#vs. antipsychotics

[oysters-aint-for-me]

i’ve been trying to eat during the daytime more because right now i only eat after the sun goes down basically and even though i still miss traditional hunger signals (ie tummy hurts) thanks to my new meds i am starting to feel and notice other less obvious hunger signals (ie irritability, difficulty focusing, feeling like i am incapable of doing anything, sneezing*) and so now that i know eating helps with those things, it’s just silly not to. except my stomach isn’t used to eating during the day and it’s a crapshoot** as to whether or not the food will send me running to the toilet. yesterday i went to a baseball game and had half of a soft pretzel and my stomach went “UUUHH??? it’s 1 pm? i’m not on shift what do you expect me to do w this” then later at like 12 am i had two microwave burritos and a plate of tortilla chips and my stomach was completely fine. stomach, we can’t keep living like this bro, we gotta start assimilating at least a little bit into the normal rhythms of the human species if we wanna start feeling a little better

* don’t ask i don’t know

** pun not intended but embraced wholeheartedly

[schizopositivity]

It's so frustrating trying to learn more about your own illness and finding so little about so many of the common symptoms, or how they affect people day to day, and only finding what is commonly understood by most people. I feel like there should be more research into the many other symptoms besides hallucinations and delusions. And more understanding of what the actual symptoms are vs how the symptoms generally affect people.

One thing I noticed is things like "poor hygiene", "doing poorly in school or work" are often described as symptoms of schizophrenia, when really it is the result of symptoms like Avolition. And I think it's important to name the actual symptoms and not label the results of it as symptoms themselves.

Another thing is that I never hear how the negative and cognitive symptoms interact with side effects of antipsychotics. Like I personally think my executive dysfunction worsened as a result of the constant drowsiness from my antipsychotics. But I never see any information on that, or any guidance or support for that when you need to take the meds for the rest of your life while also living with untreatable negative and cognitive symptoms for the rest of your life.

And lastly, I wish more research was done on the horrible stigma schizophrenia has, and if that affects symptoms like isolation, limited speech and paranoia. I think every person with schizophrenia has the experience of having their psychotic symptoms be significantly amplified in public due to the paranoia of being perceived as psychotic, yet that experience is never acknowledged by professionals.

It's just disheartening that it seems that the overwhelming stigma of schizophrenia has seeped into the psychiatric field itself. We have so little accessible information about our own condition, the nuances of it, and how it realistically affects us as we deal with schizophrenia, the stigma, and antipsychotics on a daily basis. I just think there's so much more that can be done in terms of research into schizophrenia and I want to see it so badly, but can't do the work myself because of my mental illness. If only people with the privilege of being able to study and work in these fields cared enough to value our quality of life and understanding of our own brains as much as those of us who usually don't have the same access.

[serialunaliver]

genuine question as one psychotic to another, how do you feel on antipsychotics vs not on them? I was pretty much saved by being on antipsychotics so I'm interested in hearing your experience since you mentioned not being on them! I don't know many other psychotic people who deal with what I used to in the past (which is similar to your experience)... I hope this isn't a weird question!

honestly i'm not functioning well off antipsychotics. I have pretty much traumatized my stepdad by my actions.

but what I couldn't deal with regarding antipsychotics is they take away my world. psychs always associate my world with "psychotic thought process" "delusional thinking" and they call me treatment resistant if I don't want antipsychotics.

so I really wish I just wasn't alive honestly, it's horrible either way. luckily my mom and stepdad help me but they are still quite bothered by my behavior 😐

[schizodiaries]

schizodiaries masterpost

A collection of all my advice/informative posts. (This will be updated as more posts are added.)

general mental health:

things i learned from my therapist

my first psychotic episode

my experience at a mental hospital

list of cognitive distortions

what are delusions?

a guide to hearing voices

understanding paranoia (coming soon)

schizophrenia & schizoaffective disorder:

guide to schizoaffective disorder (coming soon)

lesser known schizophrenia symptoms

fun facts about schizophrenia

how to care for a loved one w/ schizophrenia

how i stop psychosis before it can stop me (coming soon)

self-care and coping skills:

self-care advice: need vs. deserve

my top 5 healthy coping mechanisms

how i deal with panic attacks

ten ways i cope with psychosis

super easy self-care tips

how to get a good night’s sleep

coping with voices (coming soon)

stress-reducing breathing (coming soon)

other information

heat-related illnesses and antipsychotics

[compassionatereminders]

You have tried other antipsychotics before right ? I think i remember you talking about the side effects ? What got you choosing the one you are at currently with your doctors ?

