Will my cognitive deficits reverse after taking treatment?

Q. Will my cognitive deficits reverse after being treated with Risperidone and Amitriptyline?

Answered by
Dr. Vishal Anilkumar Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 11, 2022

Hi doctor,

I had a psychotic episode five months back, and I was treated with Olanzapine. Unfortunately, I stopped the medication abruptly, and since then, I have noticed bad cognitive deficits and deficits in empathy. I am being treated again after three months without medication and this time with Risperidone and Amitriptyline. Will the cognitive deficits reverse, or are they permanent?



Welcome to icliniq.com.

Thanks for writing in, and I understand your concern.

I suggest that you may have psychosis. It will affect cognition if you have a long duration of psychosis. It is reversible if you take care of your cognition. I suggest continuing your medication and to follow the below lifestyle to deal with it.

a) Exercise daily for 30 to 45 minutes, at least going for a walk.

b) Meditating for 20 minutes daily. Sit in one place in a comfortable position, and try to concentrate on your normal breathing. Do not stop or force yourself to stop your thoughts; just let it be. It will help you to relax and increase your concentration.

c) Eat healthy home-cooked foods and avoid junk foods.

d) Drink enough water.

e) Spend quality time with friends and family daily, or do video calls if you are living away from your family.

f) Spend time on creative hobbies like reading good books, writing journals, painting, drawing, learning new skills or language or musical instruments.

g) Get seven to eight hours of sleep daily.

i) Avoid tobacco or alcohol or any substance abuse, if you have any.

Kindly revert if you have any doubts.

Hi doctor,

Thank you for the reply.

How long will it take to get back to normal, and will I get my sense of self back? Do you think that I can continue in medical school with this condition?



Welcome back to icliniq.com.

It will take around six months. I suggest continuing your medical school, but if there is severe psychosis, that may cause trouble. When you get stressed out, or if there is a trigger factor in your life, it will worsen your psychosis. Medical school is a long and stressful course.

Thank you,

Will I feel like myself again, or will I improve in a different way? Do you know of any cases that lost cognitive skills and IQ after psychosis then gained them back?



Welcome back to icliniq.com.

I understand your concern.

You will feel yourself again. It will only worsen if your psychosis is severe and extends for longer duration; otherwise, you will leave like a normal person with full function. I have many patients who work entirely, take medications, and have a healthy family life.

Hope this helps.

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