Thanks for bringing your question to JustAnswer. I 'm a nurse as well as a therapist, and have experience with psychiatric medication effects.
It may be time for a second opinion. Someone who has had that extreme of a medication change should be monitored more frequently, especially after a hospitalization. For a depression with psychotic features it's particularly concerning as the new medication regime isn't addressing the psychotic features. The new meds are strictly for anxiety and depression. She may not be reacting well to the Prozac, and it should be re-evaluated in light of her reaction since starting it.
There are other anti-psychotic medications that could be used instead of the Geodon, since your sister didn't like that medication. Some people do well on Seroquel, especially if they take it at night, as it's also sedating, and can help with sleep. There are other choices as well, but a professional would need to do an evaluation to see which would be best for her. I just want you to know that there are other options available other than Geodon.
I would advise not waiting a full month before having her evaluated again. Perhaps call the hospital where she was treated and see if they can recommend someone for a second opinion on the new meds. If they can't or won't help you, you might consider bringing her back to the hospital for a re-evaluation...spending 80% of the day in bed and obsessing about fears of the future means her current meds aren't helping.
Thank you very much for your input - I spoke to nurse at hospital who advised me to call the psychiatrist treating my sister (who was chosen randomly by social worker because she was in the insurance network - not because they knew her personally which is why she was not in agreement with their drug protocol - oh well.)
I have made an appointment for my sister with the psychiatrist tomorrow and have left a message for her to call me so I can express my concerns re. the symptoms my sister is experiencing beforehand. So we go from here - thank you again for your help.
You are most welcome! So glad to hear that you were able to get a quicker appointment. The psychiatrist will be able to listen to your concerns, but don't be put off if she won't actually discuss them with you--HIPPA rules are pretty strict about that. If you're acting as caretaker, ask your sister to sign a release of information form at the psychiatrist's office to allow the psychiatrist to discuss her case with you.
If anything comes up in the future that you'd like assistance with, just put "for Suzanne" as the first two words in your question, and they'll direct it to me.
It's been a pleasure working with you, and the gift of a bonus was a very nice surprise--thank you!