I have tried several, yes. And I'm not satisfied with the side effect vs effectiveness profile of the one I'm currently on (Olanzapine) and would really like to change to another. Unfortunately I have and have had very little personal influence on my psychiatric treatment as a result of my institutionalization, so that's a long and complicated process that I haven't been able to start yet.

[doggboyy]

how do you tell between body memories and somatic flashbacks from cptsd (ramcoa/programming specifically) vs tactile hallucinations that were never real and persecutory delusions that people intentionally grouped together to sadistically s/a / abuse and torture me with others originating from schizophrenia? asking for a friend (me)

Body memories include a range of experiences, one is which are somatic flashbacks;

(literally just google searches) With tactile hallucinations & ''memory delusions'', it does get more complicated. I kinda sound like a broken record at this point, but Therapy It kinda sucks to say, but you Can't tell if it's real(assuming there's no other outside evidence, Only the memories), if you have a history of delusions(i figured you have schizophrenia based on the ask), and have reasonable suspicion that your memories are a result of delusions, this is something you should have the end target of getting serious help for. There's also a Lot of other factors, too; Is there physical evidence of things you remember experiencing, do you have other c-ptsd symptoms, do you have a history of (memories/physical feelings) you believe to be, or have been proven as, delusions and/or hallucinations, are you already on antipsychotic medication that Works, list goes on etc etc This doesn't seem very helpful, but i hope it can still be of some use ^^

[faithfromanewperspective]

guys i think i figured out the chemistry of adhd meds vs antipsychotics and their relation to dopamine does anyone want to hear about it

[panicdeleter]

the unfortunate experience of having dissociative identity disorder diagnosed young is that I go to a fucking psych hospital tell them I have DID and they just, don't believe me. I had fucking Fuge. Motherfucking fuge. Nowhere online can I even find a description of what fuge looks like during the process other than "bewildered wandering" and these psychs definitely got the abnormal psych class at the local college that I've been told by someone who took the class "doesn't even mention the disorder" so my *absolutely has had dyskinesia like 6 times because my first doctor gave me 5mg of abilify as a 5 year old and wrecked my brain* having ass bitch got put on antipsychotics and because I was also age regressed out the ass, and totally disconnected from reality and deep in some antichrist demon boyfriend fantasy (I have... interesting power fantasies when totally unable to cope that apparently just, took over? like I *was* the maladaptive daydream) yeah I just, I want to go on, I can't I don't have the energy to pop back three stages of disconnected connected thoughts. This is just, how I think. I had a point but the amnesia kicked in and now I'll have to walk back through the thought process to find the idea and pick it back up with a new thread of self. I feel like I'm mostly fragment and not even alter. It's fucking atrocious in here guys. I am sorry for the incoherency. I'm tired of doctors not knowing what this disorder even is while also contradicting themselves by believing they're capable of distinguishing between "true" and "false" did like anyone would honestly pretend to be like this... like BPD and DID... I've met several people diagnosed BPD and like, low and behold after a while of hanging out and just, talking about myself and them BPD, CPTSD, and DID all feel like a spectrum of the same fucking thing. It's the same shit. I have at least one friend who's a diagnosed autistic narcisist and she's *also* dealing with the same underlying shit. Like it's all fucking trauma. I'm fucking pissed about how little information there is about DID vs Schizophrenia and how people don't have enough training to recognize did.... which doesn't respond to medications and shouldn't be medicated in the first place... and it takes 5-12 years on average to get diagnosed. That's 5-12 years of intense psychiatric drugs. 5-12 years of being a fucking hostage to a system that isn't educated about you, being passed from psych to psych as they slowly realize they don't know what's wrong with you, from therapist to therapist as they say they *aren't qualified to help*, direct quote from a therapist of mine. I have no idea how to emphasize on top of this how exausting this all is. How much each intake appointment means ripping into your history of trauma and telling them your entire backstory as much as you can. Every bubble sheet filling how much you struggle. Every psych eval... after psych eval after psych eval. I must have had at least 20. I'm tired. This is a major injustice no one gives a shit about. It won't improve, because unlike autism we don't have marketable devices, unlike schizophrenia we don't seem scary or dangerous, unlike chronic illness we can't be scienced in imperical ways, we can't be examined through the lenses of biopsy and genetic testing... what little research is even out there is mostly about detecting "fakers"... when a commonly known symptom of did is dissociating about your dissociation. I want help. I really, truly want help. There just *isn't help*.

