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Hi folks, Need advise as I fear my situation is not improving and years after first coming off Mirtazapine, I feel like I'm being pushed back on to try another drug to try and stabilise me. I've just started to taking citalopram at 2mg. Symptoms are.as worse as ever. Was on Mirtazapine at 40mg for a year came off very quickly with doctors advise. Whoke set of new symptoms arrived from my original illness plus I was developing a phobia of people while on thr drug. This persists today. Was off Mirtazapine for 6mths went back on and back up to 40mg. Symptoms just seemed to get worse and my energy levels were being depleted very quickly, felt like i was dragging my body around. Came back off very quickly again after 3 years- still no idea about withdrawals at this stage. I've been basically bed bound since 2017. Tried Duloxetine for a year. My mood improved but my sensitivities grew and I was still bed bound. Came off Duloxetine about a year ago. Had been bed bound since then with a diagnosis of ME. Was starting to see little bits of improvements (mould was an issue in our previous house) since we moved house in May but my nervous system was still extremely sensitive. My wife is at her wits end and we talked about trying Citalopram to see if that will stabilise me. I an fearful of losing my family through this as they don't believe in withdrawals and believe a lot of this is to with my past history. I know in my heart of hearts its to with the drugs. Anyone offer any advice what I shoukd do here? I'm about 5 days in to taking Citalopram at 2mg. I'm fulk of dread at the minute.
Josephine posted a topic in Introductions and updatesI am new to this forum and wondering if anyone else has experienced prolonged withdrawal symptoms. I was put on 20mg Fluoxetine (Prozac) back in 1997 or so. I was prescribed this medication because I had trouble sleeping. This was at a time of increased stress when my young daughter was going through chemotherapy. I did not want this medication but was told that I needed to be treated for the stress. I would be monitored by lab testing to prove I was taking the drug , or lose medical insurance benefits. After taking one dose, I felt awful. I became jittery and started to feel anxious. My GP told me that this drug had absolutely NO side effects and that what I was experiencing was, in fact, my reaction to being under stress. He told me to take it at night to help me sleep. I felt like I was going out of my mind. I was so worked up that I asked to go to the emergency department. They gave me IV fluids. I said this drug is killing me. No one believed me. I made several more trips to the ER department with worsening side effects.I was treated for dehydration and sent home. I saw a psychiatrist at the Toronto Sick Children's Hospital where my daughter was being treated for Leukaemia. The psychiatrist emphatically told me and showed me his computer screen that fluoxetine had NO side effects. He said that the problem was entirely mine. I now weighed less than 90 pounds and was a shaking nervous wreak. I spoke to a pharmacist and explained my symptoms. He told me to get off the drug, but also cautioned me that he could lose his job for telling me that. He said it was terrible stuff and to get off of it. He also told me that it would be a horrible experience. I only took 11 pills…. That’s it! My life was changed forever! After the last dose that I took, I broke out in a high sweat, vomiting, and screaming to keep my mind. Thankfully, I was with a friend who drove me to the hospital. By the time he got me there, I was unconscious. I had full on serotonin syndrome. I have no idea what happened after that, but I woke up in intensive care. I was in one hospital and my daughter in another one. I quit that drug immediately and assumed that my problems would be over. Not so! My body was under siege for another several months during which time I had to figure out which foods would raise serotonin naturally and removed them from my diet. It got so that I was afraid to eat at all. This also contributed to my weight loss. I went down to about 80 pounds. I was a walking skeleton. At the same time, this single mum was trying to keep it together for my daughter who was fighting for her life. This drug robbed me of everything at a very crucial time. I thought that the fluoxetine would be out of my system soon and the nightmare would be over. Not so! Things got even worse. I remember praying through the bouts of suicidal thoughts, night terrors, panic attacks out of