Sedating anti psychotics definition
Evidence that early treatment has a favorable effect on long term outcomes is equivocal. While the Dex no doubt improves your concentration, you may in fact be chasing your tail a bit, with the Dex doing more harm than good. Elavil is another in that group which I can recommend.
The goals of treatment of these patients include reducing symptoms and potentially improving long-term treatment outcomes. Generally, more than one antipsychotic drug should not be used at a time because of increased adverse effects.
Given the depth of your problem it would make sense to see real experts at a major hospital or research university. Maybe you have just been dragging bye without complaining when you really need some med adjustments. Few patients achieve complete resolution of symptoms.
You can't throw gasoline on a fire and then complain that you need better water to put it out. Schizophrenia Schizoaffective disorder most commonly in conjunction with either an antidepressant in the case of the depressive subtype or a mood stabiliser in the case of the bipolar subtype.
The re-evaluation of the evidence has not necessarily slowed the bias toward prescribing the atypicals. Since they did seem to work for you, stay in that category and try them all.
Every study shows that patient outcome is better with both med and talk therapy. If works for you then you can deal with the rest a lot easier than solving a sleep problem. Consider upgrading your therapist. In this indication it is a common practice for the psychiatrist to prescribe a combination of an atypical antipsychotic and an antidepressant as this practice is best supported by the evidence.