[hauntedtrait]

being on antipsychotics vs not is kinda funny bc im not nearly as into my ocs when i’m off meds lol

[expertacademicassignmenthelp]

What is mental health?

Mental health is a state of well-being that enables individuals to cope with life stresses, realize their abilities, learn and work effectively, and contribute to their community.

It goes beyond the absence of mental disorders, emphasizing the importance of ongoing wellness and happiness.

Mental health issues affect daily life, relationships, and physical health.

Almost 1 in 5 adults in the U.S. experience mental health problems each year.

Risk Factors for Mental Health Conditions

Socioeconomic factors such as poverty and marginalization increase the risk.

2. Adverse childhood experiences, biological factors, and underlying medical conditions contribute to mental health issues.

3. Chronic stress, depression, and anxiety may result from physical health problems.

Types of Mental Health Disorders

1.Anxiety Disorders:

. Generalized Anxiety Disorder

. Panic Disorder

. Phobias

. Obsessive-Compulsive Disorder

. Post-Traumatic Stress Disorder

2. Mood Disorders:

Major Depression

Bipolar Disorder

Seasonal Affective Disorder

3. Schizophrenia Disorders:

Schizophrenia involves psychotic features, both positive (delusions, hallucinations) and negative (withdrawal, lack of motivation).

Early Signs of Mental Health Disorders

Withdrawal from social activities

Changes in sleep and eating patterns

Persistent feelings of hopelessness

Difficulty completing daily tasks

Thoughts of self-harm or harm to others

Diagnosis

Diagnosing mental health disorders involves a thorough medical history, physical exam, and psychological evaluation.

The American Psychiatric Association’s Diagnostic and Statistical Manual is often used for diagnosis.

Treatment

a. Psychotherapy

Cognitive Behavioral Therapy

Exposure Therapy

Dialectical Behavior Therapy

b. Medication

Antidepressants

Antipsychotics

Anxiolytics

c. Self-help

Lifestyle changes

Relaxation techniques

Support networks

Myths vs. Facts about Mental Health

Intelligence, age, and social status don’t determine mental health.

Teenagers can experience mental health issues.

People with mental health conditions are not necessarily dangerous or violent.

Psychiatric medications are not harmful; they are essential for managing symptoms.

Maintaining Mental Health

Regular exercise, balanced diet, and hydration contribute to mental well-being.

Quality sleep is crucial for mental health.

Relaxing activities, mindfulness, and gratitude practices help manage stress.

Suicide Prevention

Ask direct questions if someone is at immediate risk.

Listen without judgment.

Seek professional help and remove potential harmful objects.

Outlook

Most people can manage mental health symptoms with proper treatment and support.

Recovery may involve learning new coping mechanisms.

Mental health issues are associated with chronic health conditions.

Prevalence of mental disorders peaks in ages 18–25.

Conclusion

Mental health Consists of cognitive, behavioral, and emotional well-being. It involves managing existing conditions while maintaining ongoing wellness. Stress, depression, and anxiety can disrupt mental health, but various treatments, including psychotherapy and medication, are available. Myths about mental health abound, and maintaining mental well-being involves self-care practices and a support network. While mental health disorders are common, proper treatment and support can help individuals lead fulfilling lives.

