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Posted (edited)

Tapering while doing trauma therapy.

 

QUOTE:”We strongly urge that you NOT START tapering or that you HOLD AT CURRENT DOSE if you...

....

  • start or already participate in intense emotional therapy for previous traumatic events”

 

in my experience, NOT tapering during trauma therapy actually inhibited my access to the deep feelings I needed to feel to resolve the trauma. It is something you should discuss with your therapist. Each case is different.

 

When I dropped from Celexa 40 mg to 30 mg, I experienced withdrawal symptoms but I obtained more access to my feelings.   If I had tapered more slowly, the process would have been more smooth. but staying on the higher dose would have kept me in the “numb zone“ so I’m thankful I reduced. 
 

Something to consider.

 

Bruci

 

Edited by ChessieCat
added topic title

1980s: First diagnosed with depression. Treated with a tricyclic. 1988: Switched to Prozac 20 mg.  1990s to 2010: On and off Prozac. Increased dose led to side effects. 2011: Put on Zyprexa. 2011: Work burnout and breakdown. Hospitalized for suicidal depression. Switched to Seroquel. Switched to Celexa 40 mg and lithium 300 mg. 2019: Stopped Seroquel. 

2020 July: Decreased Celexa to 30 mg in attempt to alleviate sexual dysfunction. Worked somewhat.

2020 August: Decreased Celexa to 20 mg. Sexual function improved but w/d effects started. 

2020 September: Maintaining Celexa at 20 mg. Experiencing w/d effects - fatigue, dysphoria, mood instability

2020 September 13: Increased Celexa to 30 mg due to w/d effects. Still on lithium 300 mg/day.

2020 October 3: Reduced Celexa to 27 mg. Started taper. 10% per month as recommended.

2020 October 18: Reduced to 24 mg.

2020 December 4: Reduced to 21 mg.

2020 December 23: Reduced to 20 mg (spacing out taper intervals due to persistent w/d effects)

2021 September 23: Several reductions over the past 9 months to 7.0 mg. Stressful life circumstances led me to feeling very depressed with suicidal feelings, so upped to the dose to 10 mg until I feel better. 

 

 

  • ChessieCat changed the title to Tapering while doing trauma therapy
  • Administrator
Posted

Good to hear this is working for you. Should you develop withdrawal symptoms, you might feel quite differently.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

Posted

I'm experiencing some intense guilt/shame the last couple of days.  So much that at times I'm shaky throughout the day and have had some early morning waking with nightmares.  My lawyer lodged compensation for child sexual abuse over a year ago and they came back with an offer.  One of the issues is that as it relates to institutional child sexual abuse one particular event I don't recall if it was at the institution or elsewhere all the others I'm confident about except this one. I put it down that it occurred at the institution at the time but my memory is not the best, i was using drugs at the time the abuse occurred and it was over 24yrs ago. I wrote a brief statement a year ago and since then it has made me reflect on things and is why I'm  now I'm no longer certain about that one.  I just want to remove the one incident from my statement but I have to wait til Tuesday as tomorrow is a public holiday and nothing will be open.  I'm going to call my therapist on Tuesday to get some help managing my emotions as i feel overwhelmed. I worry that they wont believe my entire statement, or i may get into trouble, I didn't falsely accuse anyone as i don't know the name nor could I even identify the face of the person. I just want to move forward with my life, i also want my statement to contain things I am certain about.

 

How can i manage this? what strategies could you suggest?

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

  • Moderator Emeritus
Posted

Because the symptoms you are experiencing would seem to be triggered by things related to the abuse/court case/statement issue it might be best to speak to a counsellor and/or sexual abuse support group.  You could ask your lawyer if there are any that are being provided to support people going through the court cases.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

Posted

Hi ChessieCat,

 

Thanks so much for replying. I got a text message from a male sexual survivors support group this morning. I called him & advised the above and he was reassuring and understanding.  I will need to contact the main number tomorrow to advise that i want to amend one incident in my statement.  The statement just goes to the Govt which they have already assessed there's no court case the process is set up where victims just lodge a statement.   I'm thinking that tapering mirtazapine has made me feel a whole lot more vulnerable and fragile than usual.  I'm doing my best just to hold myself together, i felt like i needed a Valium just to relax.  However, I'm aware that more pharma meds are not the best option.   I was prescribed mirtazapine in emergency near 4.5years ago and that has made things more complicated. Sure my sleep temporarily improved but it made me suffer in other ways which i would prefer to not repeat.

