This is an impossible question to answer without a full treatment history. Thus, my answer can offer only general information.
Self-talk and talking to oneself out loud are fairly common behaviors. People often worry that it means that there’s something wrong with them. Usually, that is not the case, especially when it’s done in private.
People are probably talking to themselves, silently, much of the time. Some people find that it helps them to stay grounded. Others have said that it helps to clarify their thinking.
You also mentioned that you “say things that didn’t really happen or that you don’t mean.” Again, out of context and without more information, it’s difficult to know what that means.
I would recommend asking these questions to your treating professional. They would be in the best position to answer your questions since they know you personally.
Psychiatric medications often remove many symptoms but may not remove all. If you find that a medication is not working well enough, because you continue to experience significant symptoms, then an adjustment is likely necessary.
Time is also a factor. It can take weeks or months before you feel the full effect of any medication.
It’s common for people to try multiple medications, or different dosages of medications, to find the right fit. The more feedback you provide your prescribing physician, the easier it will be to find a medication that works for you.
There are also other injectable forms of antipsychotic medication you could research and discuss with your doctor. Risperdal, for instance, also comes as an injection.
Finding the right medication is often a process of trial and error. It requires patience on the part of both the patient and treating physician. Hopefully, you’ll find something that works for you. Thanks for your question. Please take care.
Dr. Kristina Randle