble in that department.
Nice background by the way!❤️
Thanks icy storm 😃 those are pretty high doses of both medications. Serotonin syndrome is rare even with antidepressants at these doses. But you can get symptoms of serotonin toxicity that’s not as severe as serotonin syndrome. But it sounds like you haven’t had this problem taking this all this time. Take a look at this video Indid on this topic ruclips.net/video/SKZjDhc1Ctg/видео.html
thanks for posting this
You’re welcome Mack Fam. Thanks for watching
It depends. Perpehazine is the only medicine that works for me. Sometimes, the levels build up too much, and I skip a day or two. I know when I need it and can feel the pill being needed again. It helps to unscramble me or help me think more logically. I am not a disorganized schizophrenic, the worst type. I've had this problem since I was 8. I think it shows up differently if it starts earlier. When I was a kid, I had visual and audio hallucinations all of the time, but they waned a bit during my teen years. I had people who came through the walls and other things then. I didn't even know that I had audio hallucinations until 2011. I thought everyone had those. Many of them were my friends but have been gone since 2013. I read some word salad I typed 7 months ago on youtube, and I can't even think in that way at the moment. However, I was attacked by a blackbird that wasn't there a few weeks ago. I ignore that. It's actually from a seizure, and I had an abnormal EEG, but not too weird. They were confused. I don't know anything beyond that. But different hallucinations have different reasons.
Very informative
Dr. Marks, is there any way you can do a video on tardive dyskinesia? I have been prescribed various medications in the past for mental health conditions (wellbutrin, abilify, and prozac), but never took them primarily due to my concern about possibly developing tardive dyskinesia and other potential side effects from the medications.
I have tardive dsychesia and my symptoms have went away after stopping taking two of the antipsychotics I was taking. Some medicines are more likely to cause tardive than others and your doctor should know which ones they are
Thank God for this woman 🙏🙏🙏
Hi Dr Marks, first off - thanks so much for offering valuable and detailed information on mental health to the public with your great energy!
I was reading about involuntary medication for people affected by schizophrenia and bipolar disorder, and there seems to be a great deal of polarized opinions and misinformation on this matter. Would you consider making a video explaining the issue with better insight? Thanks very much!
Even mentally ill people have the right to refuse medication. In Florida, a person who is being harmful to themselves or others can be Baker Acted (involuntarily hospitalized) but even then they have the right to refuse medication--unless there is a Court Order. A visiting justice will come to the hospital, so involuntary medication is a matter of legality in accordance to your state laws. There are also emergency treatment orders if the person is acting out severely. What a state does is fully determined by your State legislature and laws.
I have schizophrenia and am now on clozapine which has been a miracle drug for me. I've been on Aripiprazole, Ziprasidone, Asenapine, Loxapine and haloperidol
did you have auditory hallucinations
@@terryvargas2885 yes but I usually can't tell if they're real or not
Can we hear some stories of ppl who come off their meds and live successful lives? Ppl shouldn't be penalized if they decide to refuse treatment especially when they're stable. Doctors need to give patients more freedom and stop trying to force treatment on them. Its evil and wrong. Alot of these doctors are athiest and want to keep ppl dumb dependent and sick. They know someone living medication free means less money for them.
The being born in the winter thing is fascinating.
I have bipolar disorder and I’ve noticed everyone I know born in the winter seem to have worse mental health, including myself.
Whatever more you can tell us about psychotic childhood experience would be rad
Ok thanks for the suggestion
Treatment resistant really means that their drugs do not work and you were misdiagnosed. Psychiatry is always blaming the patient in some way. Run!
Always?
Yeah that is kinda how I feel, my son was diagnosed with schizophrenia when he was 17 and has taken many medications over the years and not one has worked. He is now 28 and his last medication was clozaril, it did not help at all. It just made him very sick. So now 11 years later he has diabetes, high blood pressure and gained at least 80 lbs. his psychiatrist tried prescribing Haldol and ECT treatment. I told him I don’t want to add more medication to what he has been already prescribed and I don’t want him to be medicated especially when there is so many side effects. I just don’t know what to do anymore. I feel like taking him off of his medications that do not work, basically it’s causing him health issues. I don’t think our bodies can handle that much medication. It’s too much.
@@ginag7078 watch the new movie called Medicating Normal. Google will help you find it. I think it would really help you and your son.
Dr marks, could you do a video addressing the difference between unipolar depression and bipolar depression? Is there a difference? If so what is it? Thank you
Dr. Tracy Marks, do you have any tips on how to stop automatic breathing? It’s such a bothersome and I can’t function. It’s constantly on my mind; breathing. I absolutely hate it.