 

 

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

  • Moderator Emeritus
Posted
37 minutes ago, Starboy17 said:

I'm thinking that tapering mirtazapine has made me feel a whole lot more vulnerable and fragile than usual.

 

It would probably be a very good idea to hold on your current dose/s for the time being until the external stressors are reduced.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

Posted

yes, I'm going to ride this out, I'll make the necessary calls when my psychologist is back in the office tomorrow. I just feel so impatient that I just want this off my mind as I keep ruminating which just makes me feel more anxious.  I haven't experienced this intensity of anxiety probably since i started mirtazapine in 2016. I don't want to take any other meds and i know i'll have to try different things so i don't feel helpless and stuck.

 

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

Posted

Hi ChessieCat,

 

My apologies if I'm being too needy, i  just feel my anxiety is beyond my coping ability at times,  i feel exhausted and as mentioned i noticed my blood pressure was high for the last 3 days I must be sensitive as i notice it, i just feel tired.  I usually sleep ok, but have woken up numerous times throughout the night after 3-4 hours the last 3 days.  I'm able to go back to sleep for a couple more hours although quality  is questionable but it doesn't feel restful. I understand that compared to others who have severe insomnia that my sleep is better.  The intensity of the anxiety is more than I've experienced for a long time.   I also considered my blood pressure reading could be white coat syndrome or something similar. how can i increase my resilience or implement some techniques to at least get some relief? i gave up my daily coffee as it over stimulated me on Friday.   I worry this could take a toll on my body or is that just anxiety? its difficult to tell

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

Posted

Hi all,

 

I've done meditation twice today but cannot say that my unrelenting anxiety is any better.  I hope a pattern isn't emerging as I'm concerned that I'll have to up-dose, which is not something i want to entertain but I feel almost as though there's very little choice given the severity of the symptoms I'm experiencing. This morning whilst in bed I thought i noticed some tinnitus.   I feel the roughest I've felt in years actually. Whether the anxiety is making me physically ache between my shoulders is another issue as well as feeling generally fatigued. I had a little headache and parts of my head feels like I was experiencing some head burning. Could that be inflammation?

 

I'm not sure if mirt has stopped working or whether I'm experiencing some type of situational anxiety. Possibly a combination, but if the blood pressure is too high how do we manage that?

 

 

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

Posted

Hi all,

 

I understand that external stressors can exacerbate anxiety, I may feel less anxious than i did the previous few days but i still feel some lingering anxiety.  I'm still waking up every 3 or so hours and last night i felt that's all the sleep I had.  Previously when i had this type of anxiety it just got worse until i  reluctantly took the  lexapro my GP prescribed that left me with suicidal thoughts and in a much worse situation.   I presented to emergency and they prescribed mirtazapine which as you can you has been challenging beyond comprehension.  My monkey brain just isn't relaxing enough for me to feel ok.

 

I do feel apprehensive simply because I'm experiencing near identical levels of distress that had me take mirtazpine.  I feel tempted to take another med even though I've read so many horror stories here and elsewhere and as we all know its highly likely  that's not going to be good for me in the long run.  Do I need to keep reminding myself that this will pass and that I can live life without meds?

 

I just want some relief

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

Posted

Hi all,

 

Just wanted to up-date that i had a therapy session today and I felt as though i had a breakthrough.  I'm not feeling so overwhelmed and anxious as I had been over the last 3 or so days.  I have a little worry about my sleep, but its likely just anxiety from past experience. I do know that I've made a lot of progress over the last few years tapering mirtazapine and that I need to keep reminding myself not only of how far I've come, but also that I can heal without meds. 

 

Peace

Finasteride 1mg daily 2005 - April (approx) 2016 did have break from them.

