My problem is that I don't know how I'm supposed to know when the medication starts working? What does it feel like?
And is it possible that I won't really notice it, like if it was gradual?
I'm just worried that I won't be able to see that one is working and that I'll just keep trying new meds forever...
Hello,
Great question as has already been said. 
I guess the main thing you take meds for is to feel better and get rid of symptoms.
From my experience there is a whole lot of factors that come into play when getting well, recovering and overcoming the catastophe of mental illness. Medication is one of them.
Medication for me, nulled the 'hot brain' - I mean it slowed everything down and allowed me some respite from a very fast and deluded mind. It still does slow things down a lot for me and I am currently wondering whether I am on too much, but I can't go off it, according to my support network I am a different person on it.
I reckon I am slower and far more lethargic, I want to be fit like I was and I want to have creative flow like I used to. Which I believe I CAN still do, it's just overcoming a sedation that seems to be relentless. Given, I work and can ignore the tiredness at work, so why can't I get off my butt and do a bit more exercise in the morning? Dunno the answer to that one yet. I have a feeling I am going to get there though.
Another thing is, I still got symptoms on the medication sometimes. It is only since I have stopped drinking alcohol that I feel completely recovered from the paranoia, some moods and delusional thinking.
So yeah, a combination of a lot of things. To not "keep trying new meds forever" I guess you have to a bit of the hard yards yourself - questioning delusions, keeping appointments with your docs/psychs, staying in a routine or making plans so you don't sleep all the time, exercise, build and nourish relationships and the 'other stuff' that keeps you well.
I was prescribed all kinds of things over the years, but that was when I was still in denial I had an illness. So I went off them and got ill again. So they do have an important role to play.
After hitting rock-bottom and my strange behaviour cost me my job, I found one which I read didn't put on weight and so I decided to work with the doctors and take it. Over the three years I have stayed on just one anti-psychotic which seems to have worked. But I have had to undo lots of beliefs I built up over 9 - 10 years in my brain that I didn't tell anyone, I had to aplogise, I had to go red a million times when I thought about some of the things I did, I had to feel the rush of panic when I thought about actually having a mental illness, I had to go through anxiety and depression, I had get myself up and go to stack boxes to restore my dignity, I had to make myself plan things to do so I wouldn't lie in bed staring at the ceiling all day and I had to do things with people who love me so I could stay connected.
I've still got heaps to go: "All I want to do is hide" said someone on AAM a couple of weeks ago. I feel it, i felt it and I believe it. But I can't and shouldn't.
Well, I am getting better and better everyday.
And that's a part of my medication.
'Everyday in every way things are getting better and better'.
Good luck!