When Psychosis Causes Hallucinations Which Causes More Psychosis

 

So here I am, 17 years into recovery from a lengthy hospital stay for acute psychosis. In that time, I have mostly been on an injectable medication every two weeks, and it has done a really good job of keeping my head straight. Now, a new medication or two has been developed, and supposedly they are better. One of the advantages is that the new ones only have to be administered once a month rather than every two weeks. So, after a lengthy debate/discussion, my Psychiatrist puts me on one of the new ones (I don’t think it would benefit anyone to know the name of it so I am going to leave it out). But the difficult thing is that it seems I have been taking the previous medication for so long, then when it was stopped, I have been having symptoms of severe schizophrenia, something that hasn’t happened before. The world is a scary place with schizophrenia in it to confuse a person already struck down with bipolar and anxiety. It is a very hard thing to explain to anyone who hasn’t experienced it. When the worst happens is almost always in a public place, often a restaurant or shopping mall. I start off feeling fine, and then I get quiet and begin to listen to people talking around me. This is something I used to do in my late teens when I lived in Vancouver. I hadn’t yet perfected my set of social skills, and I would listen in on people and then, though trying not to be rude, I would join in on what they were talking about. I often gave the excuse I was from a small town, but that was pretty much a lie. Still, I met a lot of people, had friends nearly wherever I went, and often count those times as some of the best ones in my life. Now, that habit I formed, for lack of a better term, torments me to no end. I sit, and there is a cacophony of voices and noise, then I begin to tune in on a specific conversation or sound, and it slowly starts to turn into words and sentences I seem to recognize. If I am unlucky, which has happened a few times in the past weeks, I interpret what was said as a direct threat and suddenly have a very strong desire to leave, whether I have to eat or sit with someone or any reason really. This is when I start to look and feel disturbed (I think) and at that point, I honestly feel that some people can sense my anguish. Then one of them may make a comment or a joke and if I overhear it, or misinterpret it, then I start to feel justified that people are plotting against me and things get worse. This has been my world since Christmas Day when I laid in my bed not wanting to make a sound, listening to the heater/radiator in my bedroom start to sound like two men plotting my demise in the stairwell. It is hard to explain how destructive this psychosis can be. I met a friend at a restaurant a couple of weeks ago and as the meal wore on, I keep trying to not let people see me, couldn’t look the person I met with in the eyes, and my voice kept on getting quieter. I have been trying to take steps to deal with it, but I fear it will take time and extreme effort. One of the ways my nurse/therapist was helping me to learn was taking deep breaths, holding them for a couple of seconds and then slowly releasing them, causing you to get beyond the “fight or flight” mode and also distracting you from any false voices. But she was also careful to caution me that there is really no magic pill that will end my auditory hallucinations. One of the things that I think could be an issue is that I have been playing a number of violent video games which I have stopped, but still kind of long to play. One of the best suggestions came from my Dad, who saw my Mom go through this for a long time. He suggested that I simply put some music on an iPod or iPhone and focus on the music rather than the troubling talk. I hope some of this helps people out there who may be experiencing psychosis, as always, please feel free to comment or contact me.

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