My mom has been diagnosed with paranoid schizophrenia since before I was born. She was, mostly stable, on old school Thorazine and usually antidepressant/mood stabilizer. Around three years ago, her long term psychiatrist died and it has been hell since then. She experienced a slight mental break overseas in 2017 and I had to fly over to get her. When I brought her back, she voluntarily checked herself into the hospital and they stabilized her on 1.5mg of risperdal and a mood stabalizer.
Unfortunately, I didn’t fully engage with her care and after linking her to a psychiatrist, I was hands off. Fast forward to fall of 2019 and she is once again experiencing a full psychotic break overseas. Somehow I got her back to the states again and had her involuntarily committed(I found out she was not taking her meds for over a year). Unfortunately this time, the medication(2mg risperdal then 4mg risperdal) was not working. Her delusions and aggressive behaviors would not stabilize. She stayed in the hospital until February and was released on the condition of attending groups. The groups did not go well and she was eventually discharged in March right before covid hit. Fast forward to July, and her condition was rapidly getting worse. I had to fight with her to take her medication and then I realized she wasn’t really taking them. It was a mess.
I had her involuntarily committed again until late August. She was released with the IOC program and was started on the invega shot, daily risperdal, plus tripital(mood stabilizer). The mood stabilizer was the godsend medication. She is finally not aggressive, but unfortunately; her psychosis is still very active. She thinks I’m a clone and not her real son,etc. I don’t believe the risperdal does anything for her anymore, and she just received her second invega shot. The doctor wants the invega to work since there is a three month version of the drug. At this point, I just miss my mom and wish she was back to reality. Her mood is better because of the mood stabilizer but her psychosis is still very active. Any advice on medication?