nowhere, tremors, speech difficulties, ataxia, insomnia, nausea ,headaches and tremendous pain and now being afraid to eat. Next came a new set of challenges... any drug that I was prescribed after the fluoxetine no matter what for, put me out of my mind and the same symptoms returned: akathesia, tremors, panic attacks,muscle jerking, feverish ,sweating...all heading towards milder serotonin syndrome. Now I couldn’t have any pain meds, antibiotics, vitamins, tylenol, or any freezing at the dentist.This was more than a nightmare! I got pneumonia several times and couldn't take any medication for it. I became ultra sensitive to hand creams, lotions, air fresheners, laundry detergent and perfumes. My eyesight deteriorated, my body ached with pain, my breathing was affected, my heart raced, I had uncontrollable tremors, my muscles ached, my head hurt,brain had electrical zaps and shocks, uncontrollable sweating, and now I was gaining weight. Remember the 80 pounds? My weight doubled! On a 5 ft frame, that is brutal! What I didn't realize was that I was still reacting to medications that interacted with fluoxetine or medications that raised serotonin. It took me years to figure this out. No one in the medical profession had any time to listen. No one cared. If this wasn't enough, as time went on, my body broke down even further. The ataxia became more evident and didn't resolve with rest. It became impossible to control my tongue and facial muscles and my body twisted out of shape. My legs were restless and I lost my ability to walk and talk properly. I became really weak. After another long battle with medical people, I was finally diagnosed with generalized dystonia and offered a wheelchair. On top of that, I was diagnosed with cluster headaches. The headaches were so bad that I resorted to packing my head in ice. I got a prescription for oxygen to help with that. At this point, I had no choice but to quit my job. I was in bed nearly 80% of the time because I just couldn't function either with the pain or because I couldn't get my body to move. All of the tests that I had done revealed absolutely nothing. A botched spinal tap left me with a cerebral spinal leak for nearly four months. This also left me partially deaf and with a loss of range of vision. After all of that, it revealed nothing! Every doctor I saw, I told the same story... that all of this happened after I took the fluoxetine. They all said that it was impossible. I was subjected to countless lab tests , MRI's, CT scans, sent to specialists, specialty clinics, neurologists, spinal taps... nothing showed. My symptoms were dismissed. I started a really wholesome diet and tried on my own to keep my body working with massage therapy, chiropractic and physio. I had to fight for the right to do that. I needed a doctor slip and they refused to “entertain my game”. I went without sick leave, because the doctor refused to sign my paperwork. Said that after I went bankrupt, I would go back to work and give up the wheelchair act! I lived on Visa for another year…. And took in boarders. I spent the rest of my time devoted to research; SSRI’s, the brain, and anything I could find on SSRI side effects.Very little could be found. I researched everything down to the molecular level including pharmacogenetics, pharmacokinetics, biochemistry, you name it! No one knew anything about this! No papers published on it. I knew that there were more people who had been through what I had been through. Maybe all of the people who had serotonin syndrome died? Or committed suicide? Surely, this wasn’t my punishment for surviving this hell on earth. I paid for a pharmacogenetic DNA test in the USA just to prove that there was such a thing as drug sensitivity here in Canada. I also wanted to know how my body metabolized drugs, namely fluoxetine.When the same testing became available in Canada, I paid for a second DNA test for pharmacogenetics. This was done in 2019. I now had some kind of tangible proof of drug sensitivity. So far this is my only hope to prove that something is wrong with my system. I got a medic alert bracelet to caution prescribing drugs in the unfortunate event that I may be unconscious and not able to advocate for myself.I want to stay alive. Let’s realize the timeline. It is now 2021 and this has been my journey. It has been 24 years since my hell began. After a lot of hard work, and some recovery, I have been able to get out of the wheelchair in 2019. The dystonia and tardive dyskinesia are less pronounced and the headaches have lessened. I still experience brain zaps. I am still not able