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Hello, I'm Rafael, an integrative psychotherapist. I'm here to support you. I'm carefully reviewing your post now and I am very sorry to know your daughter has been suffering from these tough conditions for so long.
Answering your question, bipolar disorder and schizophrenia can comorbidly occur in the same person. If your daughter suffered from psychotic symptoms meeting criteria for schizophrenia before her drug use, then that would be her first diagnosis.
Unhappily psychotropic drugs can cause, worsen and trigger these and other mental disorders, even more, when the person presents a mood condition and a psychotic disorder. Extreme caution should be taken since the drugs prescribed to numb symptoms in one disorder could trigger the other condition.
If sha hasn't already been working on her rehabilitation with regular individual, family and group psychotherapy, it is essential for her to seriously consider that otherwise the chances for further deterioration are very high.
treatment for bipolar disorder and schizophrenia means individual, family and group therapy, behavioral and social interventions. If the person is violent, suicidal, homicidal, undergoing violent behavior, a crisis or severely psychotic, then the use of psychotropic drugs could be justified for short term to control and prevent those crisis.
Correct, schizoaffective disorder could be a possibility instead of schizophrenia, but only a competent and complete psychological evaluation by an excellent clinical psychologist could determine that.
Psychotropic drugs in my professional opinion could cause more harm than benefits as explained before, and should never be used without providing competent treatment. The exceptions for their use, in my opinion, are for cases of psychotic disorders and conditions like bipolar where the person becomes severely dysfunctional if psychotic, manic or depressed. Other than that, these drugs could backfire.
Absolutely. Again, if a competent, ethical and experienced professional can objectively justify the use of this drug as more beneficial than detrimental to your daughter, base don their complete understanding of her medical and mental health history, development, current neds and stressors, after having provided necessary treatment to address those symptoms and the disorder/s, then no problem. Obviously this needs to be supported by the concrete evidence of your daughter's mental health, mood, and functioning improvements, and closely monitored by regular tests to assess organ damage and other problems caused by adverse effects.
Then that's my very point, and this is unhappily dominant practice in the mental health system, seriously risky, unethical and antitherapeutic, but it happens like that. These drugs create a unique reaction in each individual's brain, there is nobody who can tell you how your daughter's brain will react to any of these drugs, it is literally a process of trial and error, of experimentation. That tells you a lot of how it works.
You’re very welcome. Please feel free to contact me if you have any further questions since I am here willing and ready to support you as much as possible.
You can contact me using this direct link to my profile https://www.justanswer.com/mental-health/expert-rafael-therapist/, you could bookmark it for easy access, and just make sure you state “For Rafael only” in your request, for other experts to know you want me to reply, and I will respond in less than an hour most of the time.
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Thank you for your trust. Take gentle care.