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If you've had a history of psychosis and are experiencing intrusive thoughts that seem delusional, it's essential to take them seriously and discuss them with a mental health professional. While it's possible to have intrusive thoughts that you don't believe in, given your history, it's crucial to address these symptoms promptly to ensure your well-being.

Intrusive thoughts can occur in various mental health conditions, including psychosis-related disorders. They may involve irrational or disturbing content, and their persistence can be distressing. When you mentioned that the intrusive thoughts returned when you lowered your dose of Invega and didn't change when you further lowered it, this could indicate the need for close monitoring and possible adjustments to your medication regimen.

Here are some steps to consider:

  1. Seek Professional Help: Reach out to your mental health care provider as soon as possible. They are best equipped to assess your situation, understand your specific symptoms and history, and provide appropriate guidance and treatment options.

  2. Medication Evaluation: Your doctor might need to reevaluate your medication plan to determine if any adjustments are needed to manage your symptoms effectively.

  3. Therapy: Psychotherapy, such as Cognitive Behavioral Therapy (CBT), can be beneficial in managing intrusive thoughts and addressing any underlying issues.

  4. Stress Management: Work on stress reduction techniques, as stress can exacerbate symptoms in some cases.

  5. Support System: Connect with friends, family, or support groups to discuss your experiences and feelings. A support system can provide understanding and encouragement.

Remember, it's crucial to prioritize your mental health and well-being. Don't hesitate to seek help from mental health professionals who can offer personalized advice and support tailored to your specific needs. Early intervention and proper management can significantly improve the outcome and quality of life for individuals experiencing intrusive or delusional thoughts.

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