For Health Sciences Assignment Help,

Email us at;

williamsliason@outlook.com

[schizopositivity]

Here is a nice easy to read article about the differences in effect and side effects of typical antipsychotics vs atypical antipsychotics:

[notabled-noodle]

hi! so I have ocd and I was reading ocd criteria and it mentions “With absent insight/delusional beliefs: The individual is completely convinced that obsessive-compulsive disorder beliefs are true.” so does this mean that ocd by itself can cause delusions? bc I know obsessions aren’t different from delusions so are these delusions? do u know more abt this? I know a lot about it schziophrenia spectrum and disorders causing delusions … but I never see ocd mentioned as being able to cause delusions .. does this mean the delusions in ocd must be followed by a compulsion to differentiate from other psychotic disorders?

the easiest way to look at it is as “the doubt disorder”. OCD is an intolerance of uncertainty, and a desire to rid yourself of doubt. the obsessions create uncertainty, and the compulsions are an aim to get rid of it. 

if you have fair insight, your brain is not greatly exacerbating the likelihood of a bad event happening. maybe you shift a 1% chance up to 5%… but the issue is not that the probabilities have changed, it is that there is not 100% chance either way. you know full well that the chances are low, but you still want that certainty. 

if you have poor insight, your brain is shifting the likelihood up a significant amount. you’re less able to see that the chances are low, so your brain needs a lot more convincing that you’ve arrived at certainty. at this point, you might end up trapped in cycles of reassurance-seeking, Googling, and other uncertainty elimination behaviours. 

if you have OCD with delusional beliefs, your brain has now flipped the probabilities — you think there’s a 99% chance that the bad event is going to happen (or has already happened, and you’re just repressing it). at this stage, compulsions are no longer about seeking certainty, they’re about actually trying to change the state of the world OR about trying to “cancel out” perceived wrongdoing. at this point, you think that doing a compulsion actively prevents the obsession from occurring, or is able to fix everything. 

it’s possible to have OCD and another psychotic disorder, but it is also possible for OCD alone to cause psychosis. it’s possible to have different levels of insight at different times, with different themes, or with different triggers. 

the differences with psychotic OCD vs other forms of psychosis are:

OCD has compulsions

the psychosis will start to go away without antipsychotics and with the help of ERP and other therapy if it is solely due to OCD

psychosis with OCD follows themes in the same way as a regular OCD obsession

OCD psychosis is very much episodic — it can come on suddenly, last a couple days, and then go back to non-psychotic OCD

hope this makes sense and that it answered your question! sorry for the long response, but I hope it was helpful

[chronicallyblogged]

My partner is being way more loving now that he's realized the negative feelings he's been having are pretty much him. Like he has homophobic, transphobic, and sabatoging parts who don't like me or don't care and just want to cause issues. Lately he's been able to untangle himselves from them better and understand main group vs their feelings and motivations. He's also realizing he has a lot of false memories which we call delusions for lack of a better term. He has them about everyone and they typically are false events where someone antagonizes him. Or he hallucinates horrible things. Like yesterday he got very distressed bc he hallucinate me mocking him. It sent him into a panic he was so hurt. Had to reassure him I was far more interested in the stickers I was looking at than mocking him

It is actually better since he started the antipsychotic. Wish she would go to the hospital to get meds sorted though. She's not openly trans so they treat her well

[mcatmemoranda]

Dr. O’Dowd lecture 8-22-23

Neuroleptic Malignant Syndrome and Serotonin Syndrome

NMS – rapidly progressive neurovegetative state first seen in early clinical trials of haloperidol in 1960

Typical antipsychotics – NMS occurs 0.01-.0%

Atypical antipsychotics – unclear whether atypicals are less likely to cause NMS. Atypical relieve psychotic symptoms with fewer adverse effects compared to typical antipsychotics.

Pathophysiology: Central dopamine hypoactivity. All antipsychotics implicated share DA receptor antagonism. Withdrawal of DA agonists or “freezing” episodes in Parkinson’s disease have induced NMS-like state. DA agonists appear beneficial in treatment.