to take any medication. I was sent for a CT scan in 2019 and reacted to the dye. I had a scope done in early 2020 and reacted violently to the lidocaine. I had tremors and serotonin syndrome like effects lasting more than 7 days. Last month, I had to take ventolin for a breathing test which also made me sick. I told the technician over and over that I could not take that drug. He needed to see for himself. Again, I get to be the guinea pig to prove how awful this is. My heart pounded and raced so bad that I thought I was going to have a heart attack. My chest nearly exploded with pain that was shooting down my arm and up into my jaw. It made my breathing erratic and I was in obvious distress. I know that this greatly alarmed the technician, but the ignored this and send me home. Just get rid of the patient!All of the old familiar symptoms returned and lasted for another 7 days or so. I am so disheartened! Thinking enough time had passed, I tried some alternative therapy last January. This therapy was to work on electrical impulses in the body and meant to help with the pain. It did help with pain but it also riled up the same old symptoms. Here I am again suffering the same side effects as if I were on fluoxetine. So far, two months of side effects that just showed up out of nowhere. Heart racing, akathesia, tremors, watching my food again, anxiety, and insomnia. Pure hell.. Does this ever end? The last 24 years have been the worst years of my life. Can anyone shed some light? I am looking for some kind of documentation or published paper that long term side effects do exist. I want to put it in with my medical records. I also want to find a way to get better, naturally. May God’s grace find the way for me and many others.
Hello, I took Sertraline 50mg generic in September 2019 due to mild but regular panic attacks. After 6 days I had to stop taking them due to adverse reaction ( hallucinating, breathlessness, teeth grinding, vertigo etc) i had taken Sertraline in 2018 for around 6 month with no problem but this time around the side effects were too severe. I felt unwell for around 2 weeks after discontinuating and then returned to work. During this time i noticed that my arms became really weak. In mid October 2019 i started to feel very unwell. I couldn't describe exactly what it was but it was unsettling. A few days later i was taken to hospital by ambulance due to a rapid heart beat, the paramedic said it was tachyardia and that i needed to be checked out at the hospital. No reason was found and i was discharged. Over the next few days i was in and out of hospital and told it was the start of shingles or flu (neither of which happened). My forearm muscles were spasming and very painful I developed severe vertigo and when in bed felt like i was free falling and would violently jolt. I went to see my gp who said it was depression which i argued it was not. I also had an episode in my local supermarket where i felt asif i was off my head on drugs- i was very excited and couldn't stop gurning like i was on a high (I've never touched drugs so can only imagine this is what a high felt like) after that i was on a complete low and had to go to sleep. My doctors were baffled but i was convinced it was something to do with the sertraline. I developed an intolerance to caffeine and peanut butter something i have been fine with prior to taking the sertaline. My fatigue and muscle cramps, brain fog, dizziness and inner restlesness continued and after just about making it through christmas my hubby took me back to the gp who diagnosed me with fibromyalgia and gave me a prescription for duloxetine 30mg and referred me to a pain specialist. I had to stop duloxetine after 4 days due to severe back pain and eyelid swelling. I went to see the pain specialist who disagreed with the gp and did not think i have fibro and agreed that i had an adverse reaction and discontinuation to the sertraline. I am still struggling now but no gp believes me, i constantly feel like i am coming down with the flu. I ache from head to toe and sometimes feel like my brain is mushy. I struggle to go to work although i make myself, i now hate going out to the shops etc i cannot handle being around people. I am only 26 and have 2 young children-this has been the worst experience of my life- although the physical symptoms are not as bad the mental ones are extremely hard and it is taking its toll on my life. I have started fish oil so i am hoping that helps. I feel like i am trapped in a 90 year old body. Does anyone have any advice or suggestions that could help? The worst bit looking back is that i could manage my panic attacks i wish i had never visited the gp. I feel like my nervous system and brain are in a meltdown and i cannot seem to help them. I also get feeling of a trickle of water in my head this has only started when stopping the duloxetine. Thanks for listening ♡
