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Antipsychotics and the reward system
I have been taking Abilify for about 6 months, and 2-3 months ago I discovered, I can no longer receive pleasure from marijuana; typically it makes me emotional, and increases my mood sometimes to manic but mostly hypomanic levels; but with a powerful antimanic like Abilify working on the dopaminergic systems; I am chemically restrained from being able to experience feelings associated with a strong dopaminergic rush which one normally gets when smoking marijuana ;the dopamine rush is completely absent now. I can get high but the dopaminergic component of the high is significantly diminished. I can still receive pleasure from cocaine; but moderately diminished. The community treatment order is an extremely coercive way of forcing you to take your treatment or else they take you to competency hearing and try to take your legal ability to make treatment decisions away from you with a declaration of incompetency; or the psychiatrist asks the review panel to order the treatment. If the review panel grants it, then the treatment is given, even by threat of physical restraint.
This so called "treatment" is a constant source of disempowerment and depression. I would like to live in a more civilized world, where we don't have laws permitting psychiatrists to run wild over drugging people for life. This treatment is ordered with the intention of preventing another psychotic episode; and I appreciate that; however it is my body and I am the ultimate person who should decide how enters into my body; I don't consent to this foreign chemical restraining agent state sanctioned and ordered by my supposed doctor; he is more like a parole officer than my counselor; he makes sure this chemical restraint continues, because in his mind this mental state prevents psychosis. and it may do so for 6 months or so; but long term treatment ex. 15-20 years shows that Antipsychotics cause "supersensitivity psychosis". They sensitize the brain to dopamine; causes D2 upregulation ; increase of receptors; which puts people more at risk of mania and positive psychotic illness in the future. So taking these drugs long term is counter-productive.
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