Can missing your sertraline for 3 days cause a delayed withdrawal effect a couple of weeks later? Has anyone else experienced hypnogogic jerks combined with gibberish-like exclamations that sound like words but are just wordlike noises? And not just a short yell, like a sentence of gibberish that seems like it's an attempt to communicate something but the words don't form. I can't tell if these reactions are to do with messing up my pill intake, or if they're a symptom of repressed anger bubbling up when I start to lose concsiousness. During the day, i've been trying to be mindful of my anger