Interesting article written by Deborah Orr on her first introduction to Citalopram. She appears to have a possible adverse reaction to her initial dose of Citalopram. Refuted by many in the comments box who have had positive experiences with ssri's and who have really bought into the pervasive pharma position . Of interest, is the ensuing dialogue it prompts, in a discussion in the comments, by a poster claiming to be a doctor, calling himself "scubadoc'. Scubadoc is interesting, he seems to oscillate his position. I got as far as his comments in relation to 'SubjectiveSubject's experience of withdrawal, in which he appears discounts and questions the validity of the poster's experience based on his mental health. This appears at the end of some of the comments I've cut and pasted. These are edited from the comment boards, so reading them gives you more context. Still, I find it fascinating to observe the way it plays out as a sort of mirroring of what many experience playing out in their own visits to GPs and psychiatrists. ARTICLE https://www.theguardian.com/commentisfree/2017/jul/08/antidepressant-effects-psychotherapy-mental-health-crisis-nhs COMMENTS FROM THE ARTICLE scubadoc BraceYourself 8 Jul 2017 10:28 8081 It's all a bit strange: I, for instance, prescribe some antidepressants as pain-killers and actually talk to my patients about them. We have written a leaflet that adds to the package insert. We see quote a lot of PTSD, and anxiety is a common feature. Dissociation is a feature of the illness, rather than of the medication, but one well-known feature of treatment is a temporary increase in some features of the illness. There is the risk of suicide, particularly in young people, for instance. It's important and it's brave to discuss mental health, but it's also important to get the medicine right, or it risks degenerating into simple scare-mongering... streetphotobeing 8 Jul 2017 9:28 89 Listen to this Deborah Orr : https://www.youtube.com/watch?v=NrMPr78UpQI Then study prolonged QT interval re Citalopram, you will notice it's dose dependent, well there is no such thing as dose dependent in the context that we all have different Cytochrome P450 liver enzyme systems. You will only ascertain what the phenotype of your liver enzyme system is if you have a pharmacogenetics tes,t good luck with finding one in the UK. Also if you happen to consume one of the common food stuffs/herbs/spices that block/inhibit CYP450, you can expect to go into Akathisia, trust me, you WILL know the meaning of hell if that happens to you. Share Facebook Twitter Report PolleeD streetphotobeing 8 Jul 2017 9:46 1213 I had a cardiac reaction (short pauses, bradycardia) when I stopped taking Escitalopram (same drug essentially). I was withdrawn far too quickly (over 2 weeks after 4 yrs use). The withdrawal upset my autonomic nervous system which controls heartbeat. I ended up with a pacemaker as my ANS/ pulse would not settle back into a normal rhythm. Since then it's been determined that my sinus node doesn't work properly any more. Was this long term use of the drug at a dose of 10mg or a withdrawal reaction which was treated with a pacemaker and misunderstood? More research is needed into the cardiac effects of these drugs. Share Facebook Twitter Report streetphotobeing PolleeD 8 Jul 2017 10:24 01 Did you make a serious compliant or sue ? Share Facebook Twitter Report scubadoc streetphotobeing 8 Jul 2017 11:08 1819 Listen to this, streetphotobeing: a little knowledge is a dangerous thing, particularly if you don't understand it. Yes, cytochrome expression is polymorphic. Yes, drug metabolism is affected by the cytochromes that you happen to have. Yes, a small number of people are more sensitive to adverse effects. The answer? Stop the pill that's the problem! Simples... ... yes, I do warn my patients about problems and, yes, I do start medicines at low doses. doses. Share Facebook Twitter Report Loading… scubadoc PolleeD 8 Jul 2017 11:10 78 The drug triggered the problem, but the problem was your heart: otherwise, the abnormal rhythm would not have persisted. Share Facebook Twitter Report scubadoc streetphotobeing 8 Jul 2017 11:14 67 I'd ask an expert, streetphotobeing, before engaging in litigation. Yes, we recommend reducing the