Treatment resistant psychosis

Wanting some additional thoughts/critique of my thought process. Male 40s schizoaffective, bipolar type Got dc from long term psych admission (about 9 months) on total 300 Clozaril, Depakote with level low 50s, Lithium barely therapeutic. Briefly out at ALF then admitted for threats driven by continued psychosis. Clozaril slowly ticked up current admission few steps and the level is like 460 ng/ml now. Depakote increased x 2 with previous increase barely moving the needle to upper 50s... Treatment resistant psychosis
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums