Is this part of sz symptoms

Unusual Beliefs
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its not absolute feeling, i can still ignore it easily, but i slightly feel like i am part of an experiment. whenever i do something today i feel like theres someone outside my window displeased with my performance, like im not good enough or am not entertaining enough, even tho i am completely alone, im not having auditory hallucinations and havent in years, but its kind of stressful to practice music right now because i feel like i can almost hear verbal feedback from a displeased unimpressed bystander. it hurts to backtrack and improve myself by playing simple things because while im completely alone i feel this audience analyzing me and even my best is not good enough. for a while ive tried to prove myself wrong but this is like an constant antagonist. describing that just now sounds crazy but it is like a weird sideshow that discomforts me but doesnt put me in danger. i have been taking only half my risperidone for the past 2-3 days and also discontinued kratom friday which may be affecting me but was necessary

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Why’s that?

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trying to reduce metabolic burden and take minimum necessary dose

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It sounds like reducing your dose of antipsychotic is causing you to have “sixth sense,” or extracampine hallucinations.

I suffer with those.

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“Is this part of sz symptoms”

Yes, it sounds like it. Thats the short answer. It sounds like you are having breakthrough symptoms on the reduced dose.

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Hello @cigarino ,

I completely empathise with wanting to reduce your dose due to metabolic adverse effects. (Ok, some people call them side effects.) I’ve been there myself.

However, there are ways around this.

One option is to find an antipsychotic which doesn’t have such severe metabolic effects. Unfortunately, risperidone tends to have more metabolic effects than some others, as far as I know.

Another option is to start either a weight-loss injection or buy some nutraceuticals which work on the same GLP-1 receptors as weight loss injections. They’re not as powerful as the jabs, but they do work for many people.

A company that does these in the US is called Ora Organic, while a company in the UK and europe that does this is called Glucose Goddess.

I do appreciate that paying for your own weight loss injections or nutraceutical pills sucks, if you can’t get them covered, but on the other hand, if you make up that saving by not spending as much on food, it just might pay for itself?

My last thought on the issue is that if you do decide to reduce your medication, please, please only do so under medical supervision (easier said than done sometimes, I know), and never decrease the dose by more than 10% per month. There is a lot of evidence to back this guidance up e.g. feel free to search online for ‘10% reduction tapering of antipsychotics/antidepressants’ or something like that.

If you decrease the dose by more than 10% per month, that’s a sure-fire way to having psychotic symptoms. I say this out of my own bitter experience.

Wishing you all the best

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