Pts susceptible to NMS may have a baseline central hypodopaminergia. Pts with basal ganglia disorders are at greater risk for NMS, which supports this theory. So already having low DA levels makes you more susceptible to NMS.

NMS develops over hours to days; change in mental status, catatonia, EPS unresponsive to Parkinson’s tx. Hyperthermia, lead pipe muscle rigidity; delirium and/or catatonia. Pts tachycardia, diaphoretic, labile BP. Labs show high CPK (rhabdomyolysis), leukocytosis, metabolic acidosis. EEG is consistent with delirium and neuroimaging is usually normal. Clozapine has lower incidence of rigidity when it does cause NMS. Aripiprazole-induced NMS may be less likely to cause delirium or hyperthermia. “Atypical NMS” = non-malignant catatonia induced by antipsychotics. Mortality of atypical NMS is 5.5%. Is there really “typical” or “atypical” NMS? It’s not clear, as NMS pts don’t always all present the same.

Treatment: fluids, electrolyte management

Caroff’s criteria:

Treatment with neuroleptics

Hyperthermia

Muscle rigidity

Five of the following: change in mental status, tachycardia, labile BP, diaphoresis, tremor, incontinence, CK elevation, leukocytosis, metabolic acidosis

Exclusion of other causes

Levinson’s criteria is another set of criteria someone made to try to help diagnose NMS; includes major and minor criteria, which help indicate probability of NMS.

Adityanjee’s research criteria are another set of past diagnostic criteria

There used to be a hotline you call to speak to an expert, but most of the time, they would just say it’s probably NMS. The hotline doesn’t exist anymore.

DSM V doesn’t list diagnostic criteria for NMS. Previous criteria had overlap with other syndromes or were too specific. Debate whether autonomic dysfunction are the core criteria.

International consensus study if your score is 74 or greater, it’s considered NMS.

Risk factors: heredity, organic brain disease (especially basal ganglia disorders), low iron levels, substance use (especially GABAergic drug withdrawal), dehydration, agitation, prior history of NMS, history or current episode of catatonia.

Pharmacologic variables: exposure to drugs that block D2 receptors; high potency drugs; high dosage; rapid dose escalation. Unclear whether the risk for NMS is increased with IM drugs.

Depot formulations – longer duration, may last longer, little evidence of increased mortality. Concomitant meds increase risk. Anticholinergics impair temperature regulation. Abrupt cessation of DA agonists (Anti-Parkinson’s meds, buproprion) increases risk of NMS. Abruptly stopping antipsychotics could cause NMS.

Ddx for NMS includes catatonia, delirious mania, agitated delirium, serotonin syndrome, malignant hyperthermia, “benign” EPS, infections, seizures, thyrotoxicosis, fever, heat stroke, pheochromocytoma

NMS vs catatonia: stupor, rigor, autonomic dysfunction occur in both. Not all catatonia from antipsychotics is NMS.

NMS is self-limited once neuroleptics are stopped.

NMS outcomes: 16-25% have renal insufficiency; respiratory failure; cardiac

Tx: stop the neuroleptics; reintroduce DA agonists if they were stopped, hydration, fever control, monitoring, supportive cause

NMS – iatrogenic malignant catatonia. Benzos (IV lorazepam preferred) reduce rigidity and catatonia; high dose (18-24 mg qd often required). Literature suggests dantrolene 1-10 mg/kg/day in divided days may help.

Amantadine, bromocriptine may help as they are dopaminergic. Levodopa can be given.

Definitive treatment for NMS: ECT

But pts usually get better with just supportive care.

Tx guidelines: mild or early NMS = supportive care and benzos; moderate NMS (rigidity and temp 38-40)  - high dose benzos, DA agonists; severe NMS – all of the aforementioned and ECT.

Two weeks from recovery, you can do antipsychotic re-challenge. Gradually titrate with los starting dose. Make sure pt is hydrated and has good iron stores.

