Our expert says:
Gosh, what a complex story - but thanks for telling me it. Couldn't help thinking - delusions of grandeur are very hard to diagnose in uniersity professors - its so like how they usually are, anyway !
What sounds an intriguing puzzle in your description is why these spikes of feeling anxious etc arise intermittently. I suppose you have tried keeping a diary of all that goes on, gets eaten, drunk, done, to see if there is any recognizeable pattern preceding these episodes.
Of course you know the cigarettes are not good for you - though there is some interesting research showing that smoking is much more common in people diagnosed as schizophrenic, and may help to make them better in some ways. I'm not sure what component of the smoking has that effect - if it's the nicotine, then the nicotine inhalers or patches might be a safer way to seek that effect.
As for the weight, it is an annoying potential side-effect of many drugs - and I suppose exercise and careful diet will still be the most useful approach.
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