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Withdrawal causing repetitive or intrusive thoughts, rumination, and increased panic?


Goldy

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  • Moderator

I found this on a site that was posted by Gonzo, another member and find it very useful for a symptom that is so prevalent. The site has more information on OCD as well. 

While not everyone who goes through withdrawal has OCD, it is quite a common symptom especially the rumination parts. This site has some unique theories about OCD and rumination which may be interesting for people who are struggling with it. 

 

https://drmichaeljgreenberg.com/anatomical-models-of-rumination/

OMW

Edited by Onmyway
added link

"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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  • Mentor

@OnmywayOnmyway is there  link to what you're  referring to?

https://www.survivingantidepressants.org/topic/24894-greatful-is-this-withdrawal-or-to-many-med-changes-at-once/

1995? Prozac,  tried several Paxil, Serzone, St John's Wart back to Prozac and Trazodone ct:d Traz

 Lexapro. Tried to stop Crash in 2015  Kindled   Hospitalized, Vybrid, Seroquel, Effexor, Abilify  Pristiq, Wellbutrin-- 2016  ended back on   Prozac and Lamictal 200mg

5/2020  thru 12/2020 taper from 20mg  Prozac  down to 3mg.  Crashed  12/13/2020 Zoloft 50mg 1/29ct  1/29/2021 Seroquel 50mg ct  2/12/2021 Wellbutrin 75mg.  Became hypo manic 2/1  6ct Trazodone 50mg 4/25  25mg 2/5/ 2021 Lamictal 150mg.  2/24  100mg   4/9  75mg   4/21 37.5 

2/16/2021 Seroquel 50xr  3/3 100mg  3/17  150mg  side effects ct   4/3 2021 Lexapro 5mg  4/14  7.5mg  4/30 10mg  5/10  7.5mg 

2021/ 5/16  5mg Lexapro   37.5 Lamictal   25mg trazadone,   xanax  .0625mg  3x a day   

Lexapro  Taper> Sept/01/2021  4.90mg>  Sept/25  4.75mg>   Oct/19 4.69mg > Nov/14 4.2mg    Jan/30/2022-- Split dosing 2x a day All liquid  4.2mg  (2.20mg at 8am & 2mg at 4pm) 2/17 4mg>  2/24  3.8mg  slow taper to  Aug/12/2022 2.04mg  2023> 2mg,  1.90mg, 1.80mg, 1.70mg, 1.5mg, 1.4mg, 1.3mg 1.2mg, 1.1mg, 1mg, 0.9mg, 0.8mg, 0.7mg 0.65mg, 0.6mg, 0.55mg, 0.5mg, 0.45mg, 0.4mg, 0.35mg, 0.3mg, 0.25,mg, back to once a day dosing 0 .1mg, 0.07mg , 0.05mg 4/1/2024   0

Lamictal  taper  4/17/ 2022 25mg, 9/9/ 22 -20mg, 9/25/22- 15mg , 10/20/22-   0

 Trazodone..2023.>down to 14mg, 7mg, 6mg  July 2023   0

Xanax  0.0625 3 x a day,  2023>  0.042 3x a day

Supplements  Magnesium glycinate, Omega 3, D3, vitamin c , zinc, NAC 

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  • Moderator

Yes, sorry @Grateful. Thanks for alerting me :) Updated above and added here as well. 

https://drmichaeljgreenberg.com/anatomical-models-of-rumination/

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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  • 1 month later...
On 9/5/2018 at 11:34 AM, papaloapan said:

Hi. I also have this problem of intrusive and repetitive thoughts. It is logical for all of us to have this horrible adverse effect and withdrawal effect because one psychiatrist told me that psychiatric drugs affect our thinking, and if these psychiatric drugs are crap, of course they damage our brain and therefore we end up having these horrible intrusive and repetitive thoughts. It has been terrible for me because they don't let me do my mindfulness meditation in which I try to be aware and to observe the thoughts that emerge in my mind rather than getting lost in them unawerely. I was able to do it but just yesterday that I did a reduction of tramadol, I was not able to observe my thoughts, they were just impossible to control. It was so frustrating. They also won't let me focus.