Serotonin syndrome (SS) – serious complication of tx with SSRIs, TCAs, MAOIs, and other serotonergic meds; usually occurs with 2+ serotonergic meds. Increased central serotonergic activity, hyperstimulation of 5HT1A receptors. Presents as delirium, catatonia, agitated or hypoagitated catatonia, lethargyà coma, tachycardia, diaphoresis, myoclonus, hyperreflexia, rigidity. Hyperreflexia/clonus is unique to SS. Labs in pts with SS: elevated WBC, rhabdo, DIC, metabolic acidosis, renal failure, ARDS

Sternbach’s criteria include agitation, AMS, myoclonus, hyperreflexia, r/o other causes

Revised criteria – major and minor criteria.

Risk factors: 2+ serotonergic drugs; OD on serotonergic drugs; lithium use may be a risk factor

Mechanisms that lead to overstimulation of serotonin: precursors (buspirone, L-dopa, lithium, LSD, L-tryptophan, trazodone); MAOI (decrease SE metabolism like linezolid, phenelzine, tranylcypromine, slegiline); increased SE release (amphetamines, cocaine, MDMA, fenfluramine, reserpine).

Washout period needed for MAOI and SSRI use.

SE syndrome mimics: discontinuation of SE meds, catecholamine excess, anticholinergic toxidrome, infections, EtOH and substance withdrawal, toxic metabolic delirium

SS – rapid onset with self-limited resolution once offending med is stopped. Look for it on any pt on more than 4 psych meds, twitchy pts. Tx: cool the pt, cyproheptadine, benzos may blunt hyperadrenergic component

Cyproheptadine – 1st gen antihistamine with SE antagonist properties; usually not necessary; antagonized 5HT receptors. Chlorpromazine may also be used to tx SS. Dr. O’Dowd favors conservative management.

NMS vs SS:

SS may have quicker onset, SE agents, HTN, tachycardic, hyperthermia, clonus/hyperreflexia

NMS – DA antagonists use, HTN, tachycardia, lead pipe rigidity

[whumpfish]

Disability in Fiction: But vs. And

With it being Disability Pride Month, I wanted to talk for a minute about approaches to disability and chronic pain/illness. And I want to start by challenging the idea that showing a disabled character as a whole person means deemphasizing the disability, that "sick" should be avoided as a descriptor because it's a bad way to look at us.

My favorite series with a chronically ill mc is Word of Honor, so sorry not sorry that's fixing to get mentioned a lot on this blog. It's just a master class in chronic illness/pain and how to approach it sensitively but objectively.

There's a lot that goes into it, but to keep on topic, we'll start with Gu Xiang and how much I adore the fact that her name for Zhou Zishu is Sick Man. It's beautiful because it's not pejorative at all. She's seen how good his kung fu is, she knows he's an extremely skilled fighter who can (for the most part) take care of himself. He's just a Sick Man.

One of the most conflicting, confusing, and infuriating parts of being disabled or chronically ill is how much well-intentioned people fall over themselves to reassure you that your illness/disability Doesn't Define You. That you're ill/disabled but it's okay...

...when quite often, you are in large part defined by your condition. If you take away my psychotic disorder, I cease to be me. Being on antipsychotics does set certain parameters for me that have nothing to do with my bipolar i itself, like my ability to consume alcohol without incident. I'm a lot less fun at parties, and it's hard for me to enjoy parties where everyone is drinking and drinking is 60% or more of the objective. It defines my social life.

My best friend is a i too, and we bonded over "omg, so you know about the white noise, you know about the chatter, you know about half a dozen That Things nobody else understands even if we do find words to explain" It defines the connections I make, it defines who I can most easily relate to. It defines my entire inner world, for that matter.

If you take away my ME/CFS, my need for mobility aids, my fatigue, my pain, I cease to be me. My entire passion for whump is driven by my pain and my need for a space where talking about it doesn't make me a burden, where talking about it might be helpful instead of inconvenient to the people I talk to. The fact that so much of what I do requires advanced planning defines how I do what I do. My need for treatment defines my schedule. And that is okay.

When I go to the club and I'm on the dance floor, I'm on the dance floor with my cane, not in spite of it. My weird one-armed dancing has just become part of how I roll. Part of my greater weird one-armed life. And that is okay.

