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ashto: any recommendations for a non-pharma obsessed psychiatrist ideally in Melbourne, Australia or otherwise anywhere in Australia?


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It is 21 months since I ceased lexapro after 29 years use following post partum depression and am currently tapering off Diazepam and Temazepam. I was starting to see some windows some 14 months after the cessation of lexapro but strangely and distressingly after 17 months went backwards with virtually no windows and numerous symptoms since including symptoms of Akathisia. I am seeing a superb psychiatrist via zoom in Brisbane who I can recommend if required  who considers my situation as protracted withdrawal however I have also recently seen  psychiatrists at the 1 centre in Melbourne  recently who disbelieve this diagnosis and consider it agitated depression considering my worsening situation after 17 months off  lexapro and are recommending commencing an anti-depressant. From all my investigations, I believe my situation is withdrawal (from lexapro and/or the benzo's) as I have many of the reported symptoms (I have tapered down to 1.25 mg and 10 mgs temazepam daily currently for 7 months now). I am starting to question the diagnosis of withdrawal now and would like a 2nd opinion from a non-pharma obsessed psychiatrist before I consider an anti-depressant. Can anyone recommend one  ideally in Melbourne, Australia or otherwise anywhere in Australia? Many thanks

Edited by Emonda
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Posted (edited)

Hi @ashto

Welcome to SA. Can you please create a drug signature so we can help you better? Instructions should be in the email the you received when you registered for the site. 

 

I don't know of a psychiatrist to recommend but the worsening of the symptoms makes complete sense. You started tapering two more drugs while not recovered from the lexapro taper.  Your nervous system needs a break.  If you keep pushing it further you risk more severe symptoms. 

 

What do you expect going on another antidepressant would achieve if this is not withdrawal.  ADs are no better than placebo on average for treating depression. 

 

Once you fill in your drug signature we can help more.  

 

You have two psychiatrists that disagree what specifically do you want the third one to tell you? Will you trust that one more? Why? 

 

 

Edited by Onmyway

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

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  • Emonda changed the title to ashto: any recommendations for a non-pharma obsessed psychiatrist ideally in Melbourne, Australia or otherwise anywhere in Australia?
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16 hours ago, ashto said:

currently tapering off Diazepam and Temazepam.

 

Which benzo are you tapering first and how quickly are you doing this?

 

How long after stopping lexapro did you start your benzo taper? Did you wait for your body to stabilize prior to starting the benzo taper?

 

You could try looking through this link for doctors:

 

 

As already mentioned, it would be helpful if you could create a signature. See How to Create a Signature.

2003-2009 on and off various SSRI's for short periods

2010-2011 Ativan

2013-2021 ativan 1-1.5mg 10-12x/month, daily starting Oct 21 to help with buspar WD

2016 - Effexor 75mg, short-term

2021 Mar -Jun Buspar ADR at high dose, tapered 3 months

Oct 22/21 - Direct switch ativan to clonazepam (don't do this)

Tapered clonaz Oct/21 - Apr/23  - 0mg!

 

"Believe that your tragedies, your losses, your sorrows, your hurt, happened for you, not to you. And I bless the thing that broke you down and cracked you open, because the world needs you open" - Rebecca Campbell

 

*** Disclaimer: Please note, my suggestions/comments are based on my own personal experiences. Please consult a knowledgeable practitioner to discuss decisions regarding your medical care *** 

 

                                                             *** Please do not send me PM's ***

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