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Speech in general has always been a little bit of an issue for me. I did see a speech pathologist in the past but I was about 12 and didn't care much to benefit from it then. Just for the record, I have always noticed that my speech is much sharper when I'm not taking antipsychotic medications. Strangely enough, I seem to speak the most clearly right before I have a relapse and I am becoming manic. Almost every antipsychotic I have taken has had a negative reaction on my speech but never as much as the most recent, Fanapt. I was recently switched from Latuda 20mg to Fanapt 6mg (once daily) to suppress akathisia. At first everything seemed fine and the akathisia which was a longtime battle of mine was tapering down just slightly on the Fanapt. Then a few weeks settle in and I start feeling like I've been hit by an 18-wheeler upon waking up and just overall sedated and "spaced out". I am forgetting things, mostly short-term memory loss. A few days ago I went into a retail pharmacy to buy a few specific things, walked inside the sliding doors and completely forgot what I walked inside for a few second, although I did ultimately remember a few minutes later. Not just this but I also seem to have developed blurred vision and can absolutely not drive or operate a vehicle on this medication. Additionally my speech is completely shot and disorganized almost half the time. My speech patterns at times are almost like someone who is borderline cognitively impaired yet my IQ is in the 101-109 range (I am average). I'm forgetting words that once came easily to me and have to scan my brain hard for them, sometimes for over 10 minutes. Usually I know what I want to say but it either doesn't come out right or I just can't get it out in words. It's extremely frustrating and it's causing depression and I've threatened suicide to family and friends yet backed off that is how bad its become. I just want my ability to speak normally to be returned to me. I am coming off the Fanapt but would like to be given some suggestions as to what steps I should take to rehabilitate my speech and what medications are not disabling for someone's speech or what medications could counteract disorganized speech. My current psychiatrist is unsympathetic and doesn't care. And my initial question is can Fanapt cause a speech impediment?