have these intrusive / ocd thoughts gone away for you yet? @papaloapan

April 2022- Only 1 celxa pill 10mg

had an adverse reaction & never took anymore again 

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@peaceandlove Not yet. I still have them. I did a well done (slow and gradual) taper of tramadol. Then I made the mistake of being impatient by comparing myself to my friends and did a very fast taper of pristiq (5 month taper), and because of more impatience, did the greatest mistake of my life which was cold-turkeying quetiapine. I took cbd and it healed my intrusive thoughts completely, but withdrawal symptoms began 6 months after CT quetiapine, had severe panic and others symptoms, this panic and other symptoms caused me to reinstate quetiapine, after reinstating, felt a bit better but still had very bad symptoms, since I was indecisive of reinstating quetiapine in order to do a well done (slow and gradual) taper or CT'ing quetiapine again because I didn't know how bad the symptoms have to be when reinstating in order to know that the right thing to do is to CT and never reinstate again, I reinstated and CT'd many times, the las time I reinstated, I started having tardive dyskinesia and the anhedonia was getting much more extreme (hellish) and suicidal, so that made me felt sure to CT and never reinstate again. If I had not reinstated quetiapine, I would have still be healed of intrusive thoughts thanks to cbd. If you know of any herb, supplement or treatment that heals intrusive thoughts, please let me know. Thank you. In my experience, reinstatement worked only the first time, from the second reinstatement, my health started to deteriorate. There's people that feel good doing 2 or maximum 3 reinstatements. The more you CT and reinstate, the more damage you cause to your health. I've been not taking quetiapine (free from all psychiatric drugs) since july 2022

In 2008 I was 16 years old. 2008 - 2010 paxil, clonazepam & semisodium valproate. 2013 - 2017 many psych meds with cold switches and CT's prescribed by psychiatrists.

Nov/30/17 started quetiapine IR tablets 100mg 0-0-1. Dec/1/17 started pristiq 50mg tablets 1-0-0. Jan/14/18 started 1.5mg melatonin 0-0-1

Tramadol: 2 year well done (slow and gradual) taper: from Mar/12/18 to Feb/11/20 

Pristiq taper: Jun/15/20 Converted from pristiq 50mg to efexor xr 75mg for 57 days (felt good).  Aug/11/20 weaned to efexor 37.5mg and stayed there for 2 months with 26 days (felt good). Nov/6/20  CT 0mg of efexor xr (felt good). Total time in tapering pristiq 50mg by converting to efexor xr 75mg: 4 months with 22 days: Jun/15/20 to Nov/6/20. (felt good)

Efexor 0mg and quetiapine 100mg (Nov/6/20 to Dic/11/20) (felt good being without effexor and taking 100mg quetiapine)

Dic/11/20 quetiapine 75mg, so 75mg from Dic/11/20 to Jan/4/21  25 days. Jan/5/21 quetiapine 50mg (1 day in 50mg).

Jan/6/21 1st CT of quetiapine. Mar/1/21 CT melatonin. Felt terrible so Mar/25/21 reinstated 100mg quetiapine. 

100mg quetiapine 19 days (Mar/25/21 - Apr/13/21) Felt good while in quetiapine 100mg. 75mg quetiapine 55 days (Apr/14/21 - Jun/8/21) the 55th day (Jun/8/21)  felt hellish so CT'd quetiapine for a 2nd time on Jun/9/21. 

Jun/9/21 - Nov/16/21 1st days insomnia, anxiety, took cbd and felt very good many days (healed insomnia & anxiety), CT'd ginkgo which made me felt terrible so reinstated ginkgo. Started intolerable back pain (spasm) so tried other herbs along with cbd, then started derealization, panic, indecisiveness, nostalgia & others. Stopped taking cbd & herbs, reinstated quetiapine 75mg Nov/17/21, immediately after taking it, had severe heart palpitations, so Nov/18/21 back to cbd (no quetiapine). Nov/20/21 reinstated 75mg quetiapine (stopped cbd & herbs), severely couldn't breathe for 5 seconds after taking quetiapine 75mg so reduced to 50 mg on Nov/28/21 had new and worse and very severe adverse effects, got indecisive if CT or keep taking quetiapine because I was terrified of CT, but since the new severe adverse effects were very severe I CT, and because of indecisiveness and panic to CT, I reinstated again, then CT'd and reinstated many times, last time I was taking quetiapine it was 25mg and had severe TD, hellish anhedonia, suicidal, intrusive thoughts of imagining myself running into a wall and crashing into it and I was feeling the pain as if I was doing it in real life, involuntary thoughts of punching my face or head and shashing it against the wall and some times I did punch my face, and when I didn't, I also felt the pain just by imagining it, so definitive CT on Jul/15/22. 