dose of SSRIs over two months after long-term use, but the likelihood of a pre-existing heart problem would be like catnip to a lawyer... Share Facebook Twitter Report streetphotobeing scubadoc 8 Jul 2017 12:20 45 ah yes, I remember you, the doctor who didn't know that akathisia is not just a movement disorder. vivify 8 Jul 2017 9:29 3536 I think there will be many many comments here with similar poor experiences. I am British but live in Austria. The reality is that most countries' mental health systems are in the same poor shape. After suffering from a few years of crippling depression that had become dangerously total I just walked in, totally broken, to the first point of help, a GP. Five minutes later I had walked out with a prescription. The sertraline gave me panic attacks and mania, feelings I had never experienced. The trazadone gave me crippling anxiety and left me with permanent cognitive loss that I'm still dealing with two years later. These drugs are so hit and miss, so random, yet are handed out without any thoughts, warnings, considerations. For some they may save lives, for for others they wreck them, or finish off an already destroyed one. That the first line of defence is not psychotherapy but medication speaks volumes of a part of the health service that needs massive funding increases to move forwards, to re-assess completely how things are done and abandon this insane model we have, and that no politician or the electorate has really cared about mental health provision, ever. Although, maybe, slowly that is changing now. Too slowly. Share Facebook Twitter Report scubadoc vivify 8 Jul 2017 11:18 3839 If you have severe depression, biological treatment works faster than talking therapies. A proper health service would offer both... ... but we don't treat mental health like a "real" illness antineoliberal 8 Jul 2017 9:34 45 Awful drugs till your system accepts them , get off them isn't pleasant either . And as for Tramodol , that drug is highly addictive and prescribed like they are handing out sweets . Lot more could be done with some of these prescribed drugs , awful side affects . Share Facebook Twitter Report scubadoc antineoliberal 8 Jul 2017 11:22 1617 Tramadol is moderately addictive, often unpleasant, and over-prescribed. It is also, sometimes, the difference between despairing disability and a normal life. Medicine is like that: tricky... mediaboy Pandamonium1 8 Jul 2017 9:48 3536 Another misinformed post. Leave it out if you know bugger all. You may as well be saying peanuts are harmless. I'm not saying people are allergic to SSRIs but messing with Serotonin has profound effects on some people or we wouldn't be reading this article. Have some common sense. If you take a pill that alters your SSRI balance, it begins straight away however small. If someone is at a tipping point it doesn't take much to have a dramatic effect on your state of mind. I know from experience, so don't spread false information. I know from experience, so don't spread false information. Share Facebook Twitter Report Pandamonium1 mediaboy 8 Jul 2017 9:54 1920 I also know from experience of being on it for 2 years so don't spout rubbish. Share Facebook Twitter Report mediaboy Pandamonium1 8 Jul 2017 10:02 3233 Ok. But that doesn't mean everyone reacts the same. You find it works and I'm glad. Don't say it can't do things in this article. You may well not have the effects described by the author, or by other posters, but everyone is different. Don't discount other peoples' experiences just because they don't reflect your own. Share Facebook Twitter Report scubadoc mediaboy 8 Jul 2017 11:23 1011 Another misinformed post... ... ad nauseam. Share Facebook Twitter Report scubadoc ID0570124 8 Jul 2017 11:25 1112 mediaboy implies the drugs are bad. It's not true: the drugs are bad for some people. That's a very different thing... ... as reflected in the comments. PlanetGeli 8 Jul 2017 9:40 12 One mistake you're making is assuming a GP will even know, in any useful way, about the effects a drug will have (have they taken it themselves? of course not, so how could they really know). Another mistake is thinking the GP thinks you are worth consulting about any of this. They often simply play God with our lives. (disclaimer; some GPs are obviously brilliant yada yada, still doesn't mean they aren't affected by the zeitgeist, or even the latest salesman, when prescribing). Different drugs do different things to different people but I've heard many a nightmare from Citalopram. And if you think that's bad wait until your GP decides they'll try you on Mirtazapine. And by the time you're some way down the line you'll think that popping pills is a hell of a lot of it, as opposed to there being "very, very much more to it" as your addiction replaces your mental health as your major nightmare. SSRIs? Just say no. Or even just say know. Don't get me started on Seroxat. Don't get yourself started on any of them. Share Facebook Twitter Report floripakid1 PlanetGeli 8 Jul 2017 10:03 1314 nnn Silly, ignorant comment on many levels. 