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  1. If you have any recommendations for doctors, therapists, or clinics knowledgeable about tapering or withdrawal syndrome, please add a post to this topic. Here are other sources for doctors who might be helpful regarding tapering or withdrawal syndrome: Doctors who will diagnose drug withdrawal See Benzo-wise doctors who will assist in benzodiazepine tapering for withdrawal from benzodiazepines. (This list may contain some entries that are out of date, but has been added to recently. These doctors may also grasp tapering of other drugs.) MadinAmerica.com has a list of practitioners who would withdrawal, mostly therapists but some doctors http://www.madinamerica.com/service-directory/ Safe Harbor's list. Look for MDs and DOs, who can prescribe. The physicians, who take an integrative approach, have volunteered their contact information and generally answer the question "Help take patients off of psychiatric drugs?" with "Yes." This list is a little difficult to use, you may need to look at it page by page. The doctors below have shown concern and knowledge for slow tapering off antidepressants and indicated willingness to work with patients on treatment plans including non-drug treatments. Before making an appointment, follow the links next to a doctor's name for more detail and use search to see comments about the doctor elsewhere on the site. Unfortunately, many doctors have reservations about the drugs but think they know more about tapering than they actually do. If you consult any of these providers, please let us know your experience. If you do not wish to take any other psychiatric medications after quitting, they should respect your wishes. If you find they do not, please let us know and we will remove them from this list. Click on their links to see more about these doctors: PHYSICIANS UNITED STATES US East Coast Mark Lichtenstein, MD, Hardwick, VT Alice H. Silverman, MD, Montpelier, VT Mark D. Green, MD, Medford, MA Bill (Wm D) Slaughter MD, Cambridge, MA Judy Tsafrir, MD, Newton Centre, MA Harold R. Jordan, MD, Northampton, MA Visions Medical, Wellesley and Dedham, MA Bruce I. Goderez, MD Hadley, MA Windhorse Integrative Mental Health (inpatient), Northampton, MA and San Luis Obispo, CA Holly Major, RN, MSN, ANP-BC, QTTT, Griffin Faculty Practice, Integrative Medicine Center, Derby, CT Kelly Brogan, MD, New York, NY Samoon Ahmad, MD New York, NY Ernest Shaw, MD, Kingston, NY Laura Kelly, PhD, RN, APN-C, Eatontown and Asbury Park, NJ Denis Moonan, MD, Providence, RI 02911 (closing practice) Michelle Barwell, MD, Pittsburgh, PA Joe Tarantolo, MD, Washington, DC (removed from list) Julia Frank, MD, Washington, DC David Pickar, MD, Cabin John, MD (removed from list) Eric Taswell, MD, Washington, DC Daniel Z. Lieberman, MD, Washington, DC William Ronald Gaertner, MD, Richmond, VA US Southeast David Allen, MD, Bartlett, Tennessee (retired) Daniel Johnson, MD, Asheville, North Carolina (inpatient only) David D. Harwood, MD, Montgomery, Alabama Noel T. Rivers-Bulkeley, MD, Atlanta, Georgia Charles Whitfield, MD, Atlanta, GeorgiaKathleen Carroll, MD, Brandon, Florida US Central Toby Hazan, MD, Farmington Hills, MI Elizabeth McMasters, MD McHenry, IL Andrew Pundy, MD, Park Ridge, IL David Bransford, MD, Grand Rapids, MN (Itasca Psychiatric Services) Henry Emmons, MD, Minneapolis, MN (will do Skype and phone sessions) Marie Casey Olseth, MD, St Louis Park, MN George P. Dawson, MD, Saint Paul, MN Varsha Rathod, M.D. Saint Louis, MO Mark Foster, DO, Greenwood Village, Colorado (practice to open in 2013) Tammas F. Kelly, MD, Fort Collins, CO Scott Shannon, MD, Fort Collins, CO Libby (Elizabeth) Stuyt, MD Pueblo, CO Florian Birkmayer, MD, Albuquerque, New Mexico US West Coast Maria Yang, MD, Seattle, WA (relocating, not currently taking patients) Prachi Garodia, MD, Medford, OR James R. Phelps, MD, Corvallis, OR Malika Burman, MD, Portland, Oregon Paul Conti, MD, Portland, Oregon Paul Abramson, MD, San Francisco, CA Ira Steinman, MD, San Francisco, CA (antipsychotics only) Steven Balt, MD, Walnut Creek and San Rafael, CA Eleanor Hynote, MD, Napa, CA (deceased) Peter V. Madill, MD, Sebastopol, CA Elizabeth Bowler MD, Davis, CA Christina Lasich, MD, Grass Valley, CA Kent E Rogerson, MD, Stockton, CA BENZOS ONLY Eric Noble, MD, Los