This is the only antipsychotic medication that has worked for me without causing weight gain, and actually allowing me to begin losing weight! Background: The only psychotic symptoms I experience outside of my very past history of depression and anxiety, is paranoia. And my paranoia can also sometimes escalate to experiencing delusions if it gets out of control without me doing any reality testing. I also sometimes struggle with impulsiveness, compulsiveness, and grandiosity. I'm fortunate not to experience hallucinations (tactile, auditory, or visual) or anger. I don't have a confirmed diagnosis outside of "psychosis", but my psychiatrist has listed bipolar disorder, schizoaffective disorder, and schizophrenia as possibilities. I have tried several antipsychotic medications from Haldol, Seroquel, Geodon, Zyprexa, Latuda, Risperadone, Abilify, Vraylar, and Rexulti. All of these drugs have caused extreme weight gain, along with other horrible side effects like extreme sedation, restlessness, allergic reactions manifested in the form of dystonia, akathisia, tardive dyskinesia, impulsiveness, compulsiveness, terrifying depersonalization & derealization. Some of these side effects required the additions of more medications, leading to long daily pill ceremonies on top of allergy medications, multivitamin, and supplements I take from day to day. Additionally, some side effects had no cure and required quitting the drug. I felt helpless bespecially because no antipsychotic totally cured my paranoia and I've basically trialed almost all available atypical antipsychotics available to me! And the added frustrations that antipsychotic mean no grapefruit consumption and that they interact with so many other prescription medications making treatment of other health conditions difficult! My goals in medicine treatment are no weight gain, taking just one pill, taking that pill once day and not multiple times a day, and that the medication eliminate my paranoia or minimizes it (allowing me to reality test and live in reality). This goal of no weight gain has proven to be impossible with all past antipsychotic drugs. When trialing medications for the first time years ago, I went from having a healthy BMI at a weight of 105lbs (5 feet tall, 19 year old adult female) to my cholesterol levels rapidly increasing and weight reaching 135lbs and constantly looking puffy & bloated without overeating and despite eventually making strict lifestyle changes to both my diet & exercise routine. I ended up giving up on medications and pursued therapy alone for a year and went back down to 118lbs. I returned to medication when the pandemic hit. Upon trialing medications again my weight shot back up to 142 lbs despite not overeating. I experienced all the side effects listed above while trialing the medications above (trialing again). Until I finally was introduced to the new drug: Caplya also know as Lumateperone. Caplyta experience: When I first started Caplyta I experienced extreme sedation and difficulty being productive. As a student this was difficult for me because I would sleep all day and not begin assignments until late in the afternoon. I quit this medication once before due to this, but I trialed it again because it was the only antipsychotic where studies said weight loss was possible. After 2 months on Caplyta, the sedation went away and I was able to get tasks done and wake up early. After 5 months on this medication I went from being 142 lbs to being 129 lbs, and I'm still on the decline. I've lost 13 of the 37 lbs I gained without changing my diet or exercise habits. I hope to reach my baseline weight from years ago or at least 110-115 lbs. My cholesterol level is also on the decline! Keep in mind I've done all this while having a healthy relationship with food and my body where I don't reflect on it everyday. I just try to follow the basic recommended principles like enjoying things in moderation, consuming whole foods and balanced Read More Read Less