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Does accessing online forums make symptoms worse at times?


BigCat

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I am interested in what is referred to as "iatrogenic effects", i.e. if I have a diagnosis of depression, does it have a negative impact on me?  Does it add to my depression? 

Certainly, as an anxious person, if I focus on my anxiety it becomes worse as I ALWAYS find symptoms to focus on. 

I've become aware that when I am feeling a bit rough I don't access the forum so much as I feel that I need to focus on things other than my WD or tapering problems. 

It's difficult because we seek the need for recognition and support, but we also need to recognise, or at least I do, that getting caught up in our struggles and the struggles of others, can drag us down at times.  

Sometimes I feel that I can't "get out of the way of myself" and need to withdraw into activity and getting on with things, even if it's only cleaning the toilet.  Nobody likes cleaning the toilet, but we all like a clean toilet...

Various ADs from 1991, always for depression with anxiety and agitation... sertraline, paroxetine, citalopram (with 2.5mg olanzapine briefly), coming off each for increasingly shorter times until 2000 when I went on meds full time with Clomipramine 200mg. Then Venlafaxine (XR) since 2008, initially 225mg, then 300mg, plus tried on venlafaxine with mirtazapine (California Rocket) for only a week in 2017(?) as absolutely intolerable. 

July '23 Venlafaxine XL 300 to 275mg.  Aug '23 275 to 250mg. Sept/Oct '23 250 to 230 to 225mg.  Nov '23 205mg. Dec '23 185mg.  28 Dec '23 reinstated 225mg after crashing. 

 

Supplements: Vitamin D and fish oil. 

 

"L'exposition du merde est temporaries".

 

Although I have a background in health, I am here to learn from others, encourage others and share my experiences, not to give professional guidance. 

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Hey I think your thoughts are really interesting... I have thought the same thing before and just as my latest episode of withdrawal symptoms have flared up I have been wary of this. 

It's a tricky one. 

I have been holding off from scrolling this site and Reddit but it really hasn't help me avoid the worst of it. 

And I think I've just gotten to the point I need to come here for the comfort... I will try and assess down the track of this episode if it's helping or hindering my ability to get back on track.

But for right now, in the thick of it, it's helping me beyond any other outlet I have.

Citalopram for 10 years 20-40mg.

November 2022 - tapered down to 10mg too fast,  felt withdrawl effects for 6 months

January 2023 - down to 5mg 

August 2023 - down to 2.5mg... started to plan my end game by just stopping from there.

January 2024 - 8 weeks with no citalopram. Last taper was 2.5mg to 0mg, having bad anxiety days, intrusive thoughts. 

Currently taking dexamphetamine 50mg for ADHD 

And a daily multivitamin.

Propanolol 10mg PRN although trying to avoid it.

February 2024 - 12 weeks with out citalopram, flare up of withdrawal symptoms lots of low low moods, irritability at extreme levels, dark thoughts. 

lasted about a week or two just now starting to feel slightly better. Just having melatonin and doxycycline at nighttime.

 

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Hi @BigCat Understand what you mean. You can read too much and get anxious. It can be good to take breaks sometimes. But when you're in the middle of this and horrible WD - it's an invaluable support, and you need support. Since people here are the only ones who know what it's really about, it helps better than anything else.  

2008 Zoloft 50mg 

2022 May - 62,5mg (doctor wanted to increase). Felt sick, went back to 50mg efter 2 weeks

2022 Oct - Reducing dose to 37,5mg (from 50mg). WD in few days, advised to go back to 50 - I then got adverse worse paradoxical effect

2022 Oct - Zoloft 50mg severe side effects/adverse reaction

2023 May 5th - Reducing dose to 25mg (directly from 50mg by Dr, WD).

2023 Aug 1st - Reducing dose to 12,5mg 

2023 Oct 10th - Removed dose from 12mg to zero by Dr. Tried reinstate citalopram after 3 months didnt work bad reaction. In Terrible WD.

Use melatonin 4mg. Lergigan 5mg. Omega 3, D-vitamin, magnesium glycinate, zink.

 

 


 

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On 2/16/2024 at 7:33 AM, BigCat said:

I've become aware that when I am feeling a bit rough I don't access the forum so much as I feel that I need to focus on things other than my WD or tapering problems. 

 

Hey BigCat,

When I'm feeling rotten, I head to the success stories on the site for a boost that plenty have gone before me and come out the other side. I normally search for a success story for my particular AD, or, by "most viewed" or "most replies". Shep is a great one to read. There are plenty of people who took your AD long-term in the success stories.

 

I find it such an encouragement to read of others on this journey for 30 years plus who have succeeded.   

 

One day, we are going to be here too, writing our success story.

 

Keep fighting mate.

