Hi! I believe I can be of help with this issue.
I can imagine how worrisome this situation must be for you. You are clearly a very loving and caring aunt to be making these efforts on your niece's behalf. That's really wonderful.
In one sense I can understand the therapist's hesitation in getting your niece involved with meds given that she is recovering from addiction. On the other hand, if she's having psychotic symptoms, then that worry needs to be overridden. Seroquel is an antipsychotic used in treating schizophrenia
Disorder, which both feature psychotic symptoms. If she's done well before with Seroquel, you are very right in thinking about psychiatric evaluation.
Psychotic disorders share these symptoms:
Delusions--believing something is true that we know is clearly not, whether paranoid delusion or not.
Hallucinations--whether audio or visual. This means that she is hearing voices, not just having "thoughts" that she knows are her own.
Disorganized thinking and speech--that means you can't follow her train of thought because it just doesn't make sense.
Disorganized behavior--like sometimes being catatonic when talked to, for example.
I want to stress
: I've worked with people with psychotic symptoms throughout my career and I urge you to err on the side of getting her to a psychiatric evaluation. Untreated psychotic disorders can cause long term damage as each succeeding episode builds on previous ones' severity.
Okay, I wish you the very best!
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