Kind of a different question from the therapist.
My son was in the hospital just a couple months ago.
Like always, he came out pretty good with a med adjustment.
He continued to do well until he saw his outpatient doctor. She upped his Invega shot to 234 mg/month, took him off the 4 mg Risperdal daily & increased the Trileptal mood stabilizer from 300 mg/day to 900 mg/day.
About 5 days later (time enough for the Risperdal to clear?), he started to go downhill slowly as he stopped sleeping again. Then, he started sleeping again after about a week and kind of stabilized, but it’s not what I would call stable.
He got his second 234 mg shot about 24 days later, slept a lot for a week, then stopped sleeping like a switch was turned off. His delusions are going up & I’m seeing signs that he’s hearing things.
They tell me he won’t get much better without participating in their therapy. He won’t participate until they can get him less psychotic. So, it’s a catch 22. And, I can’t accept that this is as good as he’ll get on this much Invega with or without therapy. If so, it’s not the right med for him, compliant or not.
If he doesn’t participate, they’ll downgrade him eventually from ICT type case management to traditional case management where he only sees someone every 2 to 3 months. I’m like great - once again, if you aren’t well enough to cooperate to some degree, you get less help.
So, after that ramble, I’m thinking I’m going to see if I can make an appt with the doctor he saw in the hospital to go over what’s happened & what he thinks about the med change. Risperdal is supposed to be the older form of Invega so they tell me the increase in Invega should have more than made up for it, but if that’s so, they could have just given him oral Invega.
And, no matter how it’s supposed to work, it’s obviously not working like that for my son.
Has anyone else ever done this? He did sign a release in the hospital, but do you think I can get around HIPAA by only giving information & then asking for a hypothetical opinion?
As paranoid as my son is with his lack of insight, I don’t want to take him for an appointment if this doctor is just going to say this is the right path for the meds.