Hello ,My son is on Lithium for anxiety. Yesterday he spent 8 hours soaking his thumb and picking away at it because he believes he is being invaded by worms or parasites.  We took him to the hospital and the test show he had no trace of lithium in his system. He said he was taking it but may have forgot just yesterday. He stated the physcotic behaviuor again and we called 911and they took him back to the hospital.  What can the doctors do at this point to get him out of this state of mind since lithium takes weeks to stabilize his mood?Hes never behaved liked this and he is 40 years old.Thanks,
Hi and thanks for question.I think your son didn't take tab since 7 days because psychotropic medicine will present it pt not take for 8-10 days. I will suggest start tab. Clozapine in lower dose than gradually increase dose of that because it works both as mood stabilizer as well as antipsychotic. If required than start mood stabilizer. Before start of clozapine u shall do blood test of complete blood count because clozapine affect our count also. Do same for every week for 3 months than every 15 days for 3 months than every month for 6 months than on every six month. If symptoms not resolved consult psychiatrist. Thanks