kelly7

[kelly7]

Hi everyone I swooped my AD last dec from 40mg ciralopram to 100mg sertraline straight swop I have since suffered crippling withdrawl symptoms and have tried to taper down since Jan. I've been down back up down back up non stop and decided enough was enough and stopped entirely 8 weeks ago. I thought I did it slow but I suspect my body has constantly been in a state of withdrael since Jan. I've had everything going it's been horrific debilitating and would destroying. I'm currently experiencing the worst of all..insomnia I haven't slept in 4 nights I can't see or function...I lay there ears gushing with house..bright lights when I close my eyes....I'm unable to fall asleep my body jolts and heart bests fast and keeps me awake every time I feel myself relax. I've tried melatonin with 5htp and zopiclone4 sparingly and beta blockers to no avail...Please help does it get better! Please advise 

[SkyBlue]

On 10/3/2018 at 4:39 AM, kelly7 said:

Please help does it get better! Please advise 

 

Hello Kelly and welcome to SA.

 

Yes, it does get better. We do heal. We can help this process along by being gentle with our nervous systems.

 

Please tell us a bit more about your history with antidepressants (and any other psych drugs) by creating a brief signature using these instructions: https://www.survivingantidepressants.org/topic/18343-please-put-your-withdrawal-history-in-your-signature/. In particular, please give details about how and when you swapped C for sertraline.

 

Sometimes our idea of "slow" is actually must faster than our nervous systems can handle. Please see here for more information: https://www.survivingantidepressants.org/topic/1024-why-taper-by-10-of-my-dosage/

 

We do not recommend 5HTP for withdrawal. Are you taking this? If so, please include this info in your signature. 

 

Can you please update your location with your country? Is it Halifax, Nova Scotia? (We ask members to give a general location, like their state or province, so that nearby members can find each other.)

 

Again, welcome to SA. 

Edited October 4, 2018 by SkyBlue

[kelly7]

Hi there 

I was on ciralopram 40 mg for 3 years then swopped to sertraline straight swop one day one daysertraline the next so from 40mg citalopram to 100mg sertraline. I experienced horrific effects doing that and not sure my nervous system or brain has recovered since. I've since been trying to wean off sertraline as it made my anxiety far worse and I never improved. I've been weaning since December initially a 50 percent reduction then slowly down to 0 over 7 months . It's worth noting I've been down and back up a few times to try and re stabilise as I went quick apparently and the withdrawls were awful. 

 

I stopped entirely 9 weeks this Friday and the insomnia is so much so I don't sleep. My body tries to fall asleep but it's like I can't relax my brains wired I've got hissing in my ears and I try relax to fall sleep and my body is stiff and jolts like it's going into danger when my body starts to loosen and I start to drift off. I'm laid awake all night loosing my mind. No sleep at all. I can't function  I'm weak and beside myself. 

 

I don't know what to do ..doctor wont give me zopiclone and has suggested i up my mirtazipine which I'm on 15mg for 3 years also on a night time to help me sleep. I don't want to do that as that's a big backwards step as I wanted to come off that too next year. 

 

I'm fearing bedtime I fear the endless nights laying there is crippling me. 

 

I am taking magnesium vitamin b  and cod liver oil and melatonin at bedtime non of which are helping. 

 

Please help me I'm don't know what to do. 

 

I live in halifax England 

 

Thank you 

[ChessieCat]

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[kelly7]

Ive done that I think? I've saved a signature do I have to add it to my post or should it do it automatically ? 

[kelly7]

Hi everyone 

Lookong for some encouragement 11 weeks into what I can only describe as hell.  The main symptoms I'm getting at the moment are tinnitus severe anxiety extremely low mood overwhelm lack of appetite and insomnia. Insomnia is driving me mad I can't sleep my brains wired my tinnitus going mad then when I try to relax my body jolts I get fast heartbeat and I stay awake. Now I'm taking zopiclobe sparingly to jyst try get rest. I have tried melatonin lavender capsules anti histamine etc and to no avail. I've got hypnotherapy booked next week and trying preomithezone instead for a while. I am convinced it's withdrawls as I had it when  I tried to come off citalopram years ago the exact same thing and because I'm so anxious in the day by night time I'm not surprised I can't drop off it's like my body's in fight or flight mode. 

 

Looking for encouragement and advice on what worked for others. Also I am 11 weeks in and daily struggle with the thoughts around I am not getting any windows which is what seems to happen for lots of people. I am also battling with is this me or the withdrawls ..Will it get better...

 

Looking forward to hearing from some of you 

 

 

Kelly 

[Rosetta]

Hi.  I am sad to see you are suffering so.  This is in response to your message on my thread.  

 

At eleven weeks off sertraline you may be a candidate for reinstatement of a small dose of sertraline -- definitely not the full 100 mg and that is very, very important -- and then a slow taper.  One of the Moderators should be by to give you some advice soon about what dose could be safe.  Please do not take any drug until you get some advice.  (Taking Xanax and Trazodone caused a lot more damage to my injured nervous system after I quit sertraline.). You may find that very small doses of any drug is all your system can handle.  

