by lifepuzzle » Sun Mar 24, 2013 9:46 pm
Greetings Hornet339 ! And everyone else of course.
Before I was diagnosed with DID, my working diagnosis was schizophrenia. As such, I was treated with antipsychotics (risperidone at first, too; seems like an often used option!). In my case, while communication would not be interrupted completely, I did experience a regression on that level. The meds also made me feel "zombie". In my case, antipsychotic medication did not help to reduce the dissociative symptoms (considered as evidence of psychosis at the moment); in fact, they contributed to it. So I was prescribed Abilify, which at the very least had less of an impact, while still not "fixing the psychosis". What really helped in my diagnosis process, ironically, was the fact that I had previous knowledge about psychiatry in general. Most notably, I knew my reality testing was otherwise intact, and that I could subject my symptoms to that mechanism, which I eventually demonstrated to my psychiatrist. Because if I do not have DID, and in fact am being psychotic, well ... it's a pretty laser guided kind of psychosis XD ... and as far as several people know, I am not delusional. My stay inpatient has also helped, ironically, even if I had proposed to verify dissociative symptoms: I was put in a room with another patient (let's call him "Steve") that I think had a psychotic disorder (possible delusions of grandeur, at least: he claimed to be a powerful political leader and god (which was enormously triggering to us) and build a gigantic centalized government tower in the remote city the hospital was in; but he had been hospitalized for more than three months while claiming to be making great strides meeting foreing political leaders), but he claimed to have DID. Talking more with him about it, I realized our experience differed a lot. Our psychiatrist once visited me directly on the ward, to see me in some "normal" context. Me and Steve were discussing and he was aware that he was not very dissociative, but said that the voices (never defined and never precisely shaped into identities) made him feel bad, with only anger being a positive context for the voices. He then went on about how he could modify these "facets" at will to suit the situation, while being totally unable to do so, or not doing it when he claimed to, but that may be hard to properly quantify from an external point of view. My psychiatrist then kindly asked "How does that relate to your experience, Vincent ... or is it Ralph ?", to which I answered "Our experience is very different from this. And you are beginning to recognize each one of us !" [in French, with a Swiss-ish accent, with a large smile made as he mentionned my name] [As said by Ralph, transcripted by host Vincent]
One very important piece of advice is to not stop the antipsychotic the cold turkey way: this could be very dangerous for your health. On the other hand, antipsychotics may have rather annoying side-effects. I experience minor but not insignificant dermatological problems over the course of treatment with antipsychotics.
The best suggestion I can make is to talk to your psychiatrist about dissociation, and determine if he has experience with dissociative patients and knowledge of dissociation. Mine had not met a dissociative patient, but had gotten up to date on knowledge about dissociation, which helped him make a diagnosis, he said. Also, make sure to mention how you feel about the positive and/or negative effect(s) of medication on your well-being: don't be afraid to tell it, a psychiatrist's job is to help patients. When treatments cause more discomfort or harm than the original situation, perhaps it is a good idea to review its usage.
Hope this helps !
When you screw up, and nobody says anything anymore, it means that they gave up on you - Randy Pausch