I need a solution, my mother always calls me to take her to the hospital and when we get there, the nurses would say nothing is wrong. She would seem as if she's dying on our way there but walk out as if nothing happened. She alwayscalls in a panic that she's dying or my younger brother is dying. I have changed my number because I am tired, I have developed a phobia (when my phone rings, I fear they will tell me something bad happen to my mom/brother) I have an older sister and she's just not in the picture. It has been 9 months not talking to my mom and yesterday someone told me my mom has been worried about me, that she was sick last week. I am afraid to call my mom, I am afraid of negative reports, I am also afraid that if I don't call her and she really dies, am I going to regret.
My mother had the same problem. She would call up ambulance thinking something is wrong with her. She would come back like nothing happened. Turned out to nothing but still would do it every week. She would phone everyone and me when was out the house. Had a phobia with phone calls myself because of that.
Hello dr, Last week on Tuesday I got a panic/anxiety attack I left work by the time I got to my car I was puking, the next day I was put on Zoloft, ever since Thursday last week I feel very weak and with no energy, have not been able to go back to work. All my blood work came back normal. Is this feeling of weakness normal and will it go away soon when Zoloft kicks in?
Thank you! 💕
You’re welcome!
Hello! I have been taking clozapine for more than a decade now. And it's getting worse. I know what's wrong with me and I can't control it. It robbed me every relationship I had before I got sick. My family and now my friends. It's really overwhelming right now. My last option is to get ect. I don't want to die. I just want to live normally where I can socialize. I can't finish college or get ahold of a job because of this thing that's wrong with me. I want to make my life worthwhile as I want to do a lot of things. I just want to ask if ect really work? Because right now I'm desperate.
Subscribed 👍
I have a cousin who has schizophrenia and he is interested in criminology and psychology, can I send him a book where are informations about schizophrenia, straight life examples of people with this? Will it help him or make him worse? Or maybe he will take this as a examples of new behaviors? Should I stop talk to him about criminals etc? I want to support him but he is easy to manipulate others, sometimes he steal (couple of times from family). Can I trust him? He seem to need emotional support and I want to send him to the hospital this book and couple of candy's but I don't know.. Can you please give me advice?
I'm from Poland so I'm sorry if I wrote sth wrong, I'm writing this in a hurry, it's situation from today
Dear Dr. Sahiba, what can you do with your video upload Urdu subtitles so that Urdu speakers can also understand? Thank you.
I have schizophrenia, it’s ruined my life.
I didn’t know I was treatment resistant. I have been on four and finally found one that stopped voices. I still have mood swings but the psychosis is gone. Bipolar 1 with mixed episodes and psychosis.
That’s a lot of medication trials. I’m glad though the psychosis is gone. Hopefully your doctor can find something to get the mood swings under control.
Just curious, which med finally worked?
U r lucky.
What was the medication that worked for you for psychosis?
Than you.
Please share with us which medication was helping with the psychosis...
yep...I was born in the winter...and I was 25 years-old when the schizophenic episode initially hit me..
Luv u and I am a big fan from egypt
I am from Saudi Arabia
Aaw thanks Eslam!
Dr. Tracey, when will you get a patreon??
Thanks for asking Ame. I don’t have a patreon account.
so interesting!
Thanks wise way 😊
my treatment consists of antipsychotics first olanzapine for a year now lumateperone but i still deal woth the negative symptoms which are what are keeping me from working. i stopped working 4 months ago after having acute symptoms and left to take care of my health
Is it diagnostically possible to have both autism and Schizotypal PD? Or autism and schizoid PD?
I’ve heard that you can not have a comorbid diagnosis, but I don’t remember where and how true it was.
You can actually scrap the whole diagnostic system of psychiatry. It's autism that causes schizotypical behavior.
What's a good sleep med Doc that works? I have insomnia for days then I get mania for a few days then I have high anxitey then it repeats... For years. What do I need Doc? Tried Prozac Paxil Zoloft so success. Lol please help I like your your channel. I a newbie.
My sister has all system and has been diagnosed at 13 ànd she is 52 now. She is refusing meds and eating and sleeping. I am her older sister she was doing find with invega shot. She refuses to get in my car so I can take her to the hospital. She has had 3 hospitalization. Both from not taking meds. They have her on saraquil 300 is this the wrong meds. How can I get her to be more willing to work with me on meds and eating and rambling all night delusional and halusgentic. Any advise would be deeply appreciate. Thanks
Would you recommend ECT before trying medication?
can you do a video on theraputic doses in literature and real world doses.meaning just because 20mg is the theraputic dose of lexapro for my age and weight i found it was too strong and 10 was perfect for me even tho they said it was not theraputic range
Hey Dr, I’m part of an OSDD-1b system and I want to ask a question if that’s ok.