 

What happens is that when we take sertraline our brains adjust to the presence of the drug, and the structure of the brain changes.  Without the drug the new structure may not be capable of keeping the nervous system stable.  If the nervous system becomes destabilized by the cessation of a drug that it needs to function properly, we feel withdrawal symptoms.  A very long, slow taper over more than a year could have helped your nervous system adjust slowly to the lack of the drug.  Once the system is destabilized, the person can be very sensitive to restarting the sertraline and to benzos, as well.  Taking those drugs in the doses that most doctors prescribe can further destabilize the nervous system.  That's what happened to me.

 

Reinstatement works best if done within a certain timeframe of the cessation of the drug.  You are now within that timeframe, but you need to educate yourself and make a decision quickly.  The earlier reinstatement is done the better.  There's a topic about it here on the site.  Again, do not take 100 mg or even 20 mg -- please wait until a Mod helps you with the dose as I'm not qualified.  You may be told to take a very small dose to avoid further damage.

 

Seven months is not enough time to taper safely off 100 mg of sertraline.  You should not decrease your dose more than 10% of the dose at any point.  The process should have been 90 mg for 4 weeks and then another decrease, but only if you felt no withdrawal symptoms after the 4 week hold.  The next step should have been a dose that was 10% less than 90 mg for 4 weeks which is about 81 mg.  If you felt no withdrawal effects at the the four week point, then the next dose would be 10% less than 81 mg and so on.  By the seven month point you would be taking quite a dose of sertraline, not zero.  I suspect that, like me, you had bad advice from someone who didn't know how to do a safe taper.  Unlike me, you have the option of trying reinstatement.

[Altostrata]

Hello, kelly.

 

While you were taking sertraline, how did you feel? Why did you change from citalopram? Did you have any bad reactions to citalopram?

 

What does mirtazapine do for you?

 

Do you have any sertraline left? Or citalopram?

[ChessieCat]

On 10/26/2018 at 9:01 PM, kelly7 said:

Hi everyone 

Lookong for some encouragement 11 weeks into what I can only describe as hell.  The main symptoms I'm getting at the moment are tinnitus severe anxiety extremely low mood overwhelm lack of appetite and insomnia. Insomnia is driving me mad I can't sleep my brains wired my tinnitus going mad then when I try to relax my body jolts I get fast heartbeat and I stay awake. Now I'm taking zopiclobe sparingly to jyst try get rest. I have tried melatonin lavender capsules anti histamine etc and to no avail. I've got hypnotherapy booked next week and trying preomithezone instead for a while. I am convinced it's withdrawls as I had it when  I tried to come off citalopram years ago the exact same thing and because I'm so anxious in the day by night time I'm not surprised I can't drop off it's like my body's in fight or flight mode. 

 

Looking for encouragement and advice on what worked for others. Also I am 11 weeks in and daily struggle with the thoughts around I am not getting any windows which is what seems to happen for lots of people. I am also battling with is this me or the withdrawls ..Will it get better...

 

Looking forward to hearing from some of you 

 

 

Kelly 

 

I've merged this post with your Introduction topic.

[kelly7]

On 10/28/2018 at 1:30 AM, Altostrata said:

Hello, kelly.

 

While you were taking sertraline, how did you feel? Why did you change from citalopram? Did you have any bad reactions to citalopram?

 

What does mirtazapine do for you?

 

Do you have any sertraline left? Or citalopram?

Hi @AltostrataI felt horrendous on sertraline that's why I decided to reduce it I feel more anxiety and jittery. I changed from ciralopram as that made me feel numb spaced and also very jittery a few hours after taking it. Mirtazipine is an antidepressant and was pescribed to help with sleep which it did go but not even touching the sides now. I don't have any left of either drug I chucked them out. 

 

I'm currently taking promethizine which docs has said to take for a few weeks for sleep but could this aggregate my system further. I took some 1st night I slept then last night I didn't. I just need sleep this is insane . 

 

I'm 12 weeks this Friday surely that's long enough to see my sleep improving? 

 

Are adrenal support supplements and ashwaganda useful ? 

 

Help would be appreciated 

 

Thank you so much 

[Altostrata]

kelly, a cold swap of antidepressants sometimes doesn't go well, you can have withdrawal symptoms from the first antidepressant even though you're taking the second.

 

If I were you, I'd get a prescription for citalopram liquid from my doctor and reinstate 1mg right away. This is a much smaller dose than what you were taking before and unlikely to cause side effects, yet might lessen the withdrawal symptoms.

 

It takes at least 4 doses to get to steady-state in your bloodstream. Improvement may be very gradual over weeks. You'd taper off by tiny amounts later.

 

Please let us know how you're doing.

 

See About reinstating and stabilizing to reduce withdrawal symptoms
 
The Windows and Waves Pattern of Stabilization

 

How to make your own liquid Tips for tapering off Celexa (citalopram)

[ChessieCat]

14 hours ago, kelly7 said:

Are adrenal support supplements and ashwaganda useful ? 

 

The only supplements which SA recommends are Magnesium and Omega-3 Fish Oil .  However please note that you should only make one change at a time.  Therefore, if you reinstate as suggested by Alto above, do not start something else at the same time.  If you do decide to try magnesium and/or omega 3 only try one at a time and start with a small amount to see how you react.  Keep it Simple, Slow and Stable

 

You might find this topic helpful:  Sleep problems - that awful withdrawal insomnia

 

There are many existing discussion topics on this site.  It is a good idea to research things.  I like to use google and add survivingantidepressants.org to my search term.  So examples:

 

• survivingantidepressants.org ashwagandha
• survivingantidepressants.org adrenal
• survivingantidepressants.org promethizine 

[kelly7]

On 12/3/2015 at 7:41 AM, apace41 said:

This was sent to me by one of our members who asked me to post it.  It was written in the context of benzo withdrawal, but I believe it is equally applicable to the healing process of AD withdrawal (or, as the author puts it, "recovery").  This is very uplifting at least it was for me.  It is long but, in my view, worth it.

 

 

This will hopefully be an encouraging email to make you feel SAFE and ENCOURAGED.

As some of you may know, my degrees are in speech-language pathology (B.A and M.S.)
As part of my Masters study, a big portion of my classes were in neuroanatomy and physiology. 
I learned firsthand how to look at a person who had just undergone a stroke or brain injury and read the symptoms, the radiology reports, the doctor's notes,  and based on those symptoms, to form an image in my mind of what was affected in the brain injury - as well as how to formulate a treatment plan to help that person rehabilitate. For a therapist in a hospital, it is much more than "speech and language". It is about reteaching how to swallow, eat,  rebuilding memory, rebuilding concentation and attention, rebuilding focus, rebuilding executive functioning skills (planning and acting on a plan) -pretty much ANYTHING that is involved in "thinking" that helps you get OUT of a coma, OUT of a hospital, and back to life, work, and school.  

I had NO idea I would ever personally undergo a brain injury.  But insomuch as I have now indeed endured one, I often laid there in waves and attempted to "analyze and decipher" what was happening in my brain as I healed. I thought you all might like to read this. It gives potential answers to all the "WHY?" questions we have about what is happening to us mentally.

First of all, a TRUTH to accept is that WE HEAL.  I have seen people emerge from comas who cannot remember who they are - HEAL. 
They can't remember how to walk (we do).
They can't write their names (we can).
They cannot tell you the year or the president (I was SO bad I was unsure of this at times, but generally, I was oriented to this).
They often cannot remember family members (we can -our D/R can be hideous, but we remember them). 
THEY have to work through many hours of therapy to heal. But most of them do - and from TRAUMATIC PHYSICAL brain trauma that can tear tissue and tear nerves. 
We have none of that. We don't have to undergo therapy. We simply have to wait.

Most of us, me included, didn't expect the temporary "brain injury" we got when jumping off benzos.
But I am starting to realize through my own experience and my educational background, that there is a PURPOSE in every symptom we have.  I have had months and months to analyze what is likely going on in the brain at a gross level - and I want to attempt to explain certain symptoms in a way that we can visualize - so that they are less "scary" and more "telling" of the healing that is happening.

First off - let's start with GABA and Glutamate. Most of you may know how this works by this point. But for those that don't, we have a huge nervous system of millions of nerves (neurons).  They don't "touch" each other. They are separated by a tiny space in between. However, they communicate via chemicals. The 2 MAIN chemicals in the entire nervous system are the BIG GUNS.  They are GABA and Glutamate. They are BOTH at work at ALL times in the CNS.  It isn't like one is working and then the other is working. They are BOTH ALWAYS working in tandem to control every aspect of movement, sensation  - everything. They take the incoming information and appropriately pass it along - they "trim up" the information appropriately so that we can process it.  They are like the steel structure of a building.  The entire building needs a steel structure to stand.  

GABA is inihibitory.  If a nerve releases GABA - it is to Inhibit function - this could be to "slow it down" or it could be to "limit the sensory input" so that we can process it.  In the same way, GABA might be released to help "steady" your hand while doing something like painting a very detailed painting.  GABA "shores up" movements to make them more fluid.   That's just in a nutshell. Of COURSE it does a lot more than this, but the idea is that GABA is present in the ENTIRE CNS and ALWAYS working to balance every sensation, movement, etc.

Likewise, Glutamate is the balance to GABA. It is the "excitatory" transmitter. It fires to speed things up - to initiate action - to make things "go".  There's a lot more to it, but Glutamate is kinda the opposite of GABA.   

BOTH are required to work at all times.  Neurons are ALL ALWAYS firing off GABA and Glutamate on a endless cycle all throughout the nervous system. It's quite amazing really.