1. So, don't take any medication that your GP hasn't tried first? 2. GPs often spend as much time as they can on a consultation, but they are limited by the NHS appointment system, plus they are general practioners, not specialists. 3. Many GPS resist the "incentives" to prescribe certain meds (many do not) and genuinely try to give the patient what they think will actually help the patient. 4. "Just say no". Who tf are you to assume you know about others' mental issues and whether mediction would be of benefit? One thing you are obviously not is a doctor! Share Facebook Twitter Report scubadoc PlanetGeli 8 Jul 2017 11:50 1213 Doctors are especially trained never to read anything, never to think and never to talk to patients about their experiences. We don't study pharmacology and physiology and we have never, ever discovered that drugs have side effects. We do not understand, and this we appear to have in common with our patients, that all treatment is a balance between good and bad... ... I never, ever warn my patients. I never, ever start at a low dose. I never, ever, give advice about when to give up on a drug, and how to stop it. Perhaps it is because I'm not a GP? Or I'm a sarcastic SOB? Share Facebook Twitter Report OutOfOptions scubadoc 8 Jul 2017 12:27 1011 I'm feeling excruciatingly irritated by some of the comments here and I'm just a person on SSRIs. I can't imagine how much worse it must be for you!!!!! Share Facebook Twitter Report Show 2 more replies PolleeD 8 Jul 2017 9:40 56 This drug produces feelings of intensified worry/anxiety when it is first taken. I found that on a 10mg dose - the starting dose - I felt much worse initially. Those feelings of numbness and being unable to access your feelings will eventually return because that is what the drug does - it numbs you. It won't help you heal, and all of those feelings you couldn't access in therapy will likely come back when you eventually come off it. Problem is, unless you receive helpful tapering advice - which isn't currently available via the NHS - you will struggle with even stronger emotions when you come off which mimic your original symptoms but which are actually your mind reacting to the withdrawal of the drug. For many people this looks like their original symptoms have worsened and they get put back on the drug again. It is this cycle of what is essentially chemical dependency which keeps people in services and which persuades them that they are either more "mentally ill" than before or destined to suffer long term. The issue of chemical dependency and repeat prescribing needs to be addressed ! Share Facebook Twitter Report FleurBaladine PolleeD 8 Jul 2017 10:11 12 Check the half-life of the drug. Some you can come off quite quickly. Share Facebook Twitter Report scubadoc PolleeD 8 Jul 2017 11:53 56 I suggest looking at SSRIs on "NHS Choices" before saying what the NHS doesn't offer... KEY COMMENTS: ID2411130 amymcm 8 Jul 2017 10:14 45 I have to disagree strongly with this and other statements that one or two tablets of an SSRI can't have that effect. My life was almost completely destroyed by two doses of citalopram 9 years ago. The first dose left me, within hours with intense akasthesia that didn't go away for about two years. The GP said 'side effects were normal' in the early weeks and urged me to continue, so I took another. I then spent the entire night awake in hell begging my husband to never let me take another no matter what. I never took another one, but it took me years to recover. I couldn't sit down to eat or watch TV for a very long time as I was so agitated. It was like prolonged torture and the worst years of my life. It sparked off years of severe anxiety and agoraphobia. The irony was that I wasn't even depressed. I felt really ill with some minor psychiatric manifestations alongside many physical symptoms. Rather than investigate what was actually wrong with me the GP saw late 30,s housewife and thought I needed antidepressants, despite me saying I was not the least bit depressed. The years after the citalopram where the darkest of my life, and