Needs detailed evaluation. It's difficult to make a diagnosis just based on these texts. And it's not legal either. Take proper consultation with a different psychiatrist.

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if you’re not feeling emotionally better or mentally clearer, it’s important to have your medication reassessed. Sometimes, high doses or certain antipsychotics can blunt emotions or worsen fog. Medication needs fine-tuning based on how you feel, not just textbook symptoms. Discuss this honestly with your psychiatrist—they may adjust the dose or switch to a lighter regimen. Also, consider CBT and structured therapy to improve clarity, goal-setting, and motivation alongside medication. Take therapy, and you can connect with me on nine two six six seven two six zero six five.

Thank you for sharing this. It’s clear you’re self-aware and trying to understand how your medications are impacting you. The foggy, disconnected feeling and lack of motivation you're describing can be side effects of antipsychotic medications, particularly paliperidone and cariprazine, which may contribute to emotional blunting or cognitive dulling in some individuals- even in the absence of active psychosis. It's also worth noting that vortioxetine (Vantaxa) is an antidepressant that usually helps with cognitive symptoms of depression, but the benefits vary individually. Since you're not experiencing delusions or hallucinations, your current antipsychotic dose might be higher than necessary, depending on your diagnosis and symptom history.

While this isn't enough information to give a personalized opinion, there is enough to say there are several other medications out there of all different classes , however the duration and history of your medication and complaints needs to be noted for further management. Consult your prescribing doctor or consult for a second opinion. Thankyou

Hi.. will need further history regarding the same to advise appropriately. Consult online for further evaluation and management

Based on the available information alone, opinion cannot be given. Many a times clinical observation and narrative of relatives/ close ones need to be taken into consideration also.

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