What does a benzo do?  If a person is anxious - they may be so stressed that they cannot overcome a very traumatic event or anxious situation.  If a doctor prescribes a benzo - the benzo comes in and sorta "holds the door open" for ALL the GABA in the system to FLOOD into the nerves - even when that is not what the nerves would actually want to occur. The immediate effect is that EVERYTHING ni the body SLOWS DOWN and is inhibited. This might be helpful during surgery, for anesthesia, for a seizure disorder.  Yes - the benzo - by definition - will act on GABA and "slow everything down".  And yes - the net effect of this is that a person may feel drowsy, calm, less anxious... everything is being inhibited.    And in general, taking a benzo for "one day"  is okay. When the benzo is gone, the body just reverts back to regular operation. 
HOWEVER, if a person takes a benzo day after day,  while indeed the person feels less anxious, the body begins to realize that it cannot DO the things it needs to do in this very slowed-down neuron state. It cannot make hormones. It cannot create enzymes. It cannot digest correctly. It cannot keep a heart going efficiently. It cannot get enough oxygen- and on and on. The body NEEDS to run at "normal" speed - not this "inhibited speed" all slowed down.  
But what can the body do? It cannot "remove the benzo" from the system. The only choice the body has to maintain a regular speed is to do two things ..  It can TURN OFF it's own GABA receptors - thereby rendering those benzos unable to affect the GABA in the system. And it can grow MORE excitatory Glutamate receptors to counteract the slow-down.  And that's kinda exactly what happens....

Only - this isn't true balance either.  The body does the best it can - but over time, things begin to suffer.  The body cannot make enough serotonin in this state. Or dopamine. Some things get made in excess - and other things do not get made enough!  During this time, a person may not be aware this is all going on. He may not be able to perceive any difference. But ONE day - the person may wake up sad - or not sleeping well - or unable to remember things fully - or his vision doesn't look right....and it becomes apparent the person has "hit tolerance".  The body is taking the same amount of drug -but try as it might, it just cannot overcome what has occured. It can take weeks, months or years to hit tolerance. Some people do and some don't before trying to get off benzos.  (I did. - it took me 9 months to hit tolerance.  But it was fast.  Once I hit it, I could notsleep more than 6 hours on all that klonopin AND Ambien! I couldn't remember things last week. I was crying all the time... something was wrong.)

The process to reverse this takes a while.  GABA receptors have to UPregulate and effectively "reopen" or "grow back".  Glutamate receptors must DOWNregulate, or effectively "turn off" or "prune back".  And IN this mix, all the smaller monoamines (neurotransmitters like serotonin, dopamine, norepinephrine) must somehow find a way to synthesize in the mix.  Through weeks and months the body is rebuildling millions of neurons, and changing pathways, rebuilding GABA, downregulating Glutamate, rebuilding serotonin, rebuilding dopamine, rebuilding norepinephrine.  And ALL the enzymes and hormones that need to be made are attempting to be made while this is going on.  Basically- you have a building where the MAJOR steel structures are trying to be rebuilt at different times - ALL while people are coming and going in the building and attempting to work.

It would be like if the World Trade Center Towers hadn't completely fallen - but had crumbled inside in different places.. Imagine if you were trying to rebuild the tower - WHILE people were coming and going and trying to work in the building!  You'd have to set up a temporary elevator - but when you needed to fix part of that area, you'd have to tear down that elevator and set up a temporary elevator somewhere else. And so on. You'd have to build, work around, then tear down, then build again, then work around, then build... ALL while people are coming and going, ALL while the furniture is being replaced, ALL while the walls are getting repainted... ALL while life is going on INSIDE the building. No doubt it would be chaotic. That is EXACTLY what is happening with windows and waves.  The windows are where the body has "got it right" for a day or so - but then the building shifts and the brain works on something else - and it's chaos again while another temporary pathway is set up to reroute function until repairs are made.  
And just like the Twin Towers- it's possible - but the buiding is a major effort -and it takes a good year or more sometimes. 
(Now look at the new Tower that stands at Ground Zero!  It's taller, stronger, and a symbol of freedom.  JUST like you will be! )

So - okay - what is happening in that chaos?  What parts of the brain are responsible for these symptoms?  

Now, I don't "know" the following based on research, because not enough research has been done yet  - but based on my studies in neuroanatomy and my own withdrawal experiences, here is how I have analyzed what is "happening" during wave symptoms. Remember, I have had to look at radiology reports of brain damage and estimate what a patient might present with - so this is very similar. Instead of a radiology report showing me what has been damaged, I'm using my own brain symptoms to surmise what is going on....

Let me first list brain structures and their functions. This will help you understand where things happen in the brain and when symptoms occur, what may be happening.

BRAIN STRUCTURES 
- amygdala  - This is the FEAR center in the brain. It's a tiny part in the middle of your brain. Fear is protective and it's GREAT if you need to assess something that is dangerous and to ACT  - like if a rabid dog were chasing you. - but it's hard in recoveyr when it's all you feel for months! But the FEAR is not truly in your MIND. It's in your BRAIN.  There is too much glutamate acting here in the amygdala and not enough GABA. So the nerves are firing off in the fear center when nothing scary is really there in your environment.  It is normal for that to happen given the circumstance physiologically. But it feels awful, doesn't it?  I know.  But it's just a brain structure. This can account for fear, agoraphobia, fear of water, fear of anything.  It's not that you're really "scared" of the moon - it's that you're in almost constant fear because this brain structure is healing. The glutamate is pruning back. The GABA receptors are opening back up.  It may or may not continue for awhile. It will abate. Then come back. But eventually, the brain will get it right.  

