Welcome to Just answer !
Well, the paranoid thoughts that you are currently suffering from are actually Delusions of diferent types , and occurrence of these delusions / paranod ideas or thoughts have no relation with the use of Zipsin ( Mirtazapine ) , which is an anti depressant .
I am mentioning below a link which will throw more light on the side effect of mirtazapine ( zispin ) , in which paranoid ideas and delusions such as those experienced by you are not there.
The fact that , you are suffering from such delusions , despite being on a high dose of Antipsychotic drug such as seroquel and mood stabilizer - depakote , indicates quite blatantly towards two conclusions -- 1) Presence of a delusion / paranoid ideation is suggestive of a Schizophrenia diagnosis , and since you have been diagnosed already with bipolar disorder , so you may actually be having a mixed state that is Schizoaffective disorder , instead of bipolar disorder. 2) your current crop of drugs such as seroquel and depakote , boh of which are being given at high doses , have become ineffective in controlling your present state of paranoid ideas / delusions / auditory hallucinations , as your body must have developed resistance against these drugs , which is quite often seen.
The folowing are the delusions and hallucinations which you are harboring and which are suggestive of a scizophrenia diagnosis--
Delusion of control -- ( you mention a force trying to take control over you )
Delusion of persecution --( your mother wanting to inflict harm upon you )
Auditory hallucinations ( hearing non existent noises)
Such kind of delusions , auditory halluinations , and paranoid ideation are clubbed together as Frank psychotic symptoms , which are the hallmark feature of a schizophrenia ,or schizoaffetive disorder ( schizophrenia plus bipolar disorder / mood disorder )
I am mentioning below a few links which wil throw more light on Schizoaffective disorder, Schizophrenia , the various delusions that you are having .
So, since your symptoms as of now are suggestive more of Schizoaffective disorder , although the treatment of this particular condition is same as what you have been placed upon currently , that is a combination of antipsychtic , anti depressant and mood stabilizer , but since your present crop of drugs have become ineffective , as a result of which your paranoia and delusions have become predominant , so in order to control this i suggest you two things.
1) Get yourself re- evaluated by your psychiatrist , mention about this dicussion and the presence of delusions of control , persecution, auditory hallucination, etc , i am quite sure that your psychiatrist will appreciate this diagnosis shift from bipolar disorder to Schizoaffective disorder , however , the treatment regime remains the same, altough new drugs need to be switched over to , as current drugs have become ineffective.
2) Get started on new drugs such as 1) anti psychotic such as Clozapine or Risperidone , 2) mood stabilizer such as Valproate or Carbamazepine , 3) You shall continue on zispin as an anti depressant, and no , it is not causing these paranoid ideation, it is the underlying psychiatry morbidity namely Scizoaffective disorder that is causing it.
So, i suggest you consult your psychiatrist as soon as possible and discuss what i have mentioned here .
I wish you best of health and rapid recovery to sound help.
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