Please don't send me PMs. I am not a doctor. My comments are based on my personal experience with ADs and tapering. Consult your doctor about your own medical decisions.

2017 – 2022:   Vortioxetine 15mg, Jan ’22, 15mg->5mg over 4 weeks, Feb ‘22 5mg -> 7.5mg due to WD, July ’22 6.75mg (found SA website), Aug 6.07mg, Sep 5.46mg, 11 Oct 5.00mg, 18 Oct 4.88mg, 25 Oct 4.75mg, 1 Nov 4.63mg, 8 Nov 4.5mg, 3 Jan ’23 4.39mg, 10 Jan 4.28mg, 17 Jan 4.06mg, 13 Feb 3.95mg, 20 Mar 3.85mg, 3 Apr 3.75mg, 10 April 3.65mg, 31 May 3.58mg, 8 June 3.50mg, 15 June 3.43mg, 22 June 3.35mg, 12 Jul 3.29mg,  19 Jul 3.22mg, 26 Jul 3.15mg, 3 Aug 3.09mg, 30 Aug 3.02mg, 7 Sep 2.96mg, 14 Sep 2.89mg, 21 Sep 2.82mg, Oct 11 2.75mg, Oct 19 2.70mg, Oct 26 2.64mg, Nov 2 2.59mg, Nov 23 2.53mg, Nov 30 2.48mg, 7 Dec 2.43mg, 17 Dec 2.38mg, 19 Jan 2.33mg, 26 Jan 2.28mg, 2 Feb 2.24mg, 8 Feb 2.19mg,  29 Feb 2.15mg,  7 Mar 2.10mg,  14 Mar 2.06mg,  21 Mar 1.99mg,  10 Apr 1.95mg, 17 Apr 1.91mg, 24 Apr 1.87mg,

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Big hug to all of the above for kind/constructive words and for taking the time.

 

Bet a really clever person could get a PhD out of the idea.  Not me!

 

 

 

 

 

Various ADs from 1991, always for depression with anxiety and agitation... sertraline, paroxetine, citalopram (with 2.5mg olanzapine briefly), coming off each for increasingly shorter times until 2000 when I went on meds full time with Clomipramine 200mg. Then Venlafaxine (XR) since 2008, initially 225mg, then 300mg, plus tried on venlafaxine with mirtazapine (California Rocket) for only a week in 2017(?) as absolutely intolerable. 

July '23 Venlafaxine XL 300 to 275mg.  Aug '23 275 to 250mg. Sept/Oct '23 250 to 230 to 225mg.  Nov '23 205mg. Dec '23 185mg.  28 Dec '23 reinstated 225mg after crashing. 

 

Supplements: Vitamin D and fish oil. 

 

"L'exposition du merde est temporaries".

 

Although I have a background in health, I am here to learn from others, encourage others and share my experiences, not to give professional guidance. 

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Agreed with @Emonda. I lived in the success stories portion of this site. I tended to avoid the other forums unless I needed info about a symptom, or to update on my intro topic, but 95 percent of my time here was in the success stories. But I also wouldn't spend all day on the site either. I would limit my time here, then make sure I spent time doing other activities. 

2010-2011 - Tramadol - Can't remember dosage

2011 - CT Quit Tramadol

2011-2019 - St Johns Wart - Started out at 3 Pills a day (300 MG) and increased to 6 per day over the years

August 2019 - CT Quit St Johns (Told by Hospital Dr to Stop Taking due to increased BP)

September 2019 - Citalopram 10mg - Approx 2 weeks - CT Quit

September 2019 - October 2019 - Clonazepam .5mg - Approx 3 weeks - CT Quit

Drug Free Since October 5th 2019

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  • 1 month later...

I think you’re onto something Big Cat, but it is not straightforward. I don’t do much scrolling of the forum because I do find it triggering often. But I also take comfort and support from responses to my posts, so I usually try to chip in on a few threads now and then to give a little bit back when I am able. And I also take comfort from success stories and the message that comes through that even though it may take much longer than you want, these symptoms are not permanent. And of course, there is great information and collective wisdom to be mined here. 

None of my posts are medical advice, just my own experience. Please see your doctor for any medical advice.

Overview of drug history:

1991: Prothiaden short stint; 2000 - 2003(?): Nefazodone then paroxetine

2005(?) to 2023: Escitalopram 10mg (with breaks and attempted breaks - see further below)

October 2023: Escitalopram 5mg

More recent experience quitting escitalopram:

Late 2019 - tapered over about 6 weeks - 6 weeks later reinstatement (full dose) taking about 3 weeks to stabilise

Late 2021 - tapered over several months to 2mg - held there and then fairly quickly off - 3 months later reinstatement (full dose) taking about 6-8 weeks to stabilise.