Free from quetiapine and psych meds since Jul/15/22.

MY BEST ADVICE: FOLLOW SA'S GUIDELINES, DON'T CT BECAUSE IT IS HORRIFIC AND BE PATIENT TO WAIT A LONG TIME TO DO VERY SLOW AND GRADUAL TAPERS IN ORDER TO GET OFF OF YOUR MEDICATIONS, IT IS WORTH IT. THE ONLY MOMENTS WHERE IS RIGHT TO CT IS AFTER YOUR 1ST CT THAT YOU DID BECAUSE OF IGNORANCE OR IMPATIENCE, IF YOU REINSTATE AND FEEL SEVERE ADVERSE EFFECTS LIKE TD, ANHEDONIA, FEEL LIKE YOU ARE DROWNING, OR THE ONE'S I HAD, IT IS BEST TO CT IN MY EXPERIENCE, BECAUSE WHEN I REINSTATED I GOT MUCH WORSE THAN WHEN I WAS IN THE PREVIOUS CT. I'm not a doctor.

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  • 1 month later...

Hi,

am particularly sensitive to other health conditions
They often put me in a difficult wave
It's usually the hardest on days 5 to 10
Then in the meantime it is relatively tolerable
Today was still normal, but yesterday some kind of cold virus started
There is no fever or cough, but there is a strong sore throat and thick
mucus
Strong irritation in the throat, but little runny nose
It triggered an extreme wave last 
I absolutely could not fall asleep last night
Today, too, I feel despair all day, it even makes me want to vomit
Right now, there are still extreme compulsions and fears
The head is under enormous pressure
There is great depression and hopelessness
I'm afraid I won't be able to fall asleep again
Pulse very fast
And the wave was triggered by a viral disease
I have a very bad feeling in my head and it doesn't let me fall asleep
either
Like you can't exchange thoughts, only thoughts of disaster
I hoped that the end of the year would be calmer

 

 
 
 
 

Xanax 0,5mg 1999-2019 a Xanax 0,5mg paar korda kuus, vajadusel

Cymbalta 30mg 2012-25.04.2018 kitsenev 2-3 kuud,rasked sümptomid 1 nädal pärast viimast annust

Amitriptüliin 25mg 25.05.18-20.01.19 ,kitsenev 2-3 kuuga, unetus, paanika-ärevus, segasusseisund, iiveldus

Valdoxan 25mg 10.02.19-10.03.19, ei stabiliseerinud olukorda, Lorasepaam 10.02.19-20.02.19 vajadusel üleöö

Brintellix 5mg 10.03.19-30.06.19 ,ei stabiliseerinud olukorda, hirme, segasust ja unetust, olin haiglas 1 nädal

Olansapiin 5mg 01.03.19-02.08.19,unetuse leevendamiseks suureneb segasus, suureneb depressioon, tekib raske akatiisia Cymbalta 30mg 30.06.19-01.08.19,ei tööta enam, olukord ei stabiliseeru, jälle haiglas 2 nädalat

Levomepromasiin 5mg 03.08.19-20.12.19 aitas magada, kuid suurendas segadust ja depressiooni

Anafraniil 75mg03.08.19-15.12.19  15.12.19 , 35mg  17.05.20  , 27mg 01.01.21 16.07.21 oli päevane A19 mg 01.04.22 11mg 01.11.22 8,6mg, 01.11.23 6,5mg 01.01.24 5mg

 

 

 

                 

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