I'm looking for recommendations for a neurologist or neuropsychologist in the Minneapolis/St. Paul area who might be able to evaluate medication-induced cognitive/emotional damage. Brief background: 43 years ago I took the antipsychotic Triavil (perphenazine/amitriptyline) for 4 months. It caused what I can only describe as permanent cognitive and emotional changes - severe apathy, emotional flatness, cognitive impairment. Importantly, I have NO movement disorder symptoms (no tardive dyskinesia), which makes this unusual and harder to find doctors who understand it. I've already tried Minneapolis Clinic of Neurology years ago - the doctor dismissed the possibility that old antipsychotics could cause permanent cognitive damage without movement symptoms. I need Medicare-accepting providers. I'm willing to drive to Mayo Rochester if necessary, but would prefer Twin Cities if there's someone good. Has anyone dealt with something similar or know of neurologists/neuropsychologists who take complex medication injury cases seriously?

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    Mind me asking what this may indicate?

    [deleted]

    Thank you. Im definitely curious about this stuff.

    I took some antipsychotics for a misdiagnosed disorder in my youth. Feels like those brain jolts messed something up. Its like im permanently tweakin out now.

    My index fingers tremor side to side pretty aggressively if I let my hands sit still too long.

    That's an interesting way to look at it. Not a significant impact on my life. But significant in the sense of being taken seriously by conventional medicine. Yes, if I do that I can see very minor trembling that others might not see. I don't know if a doctor would look at that as TD. I think I remember not having any shaking at all during and after the 4 month med use 43 years ago. The slight trembling started 20-25 years ago I believe.

  • So do you want….medication to reduce your symptoms?

    Not sure. Given my original experience with meds I'd be extremely careful about going that route. But I at least want to see what's available currently. I have done guided psilocybin journeys using extremely high doses that seemed to offer at least a temporary benefit to my mental health. At least with psilocybin, our brains have had a chance to evolve in parallel to the mushroom chemistry. That's not the case with meds developed in labs.