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NB: cross-posted on 'Mirtazapine' forum.
I've had clinical depression for 30 years. I have a severe depressive episode for about 6 months of every year, successfully treated with medication so far. The last few years the depression has escalated into psychotic depression. I am currently on the maximum dosage of 45mg Mirtazapine which seems to reduce the depression enough to prevent any major psychotic episodes until I get better.
During the current episode (2 months in), the medication is not holding back the psychosis and I am becoming very agitated and confused (got lost walking home today!) and hearing children singing "Stephen is ill again, Stephen is ill again,..." in my head all day. I am also getting paranoid. I took a chemical cosh (sedative) last night and slept a good 12 hours but still have the voices in my head all day.
Has anyone transitioned from the medication for depression to anti-psychotics and have any advice? I am seeing my doctor tomorrow (by the way has been the best GP I've ever had) and have my 'annual' psychiatric assessment next week.
I am just anxious on what the next stage of treatment may be...
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