Angeles Allen T. Pack, MD, Los Angeles, CA Linda D Moghtader, MD, Beverly Hills, CA Brett D Shurman, MD, Los Angeles, CA David Rekar, MD, Los Angeles, CA Stuart Shipko, MD Pasadena, CA Joe Gallagher, MD, Freedom, CA (see Pajaro Sunrise Center) Debra London MD, Ojai, CA Windhorse Integrative Mental Health (inpatient), Northampton, MA and San Luis Obispo, CA CANADA Javeed Sukhera, MD, London, Ontario IRELAND Terry Lynch, MD, Limerick, Ireland (not accepting new patients) Ivor Browne, MD, Dublin, Ireland Pat Bracken, MD, Bantry, Co. Cork, Ireland UNITED KINGDOM Robert Lefever, MA, MD, B Chir., South Kensington, London (addiction focus) Bob Johnson, MD, London (not accepting patients) Sami Timimi, MD, Lincolnshire Peter Haddad, MD, Greater Manchester Duncan Double, MD, Suffolk and Norwich David Healy, MD, North Wales Nagore Benito, MD, London AUSTRALIA Rob Purssey, MD, Brisbane, Queensland, Australia (will Skype in Brisbane) Yolande Lucire, MD, New South Wales, Australia NEW ZEALAND Tony Coates, MD, Auckland FINLAND Jeremy Wallace, MD, Vantaa, Finland Hasse Karlsson, MD,Turku, Finland DENMARK Lisbeth Kortegaard, MD, Hoejbjerg, Denmark NETHERLANDS See the 22 psychiatrists listed at the end of http://survivingantidepressants.org/index.php?/topic/5195-tapering-strips-to-be-produced-for-paroxetine-and-venlafaxine/?p=66738 INPATIENT (RESIDENTIAL) FACILITIES CooperRiis Center, North Carolina Pajaro Valley Sunrise Center, Watsonville, CA (in fundraising stage) PSYCHOTHERAPY John Breeding, PhD, Austin, TX Mary Jean Paris, PhD, San Francisco, CA Barbara Croner, MFT, San Francisco, CA Jon Keyes, LPC, NCC, Portland, OR (will refer to Amenda Clinic for tapering, prescribing, nutrition etc.) Will Hall, PhD, Portland, OR Eric Buck, Holistic Therapy Onlilne, Sacramento and Davis, CA National Empowerment Center (Dr. Daniel B. Fisher's organization) guide to consumer-run organizations http://www.power2u.org/consumerrun-statewide.html Aku Kopakkala, psychologist, Finland If you consult any of these providers, please let us know your experience.
  2. So this whole disaster started when I was in high school. I had been recently diagnosed with ADD, and was prescribed Retalin (a form of Adderall [for you Americans], and a sh*tty one at that). Before long I started having tachycardia, lack of appetite , I was jumpy and irritated and and was not fun at all. Now, the same neurologist, (as I believe he was) who prescribed me the drug, didn't not prepare me for all of this; the bastard didn't even scheduled a follow-up appointment or something, and didn't inform that there are other drugs at this family of drugs and if I develop any of the symptoms above to an unbearable extent I should just stop and switch to another drug. But as behooves an unprofessional and cynical bastard, he didn't bother. And so, in the midst of a Math test, junior high, I had my first panic attack🤙🤙 I, of course didn't have clue of what happened to me, I seriously thought I was going to faint and thought it was just a one time thing. But of course, life had more devious plans for me than that--next test I had another one. My mother, who suffers as well, understood what was unfolding immediately, but was reluctant to say and diagnose in fear of scaring me or just misdiagnosing. I decided to to get off Retalin, (I have been taking it for almost a month), but what a surprised--the panic attacks persisted. Not only that it persisted, it expanded--it now harried me in class and other places. Then, I was told, diagnosed and referred to specialist. I started CBT with an amazing young therapist and prescribed Citolpram with the starting safe-net of some Benzos. It worked wonders! But I was now another person, much more confident, too much confident to the point of insolent and aloof even. Nothing could distress me. Panic attacks were rare, and when they visited I have managed to reduce and level them out. I finished high school, and decided to fly to Berlin before my induction to the army, (a mandatory 3 years of service in Israel). And then, it's when I remember (it may have started before), that I started sleeping 3 hours a day every early afternoon. Plus waking up was a real pain in the ass. But nontheless, I thought it was normal, that I could stop sleeping everytime I command myself to it, and that everybody's morning looked like that. It took