This may be triggering so I’ll put it under “read more”
Yesterday, a new alter showed up in the system. I met her through a dream and she seems really dangerous. She fronted during my therapy yesterday and admitted to having urges to kill my cat. I’ve had impulsive thoughts about killing people before, and I’ve hurt people before, but I always feel bad about it and I’m afraid of those thoughts. She’s not afraid of them. I could feel her apathy when she was envisioning herself killing my cat. She was smiling the whole time. I don’t want to believe she’s real. She’s been taunting me in my head ever since she made herself known yesterday. I don’t know what made her this way. The only violent thing my parents did to me was slap me and pull my hair. And it was only one time. I’m scared.... if you could provide any insight I would be grateful
Hi Star. I’m not the right person to ask about DID management. I know about the disorder but I don’t treat it. If I saw a person in my office with this problem I would refer them for treatment with someone who specializes in DID
@@DrTraceyMarks Ok. Thank you for replying anyway.
I was mute at 14 to 15 yeah I didnt read social cues at all in high school I was clueless to that world. thankfully on latuda that's changed but like I said my persecuting thoughts paranoia won't leave me
yeah I was a good student and even went into a high level study program in sixth grade but thats when the schizophrenia came in so I did terrrible and I was moved out of that class. I was never the same student I was in elementary and two years of middle school in jr and high school was barely an average student because of the pre moribid symptoms.
Please help me, I hear voices when I'm in a room alone It's very frightening since I'm only 11 so I couldn't handle it very well I always get scared and run to someone in my household so I can instantly feel safe. But when they leave and have to urgently go to somewhere else the feeling it comes back the feeling when someone is watching me and whispering thing's I couldn't understand.
Try telling your parents or someone else in the household about your experiences. Thats all I can think of. And tell them if it gets worse or is affecting you in other ways, such as making you lose sleep or lack concentration.
@Chromberries I can feel it's getting better overtime. I get less scared everytime it happens, like I'm building up my scare tolerance. I don't think that's a thing but, I think you get my point. Sometimes when I'm alone, it doesn't happen now.
Thanks for the suggestion, but I don't want to be a distraction with my parents. Because back then, they were mostly stressed. And stressed out even more with the Virus Outbreak.
My doctor is mixing amitriptyline with lexapro for OCD caused by antipsychotics.Can you do something on this?
Dr. Tracey, I’m confused-I thought and was taught that Haldol was the strongest antipsychotic med to treat Schizophrenia being the first one made….
I think Haldol is mostly short-acting.
Quite personal video installation for me Dr. Tracey, with my psychotic mood case
Oh I didn’t know this Mark
Start doing bhramcharya.....the final solution for every mental illness
I am facing schizophrenia due to spiritual path and astral projection, please guide me
What if you has bipolar...you had psychosis before 20 and quietly felt like that?!
None of the drugs work on my brother. He has been medicated since 19, he is 35 now. He continue to experience hallucinations, refuses to work, horrible hygiene.
He refuses to even acknowledge he has an illness and if we don’t ensure and watch him take his medications he wouldn’t do it on his own.
All he does is chain smoke and talk to himself. He goes to a social worker, and he just refuses to get better, or I suppose he has treatment resistant schizophrenia.
So if somebody gets ECT what that means? No meds are needed? Thank you
Dr. Tracey my mother is recently admitted in hospital and the doctor diagnosed my mother with Schizophrenia. Medications are not working 😭😭😭😭 they'll perform ECT tomorrow, I hope she gets well soon.
How is your mom doing? Did it work
My BF was diagnosed with schizophrenia, bipolar, GAD, depression, paranoia . He his meds have been change 2 -3 times as well as dosage change several times. He claims none of it works, he still hears things. How do I know if hes treatment resistant or just making these claims because he doesnt like to take them?
Take them yourself. *Doesn't like them.* Do you like rat poison? You're welcome. :)
PS: There are a lot people who have voices in their head, they learned to cope with them and have a functionable life without those drugs.
I was taken off Clozopine sooooo fast. I'm scared about getting help because they tried....so many meds on me. What if no meds ever help? I'm just scared. I don't want ECT. I knew a woman who lost years of memory. I'm disabled. I can't have surgery
What can they even do to help me then??
Dr. Marks, can a chiropractic neurologist (a.k.a. functional neurologist) treat psychotic disorders?
I am not dr Marks but I would advise caution with such specialties practicing not being based on sound evidence
I don’t know the scope of what a functional neurologist does. Psychiatry and neurology have some crossover. So a functional neurologist could treat psychosis if they can prescribe medication and know how to recognize psychosis.