Dex amphetamine 30mg Daily taken irregularly March 2012 - March 2015

Lexapro April 2016 only took 1 tablet unsure what mg ended up in emergency with thoughts of self harm discharged from hospital was given 20mg Valium and 30mg mirtazapine

30mg April 2016 - current been tapering from 30mg, 15mg May 2016, 7.5mg July 2016,Aug 2016 3.75mg Cold turkey Sept 2016 reinstated after 12dayslater 3.75mg Feb 2017 3.4mg March 2017 3.2mg April 2017 3mg

June 25, 2017 2.8mg August 14th 2017, 2.7mg, Sept 18, 2017 2.6mg Oct 26 up-dose 2.65mg due to 5 weeks of severe withdrawal 2.6mg 23rd Nov 2017 30th 2.5mg Nov 2017 2.4mg  19th Dec 2017  then forced 2.45mg up-dose 2.45mg due to severe withdrawals 2nd Jan 2018 up-dose  2.5mg 4th Jan 2018 withdrawals were too severe up-dose 2.55mg 23 Jan 2018  continued severe withdrawals near 3 weeks, 14th March 2018 2.5mg, 24th June 2018 2.45mg, 2.4mg 25th July 2018, 2.35mg 7th August 2018, 2.3mg 22nd October 2018, 2.25mg, 2.2mg 6th Dec 2018, 2.1mg 12 January 2019, 2mg 23rd Jan 2019, 1.95mg 12 March 2019, 1.9mg 12th March 2019, 1.85mg 22 June 2019, 1.8mg 19th July 2019, 1.75mg 16 Sep 2019, 1.7mg 4 October 2019, 1.75mg 5 October - severe withdrawals, need to complete essays. 1.7mg 11th November 2019, 1.65mg 2019 Had horrific nightmare up-dose  to 1.7mg on 18th December 2019, 24th December 2019 1.65mg, 17th January 2020 1.6mg-long hold due to ongoing severe withdrawals, low blood pressure, what appears to be chronic fatigue, depression, anxiety. 15th May 2020 1.58mg, 3rd August 2020 1.56mg, 2nd September 2020 1.54mg, 28th September 2020 1.52mg experienced nightmare, along with severe withdrawals, air hunger & high anxiety, due to exams will temporarily up-dose on 30th September 2020 1.54mg

Posted
On 9/26/2020 at 3:59 PM, Altostrata said:

Good to hear this is working for you. Should you develop withdrawal symptoms, you might feel quite differently.

 

It's a matter of knowing what is a w/d symptom and what is an old trauma on the rise. That's part of the therapeutic process for me. Talk therapy or CBT don't work for me so I decided to do a deep feeling therapy (primal therapy). Anxiety, panic, fear, anger, etc. are part of the process of the therapy; you go into those feelings, feel them fully and usually there is relief if you've done it right. The antidepressant blocks those feelings, which is what most psychiatry is about -- blocking, suppressing, repressing, etc. 

 

But withdrawal is like pulling the cork off a floodgate. The feelings want to burst out and you get overloaded, if you're not careful. So the slow titration (I hope!) will be a way to avoid overload while allowing the feelings to emerge, be felt, and integrated. That is the process of healing in primal therapy. 

 

I would like to go faster than the recommended 10% per month taper but I don't want to get overloaded. So I will put up with the adverse side effects of the Celexa and hopefully they will reduce over time. 

 

It's like juggling three balls: SSRI side effects, w/d symptoms, and emerging feelings. Somewhere in there is clarity and healing. 

 

1980s: First diagnosed with depression. Treated with a tricyclic. 1988: Switched to Prozac 20 mg.  1990s to 2010: On and off Prozac. Increased dose led to side effects. 2011: Put on Zyprexa. 2011: Work burnout and breakdown. Hospitalized for suicidal depression. Switched to Seroquel. Switched to Celexa 40 mg and lithium 300 mg. 2019: Stopped Seroquel. 

2020 July: Decreased Celexa to 30 mg in attempt to alleviate sexual dysfunction. Worked somewhat.

2020 August: Decreased Celexa to 20 mg. Sexual function improved but w/d effects started. 

2020 September: Maintaining Celexa at 20 mg. Experiencing w/d effects - fatigue, dysphoria, mood instability

2020 September 13: Increased Celexa to 30 mg due to w/d effects. Still on lithium 300 mg/day.

2020 October 3: Reduced Celexa to 27 mg. Started taper. 10% per month as recommended.

2020 October 18: Reduced to 24 mg.

2020 December 4: Reduced to 21 mg.

2020 December 23: Reduced to 20 mg (spacing out taper intervals due to persistent w/d effects)

2021 September 23: Several reductions over the past 9 months to 7.0 mg. Stressful life circumstances led me to feeling very depressed with suicidal feelings, so upped to the dose to 10 mg until I feel better. 

 

 

  • Administrator
Posted

Each of us needs to do what we think is best for ourselves.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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