me 2 and a half years to realize that maybe I was wrong. Now the real whirlpool of disasters began. My psychiatrist, a new one, my second one, suggested that I try Milnacipran, I don't remember her thinking about it too much, her decision was very arbitrary. No gradual weaning off the Citolpram, just "take straight away after the old one". I was beset with hellish migraines! I then tried Prozac, Cypralex and fluvoxil, every one for 3 months or so. They all were the same as the other--the fatigue persisted, and they didn't cover the anxiety to a satisfying extent. The fatigue was worsening and I decided that first time in 5 years to wean off them. I stopped Flufoxil CT, of course I didn't know what it mean "Cold Turkey" at that time, because the new Psychiatrist I was seeing didn't believe it exists. The fatigue did go away, which was reassuring, but I was mentally unstable, and suffered from debilitating acute anxiety at night before sleep. This lasted for months without end. One profound anxiety attack of a different order of magnitude made me go back to a different psychiatrist. He prescribed me with Cymbalta. Now, ladies and gentlemen, the real orchestra of diabolic dissonance is about to play! This pill, I kid you not, upon the first day of taking it has killed my libido flat! Sugar was too much to bare and life was a big numb. After two weeks it got worse, I started having crippling migraines that last for 3 hours each and made me puke my soul on each one's end. On my 22th birthday, we went to the local lake, and I suffered such a extensive migraine that I remembered the thought that I wanted to be put to sleep, comatose, for at least a year. I was seriously considering it. I came off it as well, also with no gradual tapering off, and waited until I felt clean. Although I didn't, and it was worse than the cleanse. My mental state deteriorated and I was put on Brintellix, and was promised it was a new ground breaking drug that will solve all of my problems! Even take care of my ADD. I ended taking it for 4 months or so, upping the dosage this time, thinking maybe that some of the symptoms are from the previous pill, and they will pass either way. It ruined my stomach, and made acidic as hell. They didn't. This time, I was determined to cleanse off gradually as I have seen in some forums like this. I have started reading more on the internet and trusting less the institutionalized system of Pharmacology. I am now 4 months after my last pill of Brintellix, and there is no light in the end of the tunnel. I am experiencing a plethora of symptoms that doesn't seem to go away or even abate: my stomach acidic, my brain is foggy, I suffer from light migraines through out the day. I can't concentrate, and I have horrible fatigue attacks that can't be beaten by any amount of caffeine. I am not sharp as I used to be, I suffer from panic attacks and back pain. AND IT ALL GOES AWAY ONLY BY TAKING Lorazepam, but that makes a bit disoriented and tired as well. But only on benzos , my symptoms seriously abate and I am free to live. What should I do? I CAN'T WAIT YEARS ON END LIKE THIS, I need to earn a living and continue my life which has been on hold for 5 months or so. Should I come back on the pills? will it make the symptoms go away? I don't trust any pharmacological solution to get me out of the mud. I have lost hope, and I want to get my life on track. what should I do?
  3. I have successfully stopped using SSRI's (Celexa 40mg daily) and Benzo's (Xanax/Klonopin 3-4mg daily) for three years now after using them for 16 years. I tapered down from the Benzo’s first over a period of four months and then tapered down from the SSRI’s over the next four months. Of the nine subsequent withdrawal symptoms, I experienced since stopping both medications, three years later I am down to three symptoms that are lingering. Specifically: Sleep problems (waking up every 1-2 hours – inconsistent patterns) Elevated blood pressure (high-norm 140’s over 80’s) Ringing in the ears My PCP recommended I see a neurologist and he advised that the lingering symptoms are a result of the damage caused by the SSRI's and in time they will go away. Does anyone know when these lingering symptoms will leave and is there any recommended treatment I can utilize until they are gone? Thanks in advance for any suggestions.
  4. Topic title: Lingering Symptoms I have successfully stopped using SSRI's (Celexa 40mg daily) and Benzo's (Xanax/Klonopin 3-4mg daily) for three years now after using them for 16 years. Of the nine withdrawal symptoms I experienced, I am down to three symptoms that are lingering. Specifically, terrible sleep problems, elevated blood pressure and ringing in the ears. My PCP recommended I see a neurologist and he advised that the lingering symptoms are a result of the damage caused by the SSRI's and in time they will go away. Does anyone know when these lingering symptoms will leave and is there any recommended treatment I can utilize until they are gone? Thanks in advance for any suggestions.
  5. https://www.facebook.com/innercompassinitiative/?hc_ref=ARRdIIjHYzgACJg-XE4ALjq7mDuGx2nKOqs1uEG3SG5KNfs-cTophiNVJCkdIAwSLro
  6. Hi, I've been on Lexapro for a year. My highest dose was 5 mgs. Since Aug. 4th I tapered to 1,25 mg daily. I am feeling terrible. A complete lack of motivation. Unable to get out of bed, wash myself. Stopped working a year and a half ago, am on disability benefit. Lots of anxiety, compulsions and obsessions (hand-washing), terrible insomnia. The additional problem is I'm taking Valium and Ambien. For sleep also Seroquel, a tiny amount (a quarter of 25 mg). Also anti-acne (BC) medication Diane-35. Used to be on Lexapro 10-15 mg in years 2007-2011, switched to Effexor for two years 2012-2013. This caused me terrible acne and post-acne scarring, then to Wellbutrin for 1 month (hot flashes, gaining weight). Then to Prozac for a year. Could normally function, work, but developped severe anxiety, which finally led me to benzos. Zoloft acts on me similarly to Prozac. Severe anxiety. Overall, I've been taking antidepressants for 15 years. What should I do about Lexapro? Reinstate? Quit completely? Feel like killing myself. Hugs, Melanie
  7. 75% of med students are on antidepressants or stimulants (or both) Posted on September 4, 2017 by Pamela Wible MD http://www.idealmedicalcare.org/75-med-students-antidepressants-stimulants/ "I’ve been on an antidepressant since being premed—18 years now. Little did I know it would be impossible to wean myself off and that my entire class was using Adderall.” I haven't posted an article in years. Please edit as needed.
  8. DaleGarrison

    Dale's fight for normalcy

    Hey guys, I'm Dale . I'm really glad to be apart of this community . Here's my brief drug history : -In the summer of 2013 I experienced the beginning of a near death experience that produced years of anxiety and insomnia . My GP Rx'ed me xanax 1mg, klonopin 2mg, and restoril 30mg to be taken as needed . -In January 2014, I saw a psychiatrist who Rx'ed me 40mgs of Latuda, 75mg of lyrica , 900 mg of trileptal , and 10mg of lexapro to take every day . By the end of summer of 2014 , due to side effects, I ended up on just 10mg of zyprexa everyday until the fall of 2014 where my dose varied from 1.25 to 5mgs . -Life went on (crappily) . I was placed back on 5mg of lexapro in the fall of 2015. Eventually dose of zyprexa was increased to back up 5mg to 10mgs by the early winter . The lexapro was dropped again in january of 2016 and the zyrepxa stayed until February of 2016 . -Benzos were reinstated for a month from feb. 2016 to march 1st to manage everyday insomnia and anxiety . After side effects and low quality of life, I decided along with my psychiatrists permission to stop all meds march 1st 2016 . Haven't touched anything since . I came on this website because despite nearly being 3 months free from Zyprexa, I am still experiencing withdrawal effects such as hypervigilance and not sleeping more than 4 hours a damn night despite good sleep hygiene . While I can "handle" the anxiety, the lack of sleep is driving me to a dire breaking point . I used to be a fitness enthusiast benching 315 for reps , deadlifting 500 for reps, and squatting 405 for reps . Now I look anemic and am weak compared to when I was healthier because my muscles don't recover from in between workouts due to the goddamn insomnia . Because I'm less muscular (I've lost 35+lbs of muscle) and weaker (by 100's of lbs for each lift) due to the withdrawal driven insomnia , my body image linked self esteem has taken a big hit . (I know it's not healthy but I'm just being honest here) In addition academically, I've really been slammed as well . The insomnia keeps me from attending school full time and thus has significantly delayed my graduation and my dreams of becoming a psychiatric nurse practitioner . The low energy keeps me from working more than 10 hours a week as well, and from dating and making much needed friends . My withdrawal related insomnia has really put my life on hold . I simply cannot keep living on 4 hours of sleep a night when I regularly need 8-10 to function plus a 1/2 hour to 2hr nap on those lazy cuddly days . I JUST WANT MY G*****N LIFE BACK .