o am still now only getting to the bottom of my health issues and understanding what went wrong. It turns out I had Lyme disease with co infections, and we now know I also have a rare disorder- mast cell activation disease- which may have caused the severe reaction. The internet is full of support groups for people who had severe adverse life changing events from this and other antidepressants. Share Facebook Twitter Report scubadoc ID2411130 8 Jul 2017 12:05 78 The internet is also full of people who think that Donald Trump is the Hand of God... ... it doesn't make it true. Antidepressants are both life-saving and horrible. Depression comes in many shapes and sizes: there is evidently a fear of admitting to depression. There is also a real confusion, related to the way in which some symptoms of depression are initially exaggerated by treatment with antidepressants, between the illness and the medication No-one should be afraid of reporting depression; no-one should be afraid if it's diagnosed. Drugs should be respected, but not feared: other treatments should be much more widely a available. Depression without drugs is the horror of Bedlam that we do not want back... may also be deleted. For more detail see our FAQs. DAW188 8 Jul 2017 9:54 1112 I too have been diagnosed with PTSD which in the past has led to periods of prolonged anxiety symptoms (to the point I couldn't even open the curtains in my home for fear of something intangible awful thing befalling me) which in turn caused severe depression. Twice I have been give SSRI's to 'help' by my doctor. Citalopram the first time, Sertaline the second time. All I would say to anyone who is taking these drugs is to be very very careful! I have never normally been suicidal, even at my most ill (just doesn't seem to be in my nature) but two of my paternal uncles and my Father all killed themselves before the age of 40. I was asked about this by both the GP's who prescribed me drugs and they still went ahead with the prescription. By the end of a four week course on Citalopram, I couldn't even get out of bed, which frankly even when I was at my most ill was not like me. So I stopped and recovered and was fine for around 7 years. Then I had a severe relapse and got to the doctor (new GP as old one had left the surgery) again and explained the problems I had had with Citalopram and so was given Sertaline instead. Well by the end of a four week course of that I was suicidal, for the first time in my life. In the end the police turned up as I had been reported as a missing person by my employer and I was very close to being carted off and sectioned. So again I stopped taking the medication. Within days I was no longer wanting to die and had begun to recover just the tiniest part of myself. When I finally got dragged to my GP (by my boss no less as she was so concerned about the state of me) I explained what had happened and also what happened previously with Citalopram and got the response "It can't of been the medication, it must have been a decline in your mental health that would have happened anyway, the SSRI probably stopped it from being worse" which is exactly what every mental health paitent wants to hear 'it's all in your head'. Hasten to say I swapped GP's at the same surgery, when I explained my family history to the new GP she recoiled in horror at what the previous GP's had put me on. She explained that for anywhere between 1-10 and 1-100 patients (apparently research is still undecided as to exactly what the number is) SSRI have almost a polar opposite effect to the one they are designed to have, leading to increased symptoms of anxiousness, depression and suicidal thought. One of the warning signs is a strong family history of suicide. I've learnt over the years how to manage my condition. Talking therapy, a good well rounded diet and exercise, meditation and being as open and honest with the people I trust about what is really going on inside my head. They've learnt the warning signs and so have I and it means now if I start to fall off a cliff, I or someone else can grab my hand and intervene to save me. I'm not saying medication doesn't work, it does, some people find it helps them in no end of ways to get that boost to overcome the obstacles that mental illness lay in their path. But I would recommend have a proper in-depth discussion with your GP before taking them (some GP's seem very quick to go 'let me write you a prescription' the moment you explain your symptoms). Also make sure someone you trust and who knows you well is aware of what you are taking and checks