Your fiancé may not be on the correct medication, dosage or combination of medications. Abilify might work well for some people but negatively affect others. Not all medications work for everyone, or are permanently effective.
It’s unusual to experience involuntary movements. It is a potential side effect of the medication and should be immediately reported to his prescribing doctor. If your fiancé doesn’t communicate this information to his doctor, then you should make the report. Advise him to go to the emergency room, if necessary.
I’m also concerned about the abuse. He has threatened to kill you. He becomes unstable, aggressive and psychotic. His threats and instability should not be minimized. Your safety may be at risk.
It’s important to protect yourself when your fiancé is unstable. This may mean calling the authorities, if necessary. Understandably, you don’t want your fiancé to get into trouble but you must keep yourself safe. Individuals who are psychotic are not thinking clearly. They may do things that they would not normally do if they were not psychotic. Psychosis tricks the brain into believing things that are not true. Do not hesitate to call the authorities or the mental health crisis team, who will come to the home and deescalate the situation. Your safety is of the utmost importance.
Also consider contacting your local National Alliance on Mental Illness (NAMI) chapter. Most communities have NAMI support groups and attendance is free of charge. Individuals who attend NAMI meetings care for loved ones with a mental illness. Many of the NAMI group members are seasoned veterans of the mental health system. They can be a great source of support. Please take care.
Dr. Kristina Randle