by David1999 » Sun Jul 23, 2017 5:23 pm
Antipsychotics, through their dopamine antagonism mechanism, act as good antimanic mood stabilisers. During both mania and psychosis, the neurotransmitter dopamine is at dangerously high levels. Antipsychotics antagonise (block) some of the dopamine receptors and thus help to prevent both mania and psychosis.
Your psychiatrist isn't saying that you're psychotic by prescribing you antipsychotics.
Antipsychotics have more purposes than their namesake purpose of preventing psychosis.
Most people with Bipolar (especially type I) are on a conventional mood stabiliser (Lithium, Valproate etc.) AND an antipsychotic.
Antipsychotics can have some nasty side effects (sedation, constipation, weight gain), and in my opinion - it is better to try a conventional mood stabiliser alone first, but they are sometimes a necessary evil.
Before I was put on Seroquel (an absolute lifesaver, for me) and was on lithium alone, I had two manias, two mixed episodes and a depression in the space of NINE DAYS.
Seroquel gives me much more side effects than the lithium does, but I realise that it, in combination with lithium, has kept me stable for over a month (a long time for me).
Antipsychotics get an unfairly bad reputation due to the side effects of the more potent ones like Zyprexa and Clozapine (sometimes necessary for some people). The reality is that any side effect an antipsychotic can give you (except movement disorders/dyskinesias), a conventional mood stabiliser can too (conventional mood stabilisers can also cause hair loss, kidney and thyroid problems etc. - something antipsychotics don't do).
All medications, even Tylenol, have side effects and it's about weighing up the pros and cons.
Don't let one bad experience on an atypical antipsychotic put you off an entire class of drugs. It's a bit like saying "I'm not taking Lamictal because lithium made me feel numb".
Antipsychotics are literally lifesavers for many of the users on here.
Unmedicated perfection.