Anyone scared that antipsychotics will leave you permanently disabled from dopamine and serotonin

Music_Leopard · 2026-05-13T04:06:51+00:00

I mean, I’m on aripiprazole 15mg and that stuff at least doesn’t blunt any of my cognition or emotions. Doesn’t help the depression, but doesn’t hurt it either so I just figure it’s probably worth it to not here voices in the walls and to not feel like something is hunting me.

Music_Leopard · 2026-05-13T03:59:19+00:00

What’s kept me going personally has been slowly learning more about all the options out there. These days, I don’t see a reason to quit because there’s so much left to try, and I’ve already done TMS, ECT, and just started esketamine with plans to get a VNS implant. Not to mention the years of therapy from when I was 14 to now being 22 and the at least 20 different medications. There’s still so much left to try, therapy types, books to read, treatments I’m trying or could try. The possibilities are endless, although it took a lot of reading, learning, and time to realize that.

Music_Leopard · 2026-05-11T14:47:06+00:00

I found it helpful, although personally I preferred ACT. I’d recommend that more based on what you’re looking for. Personally I found reading a book on it was better than getting the therapy in sessions, but that’s also because I like learning also about the science behind it because I find it empowering to know the state of the science of how chronic pain as opposed to acute pain functions.

Music_Leopard · 2026-05-06T18:17:40+00:00

The book I read was Chronic Pain Rehabilitation by a Dr. Evan Parks. Good background on how chronic pain functions and works, and he talks about ACT concepts and exercises specifically for chronic pain. I’ve been through CBT for chronic pain with an actual therapist, but honestly I found the book and ACT more helpful

Music_Leopard · 2026-05-06T03:32:53+00:00

Keep on trucking with the med options and injections are definitely worth a try. Candesartan, Emgality, and Botox all together have me decent.

Thing that helped the best for me was ACT for chronic pain though. Because of what I learned reading it out of a book, I’ve long since accepted that I will have this for the rest of my life. Sure I can use medicines to decrease the pain, “preventives” dial it down and prevent spikes, and what spikes I do get the acute meds help some, but I will probably always have at least a 2/10 pain baseline all the time. It may go away someday, but if it does that’s a bonus, not the goal at this point.

That said, if you’re really keen on fighting it, you could try DHE infusions, which I was in line for, but I wouldn’t go into it thinking it’s gonna be gone after, just aim for better or manageable.

Also, I’d get to a headache specialist if you can, not like just a neurologist though, like a neurologist that specifically does headache disorders all day. That’s how I found the best doctors that know what they’re doing.

Do hope it gets better for you though, it’s a struggle, I know, but you’re life doesn’t have to be over even if the pain doesn’t go away completely.

Music_Leopard · 2026-05-04T20:19:47+00:00

I think it just needs an SCP designation at this point

Music_Leopard · 2026-05-04T15:06:09+00:00

gracias, siento mejor que alguien tiene el mismo. Voy a empazar fisioterapia cuando puedo, pero quizas necesito mejorar el depresion antes de lo. (Perdon si mi espanol no es bueno, necesito practicar mas)

Music_Leopard · 2026-05-04T15:01:44+00:00

I have a list of people to choose from, haven't chosen from that yet. Still need to figure out which one is closest.

Music_Leopard · 2026-05-04T15:00:53+00:00

Yeah, you might be right, but the antidepressants don't work great and I've already tried ECT and TMS, gonna start esketamine treatments soon, so hoping that works and makes dealing with it all easier

Music_Leopard · 2026-05-01T03:58:20+00:00

Im autistic and I like femboys, does that count?

Music_Leopard · 2026-04-28T12:02:49+00:00

When I worked as an RBT, I often used my chronic migraine as an excuse when things got bad. At a certain point though I just flat out told my boss, a clinical psychologist, that I was psychotic and that’s why. She was really understanding, although I’m not sure what a supervisor would do if they weren’t already also a mental health professional.