-Hippocampus - This is the "memory" center of the brain. It ties in old memories to emotions.  The same thing is happening here that is happening in the amygdala with GABA and Glutamate. So - voila. You get intrusive memories from ALL times in your life.  It's wild and wicked and wooly. But it can't hurt you. And if you can learn to visualize this as what is happening - then you can learn to be objective and realize it's normal.  And like the amygdala - it will come and go and frustrate you, but it will go away when the physiology is restored.

Hypothalamus This is the structure that is responsible for regulating body temperature. In early withdrawal, my body temperature would drop to 96 degrees in waves! Then 3 hours later, it would return to normal. I'd literally freeze in terror in bed for hours.  I am sure it is more complicated that JUST the hypothalamus, but I could picture this part of my brain retuning and restructuring, and it was less scary that way. 

The following structures in the brain are part of the "gray matter" or the "cortex "and what we consider to be the "higher brain"- the thinking and processing parts. 

Frontal Lobe This is the part of the brain behind the front of the skull. It is responsible for planning things. For making decisions. For inhibiting emotions appropriately.  It is the part of the brain you need if you want to make a sandwich and need to get out the ingredients and actually make the sandwich. I have seen people with brain injury be able to TELL you how to make a sandwich - but when they are standing there in front of all the ingredients, they cannot actually move to act to make it! They have frontal lobe damage. They can TELL someone how to make it. But they cannot themselves initiate doing it! As you can imagine, with therapy, and time to heal, this goes away. And we are a lot like this - but it goes away for us, too.  I could not organize my children't toys just 4 months ago.  Not a simple room of toys. I didn't know where to start and I literally could not mentally do it. I imagine this is partly why.  No frontal lobe GABA. And too much Glutamate.   But now, check out this post I"m typing.  Obviously that changed. 
This calms down and these things come back. 

Occipital Lobe This is the vision center. t's at the back of your skull.   In recovery, my nerves have been all wacked here. I see things as too bright - possible due to this lobe - and/or the actual visual nerves in the eyes.  But no doubt people "see things" that aren't there.  Vision is distorted. Things go blurry.  Colors are totally off.Brightness is off.  There are a hundred symptoms possible in vision alone!  But again - it's a matter of time.

Vestibular System This is the system of semi-circular canals in the inner ear that are responsible for making you feel balanced in space.  When this is "off" or damaged temporarily, you feel dizzy. Oh man, was I dizzy. Early off - I felt like I lived in a funhouse.  Over time, a combination of this vestibular system and my damaged visual system made things look like they were "leaning". To this day, one eye sees things "correctly" and the other eye sees things as SLIGHTLY leaning. And it's not that the eye itself is seeing them that way.  The healing vestibular system is working WITH the eye to "tell" the brain that that object looks like it is "moving left-wards" or "leaning". But it isn't.  In waves, this can happen bad - and then be GONE - poof - in a window. This is just the vestibular system healing. It's gotten WAY better. 

Temporal Lobe  These lobes are on the side of your brain on each side near your ear. It makes up the whole left and ride side of your brain.  This is where auditory information is processed, including hearnig itself, but also the "Meaning" of what we are hearing, as well as part of speech and language, emotion, and buncha other stuff.  In early recovery, someone was talking to me and I couldn't tell you what they said past the first sentence.  My auditory processing was ALL messed up.  I couldn't picture what a person was saying to me in real time - and by the time I caught up to them, I was lost and they were talking about something else! Also - When I was laying there in bed, I could "hear" things that weren't there in the noise of my box fan. I'd hear the fan blowing -but I also "heard" like sickening circus music. I believe this is because there is noise coming into my ear - but my brain cannot adequately "prune" what it is hearing at differnet frequecies because there is not enough GABA to inhibit it to create something meaninful.  There was all this "noise" and my brain was just firing off glutamate.  So instead of actually "processing" the noise - it was firing off ideas about what it was hearing - and they were ALL wrong.  I would be hearing what sounded like circus music - and at the same time, my poor brain was looking through my hippocampus to find all the memories I ever had of being at the circus - and then I'm reliving those memories- and at the same time, my amygdala is getting fired upon - so I'm in fear. So I'm a quivering mess of a person laying in the bed hearing and seeing things and remembering times in my childhood and scared to pieces.  Seriously? Yes - I felt crazy. But not in my MIND.  It was my BRAIN.  It's the BRAIN.  And it's normal. The structures in the brain are "obligated" to work this way.

That brings me to my next point... WHY do all of us in benzo recovery have generally the same symptoms? Well - it may make you feel calmer to realize that our brain structures are NOT broken. They are doing EXACTLY what they are supposed to do under the circumstances.  And all of our perceptions of what we are seeing, feeling, hearing- are normal because the parts of our brains that are firing off are doing so because a) They still DO work. They work just as they were intended to. c) They are actually healing as all this firing is going on.  

