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  1. Citalopram (Jan 2020 - June 2021) [1.5 years] : Started Citalopram in January 2020 for sleep problems caused by anxiety. Worked well for me until early 2021. Stopped therapy (as it wasn't working), my anxiety and insomnia got worse. Didn't think Citalopram was doing enough for me anymore. In June 2021 started tapering off it, starting from 40mg, until I reached one 20mg tablet every other day in September 2021. Withdrawing Citalopram (June 2021 - Sept 2021) [3 months]: Experienced worsened anxiety, insomnia and anger during withdrawal. MOST importantly, a previous minor phobia became a MAJOR OCD obsession of mine, and has completely overtaken my life since. Think about it all the time. This obsession is, and has been, my main issue for the past 6 months. Sertraline (October 2021 - December 2021) [2 months]: GP directly switched me from Citalopram to Sertraline 50mg, at my request. Didn't wanna go back on Citalopram for fear it wouldn't be enough. Had heard good things about Sertraline. Ended up being a nightmare. In 7 weeks on 50mg, all I got was dizziness, numbness, brain fog, chest pain, and a panic attack. Though it did elevate my mood, did nothing for my anxiety, and I couldn't tolerate it anymore. Withdrawing Sertraline (December 2021) [1 month]: Came off Sertraline slowly over space of 4 weeks quite successfully. Mirtazapine (Dec 2021 - Feb 2022) [6 weeks]: Psychiatrist in December prescribed Mirtazapine 15mg nightly. Started off ok, noticed increase in my mood. Couldn't tolerate going up to 30mg - same symptoms as Sertraline mentioned above. After 6 weeks on 15mg, I suddenly deteriorated, became suicidal, dark thoughts. The major obsession I mentioned before also got WORSE. Withdrawing Mirtazapine, Re-Instating Citalopram [2 weeks]: Psychiatrist initially instructed Cold Turkey from Mirtazapine 15mg and start on Citalopram 10mg. Couldn't take the Mirtazapine withdrawal anymore so changed to slower withdrawal, 15mg every other day. Initially, over the space of 1 week, my obsession/ obsessive thoughts got better. But after a few days they got worse again. Not sure if this was the doing of Mirtazapine withdrawal, or the Re-Instating of Citalopram. My current problem is this major OCD obsession, which was a minor phobia and I hardly thought about it before coming off Citalopram. Since coming off Citalopram, and especially after Mirtazapine, it's gotten 10x worse and has taken over my life. Told my psychiatrist my obsessions got out of control, he said to re-instate 15mg Mirtazapine daily and we'll come off again but more slowly. Said stay on Citalopram for now. But I mentioned that in the week after withdrawing more slowly off Mirtazapine, the obsession got better. Then after another few days it got worse again. In that time I was also starting Citalopram, and had been on it for a week. I don't know which one is causing it? More generally, psych thinks re-instating Citalopram is the end goal, thinks it will re-stabilise me. But I came off it 5 months ago, isn't it too late for re-instatement? Other people (Redditors from Mental Health sub) have suggested Escitalopram.
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