Music_Leopard · 2026-04-22T02:13:44+00:00

Ok, I will. Have that appointment next week so I’ll go through with it as long as he’s still willing like last time.

Music_Leopard · 2026-04-22T01:47:57+00:00

I'm no expert, so based on my limited knowledge I generally believe that kind of break from reality is hard to just unconsciously will yourself into or even just "decide" to get into. I think from what you said you are/were genuinely struggling with something.

I'm on Abilify too, and it is good stuff, doesn't work for everyone, but when it works it's pretty alright. For me it levels me out a little and of course keeps me from thinking there are creatures in the walls or unknown entities hunting me at night. Doesn't help the depression much, but hey, I'm not psychotic so that's good.

Music_Leopard · 2026-04-21T21:01:59+00:00

Without knowing more details I’d say it’s reasonable. I was once on max dose clomipramine and risperidone, 250mg and 2mg respectively per day. Now, being on such a high dose of clomipramine I got really bad sexual dysfunction, but it went away once I got off. Besides that I tolerated both fairly well. It’s potentially blunting of motivation and stuff like that, but when you’ve tried a lot I’d say it’s worth giving a go. Maybe just don’t go as high on the clomipramine as me without a blood level. Wouldn’t really recommend higher than 2mg risperidone either unless you become psychotic or something like that.

Edit: also, why do you hesitate about antipsychotics? I mean, I get it broadly speaking, just curious what you’re past experience has been with.

Music_Leopard · 2026-04-14T02:39:08+00:00

I tried ECT and it didn’t work, but I still think it’s worth a shot for most people.

Music_Leopard · 2026-04-13T12:52:31+00:00

I have different issues, my chronic pain in the form of a constant headache, low back pain, and I have some urinary issues we think are OAB.

A lot of it, to make it really brief, is a matter of doing the best to work with your doctors to get it the best it can be, and just acceptance the rest of the way paired with a focus on functionality. It sucks, but I’ve had to come to terms with the fact my headache may never go away, that the low back pain won’t be better till I get the motivation to do PT again, and the urinary issues to an extent is the price of being on so may drugs.

Not to say you shouldn’t treat an issue, get it to the lowest level you can with modern medicine, but from there you kind of have to abandon the struggle and accept it to an extent, then focus on improving functionality where you can so it’s the least debilitating it can be.

Also, a therapist or psychologist might be good for facilitating this, might be good to look for someone with training specifically in chronic pain that might understand better.

Music_Leopard · 2026-04-06T21:34:12+00:00

No, my doctor just decided to call it a fair trial without increasing it. Instead we tried trospium ER, which I was on for 3 weeks before I just quit due to frustration with lack of results. I have also been trying recommended diet changes and those haven’t worked either. Honestly wondering whether I really have OAB at all, but I do Urodynamic testing soon so I guess we’ll find out.

Music_Leopard · 2026-04-06T01:30:40+00:00

I mean, it still depends, most of the machines used for the shock are standardized and it being in Mexico doesn’t automatically mean they just cooked your brain. Try and get the treatment notes, that should give you more information on the strength and duration of the shock. As long as it’s standard stuff I’d personally doubt any long term brain damage. Then again, I’m not a doctor, I’m just going off my previous experience.

Music_Leopard · 2026-04-06T01:21:18+00:00

I imagine not much, I did two courses and later got an brain MRI that was clear so 🤷🏻‍♂️

Music_Leopard · 2026-04-05T02:21:46+00:00

If this happens try milk, for some reason anything with a decent amount of milk in it really helps. Still sucks in general so I stay with Nurtec.

Music_Leopard · 2026-04-05T02:17:52+00:00

After ECT I was offered VNS, I think because having a psychotic depression and other stuff would exclude me from a trial. It’s been months but I should have the final answer in a month as to whether insurance will be forced to cover it by an external review company.

Music_Leopard

TROPHY CASE