on you regularly (daily at least I would say) to make sure they don't see you declining. Often a friend, family member or colleague can pick up something isn't working before you can. Share Facebook Twitter Report BraceYourself DAW188 8 Jul 2017 10:05 78 I'm sorry but it can't have been the medication. Citalopram is not known anywhere to create issues like you had. I suggest other things were at play Thanks - take good care of old sport - a fellow traveller!!? Share Facebook Twitter Report DAW188 BraceYourself 8 Jul 2017 10:26 56 Citalopram actually now carries warning labels about its possible risk of increasing suicide rates (as do other SSRI's) and having now volunteered for several mental health charities over the years I have found my experience is far from a one off. As I said it does help plenty of others though. However I notice you seem very defensive about SSRI use (particularly citalopram) not a drugs rep by any chance? Share Facebook Twitter Report Loading… BraceYourself DAW188 8 Jul 2017 10:33 23 Paracetamol carries a label now. No not a drugs rep and hate the stronger anti depressants, they are soul sucking. There are many people who are a bit more up and down than others, more and more as the years go on. There is a valid place for this mild mood stabiliser. I'm defensive on something I've taken for 20 years and the over reaction and exaggeration contained within Share Facebook Twitter Report AonOlc DAW188 8 Jul 2017 10:37 12 Very sensible advice. Share Facebook Twitter Report mediaboy BraceYourself 8 Jul 2017 10:53 45 Thanks doctor, for your utter cluelessness. Share Facebook Twitter Report scubadoc mediaboy 8 Jul 2017 12:28 23 We are trained in cluelessness... ... although if Brace is a doctor, I'm Charley's Aunt... Report SubjectiveSubject 8 Jul 2017 10:01 12 After Grenfell, I had the symptoms of PTSD. The correct treatment for this is psychology and drug-free cognitive behavioral therapy but, psychiatrists will deceive people and give them addictive and dangerous drugs. Never trust a psychiatrist, unless they tell the truth about medications. scubadoc Wiltsbloke 8 Jul 2017 12:35 56 OK: but it is likely true that PTSD can be triggered by a perceived threat as well as by a real one, so objectively minor trauma can actually generate the syndrome. placebo effect. Share Facebook Twitter Report cassandrasshrink 8 Jul 2017 10:06 23 Dear lovely Deborah. If you're not already working with a sensorimotor therapist and doing some EMDR work it really really helps. Not a quick fix but the safest thing you'll find. Take care, be well. Share scubadoc cassandrasshrink 8 Jul 2017 12:39 45 Good grief! That took a long time to appear, despite being one of the major therapies: there seems to have been little mention of the importance of combining drugs with other treatments. My practice includes a lot of reactive depression and we rarely use antidepressants for it: GPs seem to use them a lot. Replies may also be deleted. For more detail see our FAQs. SubjectiveSubject 8 Jul 2017 10:11 12 Akathisia from poisoning and/or withdrawal is horrible and dangerous and often causes suicidal ideation and high risk of suicide. The fact is many people do not have the chemistry to handle these toxic drugs and here in the UK, they bypass the testing to see whether it is safe to give patients medications. Share Facebook Twitter Report scubadoc SubjectiveSubject 8 Jul 2017 12:53 45 I don"t mean to be nasty, but I'm worried about you: you seem agitated and unwell. I know that you are worried about medication, but could you contact local help, like Healthy Minds or the equivalent, of you can"t face your GP? If you were involved in Grenfell, then there has been more than enough stress to go around. You can refuse drugs, it's your body and your mind, but things sound very difficult for you. A discussion about the comtroversial subject of drugs in mental health isn"t a good place to get advice, as you are getting extremes of opinion and garbled evidence, even "fake news". Share Facebook Twitter Report SubjectiveSubject scubadoc 8 Jul 2017 12:57 12 My experience of Grenfell is being treated by professional therapy that has worked. My experience of medication goes back years when I was coerced and poisoned, suffering near-fatal side-effects. This is how I know the industry is a scam. Please don't patronise. Share Facebook Twitter Report SubjectiveSubject scubadoc 8 Jul 2017 13:01 This comment was removed by a moderator because it didn't abide by our community standards. Replies may also be deleted. For more detail see our FAQs. Facebook Twitter Rep