Psychotic although I’m on 3 antipsychotics

I had written a lot and the forum ate my post . Anyways, to summarize, a few months ago I had a psychotic and severe depressive episode, I went to an intensive outpatient program and I had intensive therapy and visits to a psychiatrist, had a med adjustment and I felt really good. For about a month and a half. Bad things are happening around me and I’ve started to experience something weird, like things are watching me and that causes me a lot of anxiety, on top of the anxiety I have for the issues my family and friend are going through.
I’m on aripiprazole 20 mg, risperidone 3mg and quetiapine 50 mg but as a sleeping aid, although it should also work as an antipsychotic. I have tried most antipsychotics on the market, even haldol. The one I hated the most was olanzapine, because although it was effective it made me gain 12 kls in 2 months and It took me a year to lose them. Also it made me really dull and clumsy, and it gave me horrible restless leg syndrome. I’ve also tried the ones mentioned and also amisulpride, so that makes 6 antipsychotics.

I’m scared I might have treatment resistant psychosis, and that I’ll have to take clozapine or even worse ect!!

Does anyone have experience with this type of problem? And what was your solution?

Thanks for reading

I've been in your situation before. I know it's not fun. I've tried both clozapine and ECT and neither of them should be feared in a situation like this. The only side effect from ECT I noticed was temporary memory loss, and though the ECT didn't help on its own, I did notice other meds worked much better after I finished the full course. In other words, it made me less "treatment resistant". Clozapine was also more side effect friendly for me than many other antipsychotics. Yes, there is a lot of red tape with clozapine, but after you've been on it a while you get into the swing of getting your blood work done frequently, and it works so well. It really did help me a lot when I took it, but I was still in the early stages of my bipolar diagnosis and wasn't very med compliant. I would take it again in a heart beat if nothing else worked (now I take Risperdal and Seroquel and they work like a charm when before ECT they were like sugar pills with severe side effects).

I really hope whatever you and your doc come up with helps. Being on 3 antipsychotics sucks, especially when they don't work. Good luck and (((hugs)))

Anti-psychotics were very bad for me, at least the 3 or 4 I tried. My pdoc at the time really liked the anti-psychs a lot so she tried 3 or 4 different ones (I forget what they were) and they were all nightmares. Major akathisia like I never experienced before or after. They made me psychotic and extremely manic. But she just wanted me to get through a few weeks and thought the sides would calm down. I was going through hell and she wanted to continue? No, I had to put an end to each one by just flat out refusing to take anymore. And then eventually to anti-psychs altogether. That's when we parted ways and I found my way to my current pdoc who went with Oxcarbazepine as her first choice. Oxcarb has been a godsend to me. To me it works like I think an anti-psych is intended to. Sometimes I have to take a lot but it always gets me calmed down when I'm good and manic. I hope everyone finds something that works as good for them. Really if you can tolerate it physically and don't have other concerns about it (always do your own research on all your meds) any med is probably worth a shot.