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I've taken Abilify for almost 10 years. I was originally put on it for anxiety, which was rather unwise. I havn't felt good from doing exercise since being on it. However, It did seem to help with OCD. My OCD used to center around cleanliness, now I don't care much. Now my OCD involves intrusive, repetitive thoughts.

I am on 10mg Abilify 300mg Luvox, 50 mg Lamictal, 500mg Depakote, and 50mg hydroxyzine as needed.

5 months ago my Abilify does was increased from 5mg to 10mg. Everything was great for a month or 2, not anymore.

I've been told that the intrusive, repetitive thoughts are part of OCD and not schizophrenia. However, I'm wondering if I have schizophrenia anyway since the thoughts are related to my daily activities.

Has anyone heard of intrusive thoughts being linked to schizophrenia? If so, would a different antipsychotic be more effective?

To complicate things, I am a slow metabolizer. Geodon knocked me out for 18 hours! A prior doctor put me on perphenazine after that because he found an article showing the same problem in someone else, and success with perphenazine.  I found an article that stated that perphenazine is metabolized by three enzymes while Geodon is metabolized by one. Unfortunately I don't have those articles now. The downside to perphenazine is that it made me depressed at high doses. I tried risperdal, but It made me anxious. I'm willing to try anything again as long as I'm not asleep for 18 hours.

Any ideas?

 

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40 minutes ago, PingWire said:

      Any ideas?

If you feel comfortable doing it, it might be helpful to share your diagnosis....I know you mentioned OCD, but have you been diagnosed with anything else?

Besides the Abilify that you're currently on, you said you have tried Geodon, perphenazine, and Risperdal,......Have you tried any other antipsychotics?

Maybe you could ask your doc about possibly increasing the Abilify?....I have OCD (among other things), and I take 15mg Abilify.

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I also have social anxiety disorder. It's not as bad as the OCD though. Other times it the SA has been worse. I tried 15mg Abilify but it didn't help with the thoughts. It might have helped for a week at most. I recall feeling insensitive to those close to me, not good.

To complicate things, I'm taking one college course (I'm sticking with it) and my pdoc wants me off Abilify completely before starting a different AP. I might have to find another Pdoc.

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26 minutes ago, PingWire said:

To complicate things, I'm taking one college course (I'm sticking with it) and my pdoc wants me off Abilify completely before starting a different AP. I might have to find another Pdoc.

If in doubt about your pdoc, it might be a good idea to get a second opinion....

Edited by CrazyRedhead
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7 hours ago, PingWire said:

I also have social anxiety disorder. It's not as bad as the OCD though. Other times it the SA has been worse. I tried 15mg Abilify but it didn't help with the thoughts. It might have helped for a week at most. I recall feeling insensitive to those close to me, not good.

To complicate things, I'm taking one college course (I'm sticking with it) and my pdoc wants me off Abilify completely before starting a different AP. I might have to find another Pdoc.

Well a second opinion is always an option if you are uncomfortable- however that doesn't seem unreasonable, especially when using drugs off label. It might be best to see if you can experiment first with a one at a time system cuz once you start piling up it gets way more complicated. I agree with @CrazyRedhead tho that you could probably try a bit of a higher dose if the side effects are manageable. Are you more concerned with the anxiety or OCD? Seroquel might be a next option because it can hit both. Obviously I can't tell you if you have schizophrenia, but If worried it wouldn't hurt to revisit with the doc. Intrusive thoughts happen with mental illnesses so don't scare yourself by assuming the worst. You said perphenazine was bad at high doses....exactly how high? And did it work at all at lower doses? Because maybe if it did you could try another drug from the same family 

Does the Luvox help? 

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