Why the depression and anxiety? It's so complicated, but this WHOLE system is interdependent. At that SAME time as ALL this stuff is going on, the entire body is trying to heal in every place GABA and Glutamate naturally act (uh - and that would be - EVERYWHERE).
The intestines, stomach, eye balls, skin, toenails - seriously - where do we NOT have nerves?  
Anything we didn't have as a pre-existing condition is fair game for being affected by the recovery that takes place.  
This includes the body's own ability to make serotonin that is required to feel "balanced" and "happy". And you guessed it. This is not being made very efficiently in a building that is under major construction. So - you may get a day or so of feeling good - and then - boom - that's gone until you can make enough serotonin.
Oh - and by the way - serotonin HELPS TELL THE NERVES WHEN TO RELEASE GABA AND GLUTAMATE! Ha! 
So on top of needing GABA to make serotonin, you need serotonin to regulate the release of GABA into the system!  
How much more interconnected can you get?  God - it's a wonder it knows how to heal at all!  But it does!  Amazing to me, really.

This is just some limited information to give an idea of what is going on in neurophysiology.  Obviously this is very cursory and not super detailed. But there is a bigger point here than "what parts of the brain are affected".  
The point REALLY is - IF  YOU KNOW that symptoms are tied to parts of a NORMAL brain under reconstruction, then you can begin to rest a little more easy in your mind that under the circumstances, the symptoms themselves are a GOOD sign.  
Without intrusive memories - as awful as they are - especially when mixed with fear - but without them, your memory itself would not heal.  It IS healing - and when you are having intrusives, try to think of it that way.  Tap your finger to your temple and say to yourself, "I know what this is. This is my hippocampus healing! Ha!" Because it IS.  And if it were NOT healing, you would not be having those symptoms.  ANY part of the brain or body that needs to heal is going to "experience" something in the form of symptoms - and you are going to notice that. But it is part of  process that is inevitably returning to the balance that it could not achieve while we were still putting those pills in our mouths.  (And if you're tapering, this is still happening - just likely with less trauma than with what happened to me when I cold-turkeyed.)

So - when you have symptoms - know that symptoms themselves are a way for you to know that healing is taking place.

And finally - realize that the DRUG is GONE.  This is withdrawal - yes - okay -we call it withdrawal -  but it's really "recovery".
The benzos are gone. The "evil drug" is no longer there.  The symptoms that are left are not the "enemy". That's our brains doing the EXACT right thing. What's happening to our brain at this point is not the "benzo beast"  It's OUR BRAIN recovering.
Not to degrade anyone who calls it the benzo beast  - I get that. But just so you know - you're not really fighting a beast.
You don't even need to fight it.  Just wait it out. All that reconstruction is happening on your building. 
And soon - the frame will be back standing, stronger than before. The furniture will be inside. The elevators will go all the way up to the top again.   And the people can come and go and work like a well-oiled machine.  
Don't feel you need to fight the recontruction. It's just healing. And all that is happening to us is a sign of that.

Hope this helps somebody a little - or maybe a family member.  

And if you ARE a family member, please realize that those of us in recovery are no more in control of how we feel or what we experience than people who have undergone brain trauma in a car accident. Please be patient with us, because our brains are healing and we are in the process of reconstruction - and our function is temporarily enabled, then disabled, then enabled, then disabled again.  And that is totally normal and expected.  We can no more help that than a person can "want" to wake up out of a coma. It happens when the brain is able - and not out of sheer will.  But it does happen. So please stand by us and say loving things and reassure us every day. Notice our improvements and tell us what they are.  Encourage us when we feel good.  And when we don't, just hold us and hug us and tell us it will be okay.  Anything you would say or do for a family member that had had a car accident and a brain injury - please do that for us.  And be patient... we are getting there. 



ADDENDUM

 I got a great PM from a buddy asking "What about the physical symptoms of pain?" - and think it deserves some theoretical attention.

I want to take some time to add some theories about PAIN and physical symptoms such as burning, akathisia, and tingling, prickling, and things that happen during recovery of this nature.

I will also add this as an addendum to the original post on page 1. 

First off, let it be said that I can only "theorize" as to this, - I am not a doctor.  But I DO think logical theories are helpful because they give us a story and mindful logic to cope with in the MEANTIME as we are going through this.

So these are multiple sources of information that I'm tying together - some are from nerve regeneration, and some are from what we know about "how the brain works".  And some or ALL of this is likely going on when it comes to pain and skin/muscle sensations:

First off - I think a good quote comes from a Plastic Surgery practice that has published things on "nerve regeneration after injury".  