If someone were to describe me as Sick, I'm not fixing to argue with them, because I am. My bipolar I shaped my young life, and my ME/CFS fundamentally altered what adult life looks like for me now. Sick is not a bad word. Not if it's used objectively. It is if it's used pejoratively--but let's be honest, here, the goal overall should be not to use any descriptions of unalterable aspects of people pejoratively.

I am not disabled but it’s okay, I'm disabled and it's okay.

As long as there's a taboo surrounding objective descriptions of chronic illness and disability, there's an implied taboo surrounding the chronically ill and disabled. What I'd rather see is more Gu Xiangs in our fictional worlds. Characters capable of accepting others as Sick and skilled and capable.

[dark-side-blog3]

It’s such a rare (in a good way ofc) thing to see a person who writes for food fantasy it just feels like I’m blessed every single time

If you don’t mind I’d like to request you to write about how you see Whisky as a yandere. Is he delusional? Is he lenient? Does he gets angry easily? Just any your thoughts about this. You can even use ddarker-dreams’ idea about yandere “mbti” (cruel vs reverent, aware vs delusional, manipulative vs honest, strict vs lenient) to be more specific.

Anyway feel free to ignore my ask if it makes you uncomfy or if you just don’t want to write anything about him! Have a good day 🫰

I categorize Whiskey as a CAMS yandere. He's exceptionally cruel, he appears to be aware of how normal people think or behave and why he's not normal, manipulative time and time again in canon, and having a strict schedule when it comes to poisoning is key to keeping the effects-- the only reason for which is so you don't wander off.

For a more in-depth and spoiler-filled analysis, click the readmore

+++++++++++++++++++++

Spoilers, but canonically the master attendant you play as in the game is either: the reincarnation of Whiskey's old master attendant to whom he was fiercely attached, or just so happens to look almost exactly like said former attendant he was so attached to. And whichever unconfirmed case it is, you're fucked, because Whiskey was obsessed with you before ever seeing you. And now that he knows where you are and is bound to you by contract once again, he's going to focus all that energy on you.

Whiskey was even attempting to master necromancy via alchemy just so he could see his master attendant again (and he used Pizza as a guinea pig).

It may be hard to imagine, but bear with me: Whiskey is a protective yandere. Thats right. The villain of many event stories, the abuser of Pizza and the tormenter of his friends Cassata and Cheese, Whiskey... Is an overprotective yandere.

Because if we take a look at his behaviour and reasoning from a different angle... He's doing all of this because he wanted to bring back his Master. He feels like he failed his last master, who never got anything from the world other than life, and lived a life of misery shackled to the walls because of her sister. And all of his actions after-the-fact, are so he can get them back, and this time, keep them safe from the maggots in every civil society.

Do not get it twisted: Whiskey is by no means a soft yandere. He's not above lying to get what he wants, and he is not above poisoning you to make you rely on him. Whiskey even strikes me as the kind of guy to withhold painkillers or antipsychotics until you amuse him with praise or a kiss... Maybe more, depending on how far he thinks he can make you sink to his whims.

Whiskey is possessive. His goals in finding his master attendant's soul again, regardless of if successful or delusion, were purely selfish. He wants you because you're his to have. Simple as is. And he will remind you constantly that you've lost your freedom the second he saw you.

The saving grace is that it's not purely for the sake of tormenting you-- his obsession with you does include making you happy, to some degree. If there is a material item you want, he will get it for you.

Whiskey even says himself that "If I could make your dreams come true, I would take everything and destroy it, rebuild it, and regrow it, until I've created the future you desire". He will do whatever it takes, kill whoever he needs to kill, and torture anyone he has to if it means your happiness is a possible outcome. He tortured Pizza for the chance it could further his research. He tortured and poisoned a man for years to get what he wanted. He held a princess against her will in the castle, her only friend and her captor's proxy, just because it would make someone he was loyal to happy.

And why would there be an exception now? Why should Whiskey care about the lives of others who aren't close to him? Why should Whiskey care if you don't want to be close to him?

He's a conman, after all. There is something you can't live without, and only he can provide it... At a very steep price.