I need to know the best treatment for early psychosis
with comorbid OCD (OCD diagnosed, early psychosis not but I know that I have it). I am a 33yo usually functioning male who developed sleep apnea about 2 years ago. It was untreated till about 1 1/2 months ago. Ever since I have been on CPAP treatment I believe that I am developing early psychosis.
My symptoms are,
(this is started with depersonalisation and anxiety
Tired all day, terrible memory and concentration, racing thoughts with random images and sounds even when not anxious, anxiety from the thoughts, racing thoughts, depression, thought stopping, confused thinking sometimes, feels like my personality is fragmented or split in my mind, weird nonsense thoughts that make me worry that I am being controlled or I am an automaton, weird thoughts about the nature of time and SEVERE introspection. I have to fight the thoughts to stop believing them. I feel like I am in a trance state. The worst thing is my high suggestibility at the moment, I read something and can't tell it from reality or fiction without really trying. I have many delusions of reference that I have to fight to not believe (ie I hear a song on the radio and think it is giving me a message, certain objects that I see mean things to me when they have nothing to do with anything etc)I have been off work for 1 1/2 months now and am not improving. Even when trying to distract myself my mind races about this and I cannot stop it. My memory is so bad right now that I put something down 2 minutes ago and forgot where I put it. I have severe brain fog. I am also less aware of my surroundings.
Another example of being suggestible and almost believing a delusion I had - I read about possession on the internet and likened it to my symptoms. All of a sudden I was obsessed that I was not controlling my body although I KNEW I was. My introspection zoned in on the habitual nature of the body and I was deluded into thinking I did
not act when I did I had panic
whenever I thought this.
I KNOW that there is some sort of minor early psychosis mixing with my anxiety and OCD. It is making everything worse.
I have the thought disorder and thought stopping and bizarre constant thinking but I am rational enough to stay in control. I do not have auditory or visual hallucinations or COMPLETE delusion but I have the rest of it.
The only thing I can do right is drive and still function but it is difficult, and people say I act normal like my wife so she doesn't know what I am going through and it is difficult to get help because my behavior (which is well controlled) is always calm and collected.
The weirdness is getting worse and I need pharmacological help to stop it. I am on 50mg's of Zoloft sertaline (down from 100mg and it hasn't done anything so my GP told me to slowly ween off it and try prozac, I still had all these symptoms on 100mg's for a month).
Also can CPAP use cause psychosis?
What drug(s) and dosage do you recommend to stop the early psychosis that I can recommend to my GP that will bring this under control? Also what are my chances of recovery? Do I have hope and with the right treatment will my cognitive abilities come back and my sense of self restored?