The quote follows:

"The usual events associated with normal nerve regeneration can be painful. As the regenerating ends of the nerve, called sprouts, travel, they make contact with each other and with structural proteins. The neural impulses generated by this activity may be interpreted by your brain as pain. It should be expected that for the time period associated with nerve regeneration there may be pain sufficient to need therapy and/or pain medication. Just understanding that this is expected to occur, and is "good pain'; or pain for a good reason, is enough to help many people adjust to its presence.  This condition is not just one of pain, but is associated with over activity of the sympathetic nervous system, so that the area of pain is a different color, like pink or purple, and is usually a different temperature, like cooler, than the surrounding non-painful skin."  http://www.riversongplasticsurgery.com/pdfs/nerve_injury_nerve_reconstruction_recovery.pdf

Well- this article isn't talking about "benzo - related nerve damage. It's talking about nerve damage caused by physical trauma of crushing, cutting, or compressing nerves. But what can we glean from it nonetheless?

We can assume that if the sympathetic nervous system is involved in the presence of pain related to healing nerves - AND IT IS- that it is also NORMAL for us to have pain as we are undergoing healing. 

When I was in earliest recovery, I would often get out of the shower and have pink spots all over my feet and my abdomen. At first they were bright pink for about 2 months - and then they faded out and I don't have them anymore.  I have no idea what they were - but they were NOT there 12 days prior to my rapid taper - and then they showed up.  The spots weren't symmetrical - they followed no pattern, but they were alway in the same place on my skin.  And only after getting out of the shower.  It is easy to see how the nervous system could be involved in skin redness, irritation, and weird feelings associated with recovery.

Likewise, throughout recovery, I've had and continue to have cooling, burning, prickling and occasional stabbing sensations. I've had it feel like my skin was "wet" when there was no water on it.  Again, though. This is all normal - and like the quote says above.."Just understanding that this is expected to occur, and is "good pain'; or pain for a good reason, is enough to help many people adjust to its presence."  It doesn't make the pain FEEL any better in the moment, but it does help us not to become anxious about it. It's normal.  And it's a sign of healing.

What about akathisia?
Well  - from the reading, the exact cause of akathisia is not 100% conclusive, but it seems to be related to dopaminergic and/or noradrenergic activity in the brain  (dopamine and norepinephrine or noradrenaline as it is also called). These are just neurotransmitters - and it doesn't look (to me) to be exactly conclusive WHY this happens - but akathisia can happen after the use of many psychoactive drugs- not just benzos - and likely because anything that alters brain chemistry can alter dopemine and norepinephrine. So - okay. That makes sense.  We all took "brain altering" drugs - and now some of us have akathisia.  Guess what?  It seems pretty normal!  It's not fun. But it's normal.  And it can come and go and then go away eventually.  For me, I didn't get akathisia at all until month 8. It was a surprise.  It was intense and awful. But it passed in a few weeks. Since then, I have had it off and on - but not to that degree.  And now - it's mostly just annoying.  Something as simple as a good hard cry in the bathtub can COMPLETELY remove it at times.  And other times, I just have to wait for a wave to pass. But all in all, from all this information - it's normal. And the fact that it's coming and going and I'm getting hit here and there - it's a sign that the wheels are turning up there in the noggin - and things are shifting and attempting to rebalance.  So if we can keep that quote in mind - it's normal - and while the sensation itself is very uncomfortable - if not painful - it can be regarded as a "good pain" if we are able to recognize that our feeling it means we have a brain and nerves that are regaining their abilities to function. 

Likewise, as a scab heals over a wound, the new skin formin underneath can become "itchy". Why does this occur? Why does a scab itch?

"The itch of a healing wound is caused by the growth of new cells underneath the old scab. New skin cells would be growing underneath, and as they form a new layer of skin, then the scab becomes more tightly stretched over this zone of activity. This can make it feel itchy. The itch sensation for burn survivors may be a tingling feeling caused by nerves re-growing, or from dry skin caused by the lack of natural oil production since oil glands may have been damaged or destroyed by the burn. As the nerves grow and start to receive and send messages, they may create that itchy feeling. The skin in this area will be a lot less thick than everywhere else, so these new nerve cells will be under a lot more pressure. Itching is a sign of healing." (Mayo Clinic)

As we can surmise, the umpteen bajillion sensation we have going on are not 100% conclusive in their origins....HOWEVER...
There IS a trend.

From what it seems like from all the reading... 
NERVE REGENERATION CAN CAUSE UNPLEASANT SENSATIONS. As counterintuitive as it is,  HEALING CAN FEEL LIKE HURT. 
But it's NOT further hurt or damage. It's the REVERSAL of damage.  

Um  - yeah - okay. Great - but what do I DO about it.

Pretty much the things that I have discovered that help through this healing are to "CONFUSE" the nerves as much as possible, IF possible.  
What? Confuse the nerves? 

You know how you get a cut or an insect bite and you immediately press on it to make it feel less painful? What you are doing when you press or squeeze the area is "desensitizing' the entire skin region of the cut by applying pressure to ALL the nerves in the area. That way, the ONE sensation of pain from the cut isn't the only thing your brain is feeling.  The pressure from pushing down on  ALL the nerves in the area helps to send multiple sensation to the brain to "counteract" the pain sensation.  And it works.
Similarly, other things can help "confuse" nerves:
-Heat
-Cold
-Deep Pressure
- Massage
-creams like "Icy Hot" with menthol 

All of these things have helped me cope in recovery.