2023 - tapered over several months to 1mg then jumped to 0mg on 12 August 2023.September 2023: saw "The Antidepressant Story" and found SA website.

29/9 - reinstatement at 2mg; 10/10 - 5mg; 5/12- 6mg; 11 January 2024 - 10mg; 16 January - 8mg

 

 

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I have different problem. Every time I read or listen succesful story I make a conclusion: "This one has been only on one drug." Or: "He was taking only SSRI or benzos, not antipsyhotics or mirtazapine." Or: "He was taking drugs for shorter period."

 

I see everyone in better position than me, thinking it's less likely to be healed.

2009-2010: Asentra (50 mg)

2011: Cipralex (10 mg)

2009-2011: tried Zyprexa (5/2.5mg), Kventiax  (50/25mg) and Abilify (low dosage) (started refusing it - being zombie)

CT Cipralex, being free for several moths

2012-2016: Prozac (60 mg)

2016-2017: Alventa (75 mg)

2016: just tried Cymbalta and Ludiomil

2017-2018: Mirtazapine (30/45mg)

2012-2018: Wellbutrine (300 mg)

2014-2018: Lamotrigine (50/100/150 mg) CT Wellbutrin, tapering lamitrogine and mirtazapine too fast

Supplements: B12, D, Mg, trying B3, B1

I know I wrote a lot of nonsense here. I'm sorry, I feel shamed!

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I think we all have to be wary of forums, no matter how supportive, depending on how we’re feeling at the time.

 

If I visit here when I’m feeling low and depressed, or experiencing extreme symptoms, it’s very tempting to doomscroll. I’m not sure why, but I’ll find myself reading far more negative stuff when I’m feeling negative.

 

In a similar vein, I’ve noticed the language I use when searching for information online changes dependant in my mood. So when I’m low, I’m far more likely to use negative search terms, yielding far more negative results. Conversely, when I am in better spirits I tend to use much more proactive, constructive search terms - which lead to more positive results. Now I’ve noticed (with the help of my therapist) that’s what I do, it’s been quite helpful.

 

I agree with @DustyMoon13 about avoiding Reddit. There are some good people on there, but unfortunately they’re buried under a vast mountain of incorrect information and sometimes dangerous advice. Threads on supplements in particular are best avoided completely.

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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I share the same sentiment as @Prozack

There is not many recovery stories here of people who took mirtazapine or had an adverse reaction to it.

In fact, they seem to have the worst outcomes compared to anyone else on this forum.

IDK.

Lexapro 10-20mg 2016-2018 2 full years cold turkey no withdrawals, Lexapro 10-20mg 01/2021-08/2022 cold turkey missed doses, alternated between high and low doses, no withdrawals

1/7-1/14/2023 Ciprofloxacin for 1 week 500mgx2 in January 2023, resulted in headaches that went away in 2 months

3/21-3/35/2023 Oxybutinin for 4 days 

3/21-3/30/2023 Ofloxacin 400*9 days in March, gave me insomnia

3/23-3/25/2023 Passiflora+Valerian Capsule for 2 nights, doesn't work.

3/26-3/29/2023 Unisom (Doxylamine) for three nights, it would work on the second night but would not do anything on the 3rd.
03/29-05/10/2023 Mirtazapine 7.5mg/15mgs depending on the night this also would work for 3 nights, I would switch to Unisom every 4th night. Took for a total of 15-20 times in 42 nights.

5/11/2023 Atarax(hydroxine) only once but spiked my tinnitus and gives me DP/DR in the morning, after this I could fall a sleep on my own with no meds. Later on Unisom also spikes my tinnitus. 

06/01/2023 Brain Zaps start, I get back to alternating mirtazapine,passiflora, melatonin,  for 40+ more days. Symptoms got worse.

06/15/2023 Trazodone 50MGs once. Did nothing.

3/2023 - 9/2023 NAC, Alpha lipoic Acid, Magnesium, Vitamin C, Vitamin D, Calcium. Once or twice I took 5HTP and L-theanine. Took Fish Oil Omega-3 for 1-2 months.

11/8/2023 250mgs of Keppra ONCE.

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On 3/27/2024 at 1:21 AM, koala said:

I think you’re onto something Big Cat, but it is not straightforward. I don’t do much scrolling of the forum because I do find it triggering often. But I also take comfort and support from responses to my posts, so I usually try to chip in on a few threads now and then to give a little bit back when I am able. And I also take comfort from success stories and the message that comes through that even though it may take much longer than you want, these symptoms are not permanent. And of course, there is great information and collective wisdom to be mined here. 

You are right, so complex.  I try to do exactly the same. 

I take great comfort knowing that I am "not the only one", but try not to be defined by this single part of my life, and would want to encourage others to look outwards towards other "identities". 

