Schizophrenia Diaries

Things started to go wrong on Saturday the 13th of June. I had worked the Friday and every Monday, Friday, Saturday, and Sunday since I returned from my 3 month vacation in Europe in the August of last year.
However, this Saturday was different. I started to get a headache around 16:30 thinking it was diet related since I hadn’t eaten since breakfast (Another bad habit). I was craving a nice meal, but since the cook (my mum) had the day off, toast was on the menu.
I waited for my break at 17:30 but became nauseous. Suddenly these voices appeared shouting in the back of my head “They’re coming to get you” and “They are after you”.
At this stage I had no visual hallucinations and I was lucid enough to recognise I could no longer fulfill my working duties in a responsible capacity.
Promptly I spoke to the Nurse-In-Charge; Mary and voiced my concerns that I should go home since “I had just had an epileptic seizure”. Only my Nurse-Unit-Manager knows of my condition and as it was the week-end she was not around. Neither was my colleague, another Nurse-In-Charge who I had confided in. I chose to keep my disorder a bit on the quiet side as I had encountered discrimination from my previous job making working conditions stressful and unbearable.
After speaking to my Mum about my hallucinations at work, we decided that I drive home as I only live 10 minutes away. Terrified, I drove slowly and got home to a frantic mother who wanted to call the Crisis Intervention or CAT team. Stupidly, I took extra Largactil (Chlorpromazine) 200mg which my Psychiatrist had advised me to use under my discression. Fortunately I fell asleep until 04:00 the following morning aggitated and still hallucinating of which many cigarettes and cups of coffee (other bad habits), did nothing for. Clearly I was psychotic.
It wasn’t until the evening that the visual hallucinations started. Hearing repetativly and loud “They’re coming to get you”, “They will kill you”, and “They are after you”, I also had to contend with seeing dark shadows roaming around my room with knives weaving in and out of my doors and windows and around my bed. I was glad when mum offered to sleep with me to try and calm me. I was even more happier when I spoke to my Psychiatrist who felt that the 500mg of Largactil (Chlorpromazine) in addition to my other medication would have some relief on this terrifying nightmare I was experiencing. Whilst my psychiatrst could not admit me that night due to bed capacity, I was admitted the following day. Still hallucinating as severely as the previous night, the nursing staff decided to put me into high dependancy where I would not be in any danger to anyone including myself.
The next couple of days in hospital are a blur. I was so doped up on 300mg Chlorpromazine, 1400mg Quetiapine (Seroquel), 4000mg Sodium Valporate (Epilim), and 40mg Paroxetine that I slept most of the day. I only ventured out to have cigarettes and dinner. The paranoia was still high as I sat alone for dinner thinking everyone was talking about me or plotting to attack and even kill me. I took no action on these thoughts due to my limited but present insight.
Each day I saw my Psychiatrist and expressed my difficulties. By day 4 we decided to change anti-psychotics as I was on the maximum dose of the Quetiapine (Seroquel).
I was devistated. This was going to be the 7th anti-psychotic I had changed to. Whilst the Chlorpromazine works well as a supplement, the high doses I would required would cause the side-effects to be totally debilitating. I had no choice.
My Psychiatrist felt it best that we change the Quetiapine (Seroquel) for Ziprasidone (Zeldox) in one hit rather than weaning and stop/starting dosages. So, I stopped the Quetiapine (Seroquel) straight away and went straight onto the maximum dose of Ziprasidone (Zeldox) which is 160mg which I now take all at night although it recommends you split the dose.
Within 3 days I was feeling my old self again. I had day leave with my Mum and went and saw the Salvador Dali exhibition. The following day I went home.
All was going well until the hallucinations began to reappear in the evenings. Mum was at work and my Nanna has no idea of what is wrong with me so we argue.
Around 4pm every evening since being home my auditory hallucinations flare up again and I am always up and about between 04:00 and 06:00 much to my mother’s disgust.
Hearing repetativly and loud “They’re coming to get you”, “They will kill you”, and “They are after you” I cannot go out anywhere unaccompanied. I cannot drive my car. And I am even scared to walk my dog as I am frightened to leave the house.
These symptoms have all but gone now since seeing my Psychiatrist again last Thursday. She added an extra 40mg of Ziprasidone (Zeldox) to take at 16:00 to stop the hallucinations and started me on som Clonazepam to help with the anxiety and insomnia. Yesterday and today have been the quietest days in a very long time.