Let me take it one by one:

Heat: I took and STILL take hot baths almost every day. In the peak of akathisia, I lived in the tub.   As hot as I could stand it really helped me. All the heat was "overregistering" in my brain and I was unable to feel the akathisia as much when in the tub. It was confusing the nerve signal and it was temporary relief.  I hated those days. But I got through them.  Likewise, a heating pad for pain was my friend a lot of the time.  

-Cold -  I used a cold washcloth on burning skin - and on my face and hands - and kept dipping it in ice water and applying it.  This is an easy one, but it helped. I had a wave with 3 days of "fireface" last month and all I could do was apply the washcloth, lay there and think about how "this is healing" and keep going. But the wave passed.

Deep Pressure  I use a 15 pound weighted blanket to sleep. I have for YEARS. I ordered it online. It has many pockets with little plastic balls equally distributed to create a very heavy blanket that creates "deep pressure". This kind of pressure is calming for anyone's nervous system. Occupational Therapists use it for children with autism, but people with anxiety can benefit from sleeping with one. And in recovery, I was glad to have it.  I used it often together with a heating pad.  It took the edge off just long enough.  

Massage This one CAN be helpful - but sometimes not.  I used to ask my husband just to "press down" on my head or my legs.  Just press there. Don't rub.  My skin hurt too much to rub, but the deep pressure from pressing was helpful. Other times, the actual massage was a help for sore muscles.  I was too agoraphobic to schedule a REAL massage. LOL. But just this help from my family was nice to have.

Creams You're going to laugh, but there was a day that I put Vick's VapoRub on my face because my face was so HOT!  I figured if this is safe for my baby's skin, it's probably okay to try it on my face.  It worked! Oh man - my face felt SO good all day.  I used that for a few days until the wave passed.  I have also tried "Icy Hot" on my back when it was sore.  Things like this work on the same principal to "confuse the nerves".  If your nerves are too busy feeling the heat/cool of menthol, they cannot simultaneously feel "pain". So for a short time, the pain is not "felt" even though the "soreness" is technically still there.

All of these are ways I have coped.  I'm sure there are others you guys have used!! 

The broad idea here is that 
1) Healing is happening.
2) The sensations that feel like injury are NOT injury. They are the CORRECTION of nerve injury.  They just "fire off" as they heal.
3) We can use some things to cope.
4) It's going away in time. 

I know this is not a "fix" to the feelings.  There is nothing anyone could say to me while I was IN pain that made the PAIN better.  All I could do was cope and cry and try to get through it.  But knowing it's normal and that I'm not getting worse; I'm getting better - is always something I benefit from knowing.  

I still get these symptoms - and I'll be SOOOOOO glad when they are gone.
 

 

@apace41 this really helped me today I'm 11 weeks into withdrawl and struggling immensely with insomnia all night long I'm up and low mood and anxiety off the scale. I wondered I'm on15mg mirtazipine nightly the other antidepressant I'm going to stop evebtually...I'm 1w weeks off sertraline but I just wondered as my brain is trying to regulate off sertraline could still taking mirtazipine be compounding my systems confusing my brain more ? 

Edited October 30, 2018 by Altostrata
deleted duplicate lines

[Altostrata]

Please consider this:

 

On 10/29/2018 at 10:46 AM, Altostrata said:

If I were you, I'd get a prescription for citalopram liquid from my doctor and reinstate 1mg right away. This is a much smaller dose than what you were taking before and unlikely to cause side effects, yet might lessen the withdrawal symptoms.

 

@apace41 I think that's from a benzobuddies member, but can you post it in Off-Topic Best of SA?

[ChessieCat]

Dec 2017 swopped from 40mg citalopram to 100mg sertraline

Tapered off 100mg sertraline in 7 months 

Currently:

15mg mirtazipine nightly

 

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[kelly7]

Hi all 

 

I'm 12 weeks free from sertraline Its a horrific time to say the least I won't go into symptoms etc as I've discussed elsewhere on the site but I wanted to ask advice off everyone. I'm on 15mg mirtazipine at night could this be the very reason my body is struggling to reach homeostasis? I.e. I'm still feeding my brain chemicals ? 

 

My logical brain us saying it's trying to get used to without the sertraline adapting my receptors etc and I am still adjusting it with the mirtazipine? 

 

Would j recover quicker if I wasn't on mirtazipine either? 

 

Thank you 

[ChessieCat]

Altostrata is this site's owner and she has already made a suggestion:

 

On 10/30/2018 at 4:46 AM, Altostrata said:

If I were you, I'd get a prescription for citalopram liquid from my doctor and reinstate 1mg right away. This is a much smaller dose than what you were taking before and unlikely to cause side effects, yet might lessen the withdrawal symptoms.

 

And repeated:

 

On 10/31/2018 at 8:13 AM, Altostrata said:

Please consider this:

 

On 10/30/2018 at 4:46 AM, Altostrata said:

If I were you, I'd get a prescription for citalopram liquid from my doctor and reinstate 1mg right away. This is a much smaller dose than what you were taking before and unlikely to cause side effects, yet might lessen the withdrawal symptoms.