  9. Please help me. I have experienced much akathisia and distonias, I am still taking benzos and SSRI's but extremely depressed/ suicidal. No appetite. Confusion. Headaches. Lost hope. Don't know who to trust. Brain feels very sick.
  10. Currently taking 40 mg Prozac (fluoxetine), approx 1.5 mg Ativan, and 600 mg Gabapentin for nerve pain. The gabapentin is new (2-3 mos) after a year of awful nerve pain in feet. I am convinced it is related to 12+ years of Klonopin/Ativan (either intra-dose withdrawal or just exhausted receptors, because it would subside with extra Ativan). Basically always low and tired, with intermittent awful anxiety and despair. Can will myself to do things but get exhausted. Foot pain flares up occasionally. Need Ativan to sleep and have weird spacey dreamy sleep. Also being treated for adrenal exhaustion: basically, no cortisol at all. Low serotonin, GABA, dopamine, very high epinephrine. ---------------------------------------------------------------------------- I was first prescribed Klonopin in 2001 for anxiety and IBS symptoms, which were causing me to lose weight. I also needed it for sleep in unfamiliar or stressful situations. I didn't take it regularly until around 2004 (0.5 mg and never increased), and twice switched to Ativan, back and forth. I disliked the nightmares I often got from Klonopin, but found the same issue with Ativan. I was diagnosed with major depression in 2011, and given different AD's like Pristiq, Abilify, Wellbutrin, and Prozac. The Prozac is the one I tolerated best so I have stayed on it except for about a year in 2015 when I tapered off it because I didn't feel any better. Wanted to use acupuncture and diet for mood swings. But I felt worse without it and was weepy and overwhelmed. Back on Prozac in 2016, doc went straight to 40 mg. She wanted to try other things for sleep but I didn't want to add something new when I knew I couldn't stop Ativan. Foot nerve pain finally diagnosed and treated with gabapentin, no one mentioned that this is even more GABA receptor confusion. I'm exhausted and don't know how to make changes without major symptoms and crises.
  11. Disposition

    Disposition

    HI all, I am new here! I am Dan My signature sais it all but basically I am here for support to taper remeron. I have only been on it for about 3 weeks to help with insonia from benzo withdrawl. I seriosuly thinking it is making things worse with my head so I want to taper to half of 7.5. As of now I am on around 7.0. I have a sesitive scale so I could use your advice. I will also read the forum here for info. Thanks for having me! Dan-
  12. Hi All, I'm in dire straits. Trying so hard to wean off of klonopin. Was at a high of 2 mgs for a month or so, after starting down this horrible road back in November of 2013 ("1 mg - as needed"). This eventually turned into 1-1.5 mgs "as needed" which was just about every day. Currently stuck at 1.25 mgs with too many physical and mental symptoms to list. My first sign of tolerance - slight ringing in the ears - began in January 2015. The docs told me it was just stress. Had a complete breakdown in late May 2015 and was bumped up to 2 mgs of klonopin and also 25-then-50 mgs of zoloft. That's when the insomnia kicked in. Gradually weaned off the zoloft by mid-August, while also dropping back down to 1.5 mgs klonopin. Within a couple weeks I was down to 1.25 klonopin. Then back up to 1.35 for 6 weeks (symptoms got a little better), and now stuck at 1.25 for the past month and suffering miserably. Somehow still working, but barely, and only because I have a family to support. In summary: due to the improvement is sleep once Zoloft was removed, I likely tapered the klonopin too aggressively in the beginning. As mentioned above, I've been holding at 1.25 for a month now. Never really stable throughout the entire process. Working with a compounding pharmacy to provide 3 equal doses per day. Not sure what to do, other than hold at this dose, pray for some stability, and then start reducing *very* gradually. Others have mentioned a crossover to valium (Ashton method), thinking that perhaps klonopin is just too difficult for my body and brain to heal from. Stuck and miserable and afraid.
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