There's an old social care model by a guy called Wolfsenberger https://wolfwolfensberger.com/lifes-work/social-role-valorisation/ that identifies the drawbacks of identifying yourself or anyone in such a narrow way.  

Various ADs from 1991, always for depression with anxiety and agitation... sertraline, paroxetine, citalopram (with 2.5mg olanzapine briefly), coming off each for increasingly shorter times until 2000 when I went on meds full time with Clomipramine 200mg. Then Venlafaxine (XR) since 2008, initially 225mg, then 300mg, plus tried on venlafaxine with mirtazapine (California Rocket) for only a week in 2017(?) as absolutely intolerable. 

July '23 Venlafaxine XL 300 to 275mg.  Aug '23 275 to 250mg. Sept/Oct '23 250 to 230 to 225mg.  Nov '23 205mg. Dec '23 185mg.  28 Dec '23 reinstated 225mg after crashing. 

 

Supplements: Vitamin D and fish oil. 

 

"L'exposition du merde est temporaries".

 

Although I have a background in health, I am here to learn from others, encourage others and share my experiences, not to give professional guidance. 

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On 3/27/2024 at 2:28 PM, jon1 said:

I think we all have to be wary of forums, no matter how supportive, depending on how we’re feeling at the time.

 

If I visit here when I’m feeling low and depressed, or experiencing extreme symptoms, it’s very tempting to doomscroll. I’m not sure why, but I’ll find myself reading far more negative stuff when I’m feeling negative.

 

In a similar vein, I’ve noticed the language I use when searching for information online changes dependant in my mood. So when I’m low, I’m far more likely to use negative search terms, yielding far more negative results. Conversely, when I am in better spirits I tend to use much more proactive, constructive search terms - which lead to more positive results. Now I’ve noticed (with the help of my therapist) that’s what I do, it’s been quite helpful.

 

I agree with @DustyMoon13 about avoiding Reddit. There are some good people on there, but unfortunately they’re buried under a vast mountain of incorrect information and sometimes dangerous advice. Threads on supplements in particular are best avoided completely.

Exactly right! This is why I talk so much about staying positive and staying focused on the positive. There is negativity everywhere you look. And like you said, when you are feeling negative, you will be sure to find plenty of negative things to bring you down even lower. When you are feeling negative, you have to find something positive to focus on. Don't let the negativity draw you in, because once it does, its very hard to get out of it. Believe me I know. I had a buddy of mine tell me when I first started going through WD that I was going to stare into the black hole at some point, and I had to make a choice to pull myself away from it, because if I let it suck me in, it would never let me go!! Positivity is everything!!! 

2010-2011 - Tramadol - Can't remember dosage

2011 - CT Quit Tramadol

2011-2019 - St Johns Wart - Started out at 3 Pills a day (300 MG) and increased to 6 per day over the years

August 2019 - CT Quit St Johns (Told by Hospital Dr to Stop Taking due to increased BP)

September 2019 - Citalopram 10mg - Approx 2 weeks - CT Quit

September 2019 - October 2019 - Clonazepam .5mg - Approx 3 weeks - CT Quit

Drug Free Since October 5th 2019

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This is a worthy topic. I am currently finding it difficult to tread the right path between “looking after myself” - taking time out from work, taking care not to exhaust myself, avoiding the news which tends to fuel these awful feelings of being unsafe, avoiding social situations that might be difficult etc - and living my normal life. I do not think it is at all healthy to identify with the condition. I sometimes wonder if I would regard myself as being essentially better - but with difficult periods still - if I hadn’t learned about PWS. Perhaps I would be living a far more expansive life again by now. On the other hand, not knowing about it in the past has kept me on the ADs for years and has nearly landed me with additional diagnoses and more medication. I would strongly encourage people not to identify with their PWS as best they can. I think this includes be wise about how you use this excellent forum.

None of my posts are medical advice, just my own experience. Please see your doctor for any medical advice.

Overview of drug history:

1991: Prothiaden short stint; 2000 - 2003(?): Nefazodone then paroxetine

2005(?) to 2023: Escitalopram 10mg (with breaks and attempted breaks - see further below)

October 2023: Escitalopram 5mg

More recent experience quitting escitalopram:

Late 2019 - tapered over about 6 weeks - 6 weeks later reinstatement (full dose) taking about 3 weeks to stabilise

Late 2021 - tapered over several months to 2mg - held there and then fairly quickly off - 3 months later reinstatement (full dose) taking about 6-8 weeks to stabilise.

2023 - tapered over several months to 1mg then jumped to 0mg on 12 August 2023.September 2023: saw "The Antidepressant Story" and found SA website.

29/9 - reinstatement at 2mg; 10/10 - 5mg; 5/12- 6mg; 11 January 2024 - 10mg; 16 January - 8mg

 

 

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