@@DrTraceyMarks OK, thank you.
What about the effect of massive weight gain on the brains of Schizophrenic patients? What about the liver and kidney toxicity caused by all these anti- psychotic medications...what can be done about this, Dr. Marks?
So, the patient develops diabetes. Wonderful, now we can sell insulin! 😂 Do you really expect an answer to critical questions? The neurotoxicity isn't only damaging the kidneys and the liver, you have forgotten the whole blood system, intestines and brain. And if the *medication* inflicts brain damage and brain damage causes schizophrenia, basically means the *medication* causes sz. And if the *medication* causes sz, it doesn't help. The body just adapts to it and then you're addicted. 🙃 Don't do drugs!
Eat manthena satyanarayana diet which includes nuts, sprouts,fruits, vegetables,brown rice diet avoid non veg, alcohol,salt,oil,
Ohhhh that was almost me went through so many was 24hrs away from ECT changed my mind though
Boy that was close 😊
J’ai cette maladie. De manière générale il faut pas espérer retrouver une vie normale avec uniquement la psychiatrie et les médicaments. Parallèlement j’essaie de m’entourer de bonnes personnes, je regarde des sitcoms pour pas déprimer, je lis etc
“ Male , being born in autumn or winter “ Wow ! That’s really interesting 🤔
OMG, my daughter was sent in an ambulance and this was the first medicine they gave her; clozapine. We're getting her off that ASAP. We're talking to a psyciastrist.
Check on vitamin B deficiencies, especially B12, before you see a psychiatrist. Thank you
Nice background
Thank you that’s my new office expansion. I’m still working on it.
Sultan Algaber
Hello doctor My psychiatrist put me on lithium 450 mg 7 days ago for my depression but it looks like it is worsening my depression is that possible ?and will it go away?
Lithium levels in your blood probably aren't in therapeutic range yet. You should have bloods after 7 days to check lithium levels and dose increased if you're not yet in the therapeutic range. So it may be that your mood has slipped more and the lithium isn't yet starting to do its job
@@katyr2382 yes. but if lithium levels in my blood are not enough i won’t have the benefits but why did it make me worse? Maybe it won’t help me at this low dose but it suppose not to make me feel worse either. But it did make me worse and that is why i am confused
@@sultanalgaber3113 It may be that your depression has got worse in the last week or so outside of any medication effect. As in your mood has dropped further before the lithium has started to work. I don't see that lithium could actively make depression worse
@@katyr2382 yeah that make sense. however, i have mild depression so it is not that bad just a little sadness
@@sultanalgaber3113 Bless you. Hopefully you can get in contact with your doc and discuss your concerns. Take good care
Many people who feel they are diagnosable are actually clairvoyant and clairaudient. Our minds are more in tune than the medical community is aware at this time.
Sadly every time a person experiences psychosis, there is brain damage. Classic schizophrenia is hallucinations, speech and thought distortions, delusions, behavior distortion, and negative symptoms. Many are non-compliant with medications; consider long-acting injections, and assertive community treatment (home health). 1/3rd of schizophrenics are treatment resistant. Sometimes brain surgery is used as a last resort: These are called destructive ablative psychosurgery like anterior cingulotomy and anterior capsulotomy or selective stimulation (neuromodulation psychosurgery) which electrode implants are placed in the brain. ECT and TMS provides a noninvasive means and obviously are tried first.
i saw your very late.. maim if clozapine cause of neutrophenia.. then wht doctor do for this and re sedule clozapine
i wasn't anything crazy but i was a line cook at a nice resort for 3 years and then schizophrenia stopped my life in its tracks
It seems like my paranoia and persecuting thoughts are treatment resistant they are stronger as ever even on latude.
Thank you so much for this video. It explains a lot about what is happening to my loved one at this time. She was diagnosed early, at 13 and has been on Quetiapine and Lithium for several years. She is now 28. But she has also recently developed serious urine incontinence. Could it be due to prolonged use of Lithium? Thank you Dr Tracey, your teaching is extremely helpful to us and enables us to cope with the various progressive presentations of the disease.
It's even listed on the side effects, I guess both drugs are responsible, both are neurotoxines.
Hi dr Tracey, can you make video about treating psychosis and schizophrenia like how it was done without medication, when there were actualy non before 50ies, with psychotherapy? Thank you
I’d have to do some research on that since I wasn’t around then. It’s not a great story because a lot of people were just put in institutions
@@DrTraceyMarks ok, thanks for reply. If you find some time i think that would be an interesting topic..
How about Invega? paliperidone?
I tried 4 different antipsychotic medications in my life but I still have paranoid delusions they all don’t work!
Because schizophrenia is a bad mental illness.