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Supportperson: helping my wife manage


Supportperson

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My wife and I have been married for 31 years. She is 55 years old and has struggled with anxiety and depression for most of her adult life, with occasional bouts of hypomania. Her situation is complicated by the fact that she was born in another country and will get very homesick at times. Though she never has been completely incapacitated and has taught at college part-time for years, her condition limits her ability to work and engage in other activities. She has tried extremely hard to combat it, with varying degrees of success. We suspect a hereditary component. She has been taking Xanax on and off for about 9 years.

 

Managing her situation became complicated about two years ago when I decided to look for another house, which seemed to set off a period of hypomania in her for a few months, followed by depression when we actually moved into the house. She worried about the higher mortgage and felt a strong sense of solitude in the very quiet neighborhood. After a year, evidently back in a hypomanic state, she wanted me to find another, less expensive house. We discussed it at length and decided to move forward with the plan, and the period of showing the old house and looking for a new one, at the same time that I was having trouble at my job and our daughter was expecting a baby, became overwhelming to both of us. She would change moods on a dime, overspend, and slip into moments of rage directed at me or herself, which nearly led me to throw in the towel at various points. She did not believe she had a problem at the time and only consented to see a psychiatrist if that person was located in her home country. We did see the psychiatrist in December, who diagnosed her as Bipolar II and prescribed a low dose of Risperdal along with Topamax. He said that she could continue with the Xanax until the other medications started to help her. The Topamax made her feel very unstable and she went off it after only trying it twice, and the Risperdal didn't have much effect. Her mania gradually subsided by the end of January, as a comment at her workplace about her performance began a period of self-doubt and anguish.

 

I had retired from my full-time job in October to help her get through these situations and to remove the anxiety that my job was causing me. Last month we decided that it was too difficult to deal with the home country psychiatrist long distance, and found a psychiatrist close to home. The new psychiatrist increased her Risperdal dosage from 0.25 mg to 1 mg daily, added Lamictal, and replaced her Xanax with Klonopin. About a week into this regimen she started to have paralyzing anxiety daily which would start in the morning and only taper off in the evening. Anything that wasn't a routine activity - a minor decision like what to cook for dinner, or the need to plan for a class - would be a trigger. When she went on spring break the anxiety became unbearable and we went back to the psychiatrist a week ago to "recalibrate." He attributed her anxiety to Risperdal and took her off both that drug and Lamictal, deciding to focus on the anxiety rather than the mania. He also prescribed 25 mg of Zoloft to start and increased her Klonopin from 0.5 mg twice daily to 1 mg three times daily. He took away Xanax because of its short half-life and potential for rebound anxiety. She wants to beg him to put her back on Xanax, as the Klonopin even now can take several hours to kick in. She has hoarded her remaining Xanax supply and will take them if she is particularly desperate, but often even the Xanax, which was reliable in the past, will fail to put a dent in her current anxiety battle. (Zoloft worked for an anxiety bout she had 10 years ago, but she unwisely went off of it cold turkey several months into it and at about the same time had a hypomanic episode.)

 

Her anxiety hasn't abated and I see her becoming paralyzed over even simpler decisions, as well as feeling guilty over being a burden to me, in spite of my reassuring her that it's not her but the illness, and that I am more than happy to help her. I always reject categorically any suggestions she makes that it would be better for me if she were dead, and tell her time and again that she brings happiness to my life, which she certainly does, in ways too numerous to mention. We see the psychiatrist in another week, and while I believe that he is doing what he can, it is becoming increasingly difficult for me to manage her condition. She is terrified of seeing a psychologist to learn coping strategies, which in any case go completely out the window when she is in the middle of an anxiety episode.

 

I still have to work part-time mainly from home - about 20 hours a week - to help with the bills, and her suffering is beginning to wreak havoc with my schedule. I will call on my two grown children to spend time with her so that I can get on conference calls and keep the occasional business appointment away from home, but I feel that I need more information to be able to navigate through this minefield and help her on the road to recovery. I almost ordered The Road Back supplements in desperation but held off after reading the posts on this site. It is very hard to figure out what is causing this latest bout with anxiety: Risperdal withdrawal? Lamictal withdrawal? Xanax withdrawal? Rebound anxiety from either Xanax or Klonopin? A combination of some or all of the above?

 

I am convinced that it is not only the psychiatrist's responsibility to evaluate her condition but also ours to communicate to him accurately the ups and downs of her experiences. I have kept a detailed journal of her dosage and changes in mood since her hypomania started last August. Nonetheless, I feel that she is falling through the cracks between a patient who can manage their condition with professional assistance and someone who has to be hospitalized. The healthcare system does not seem to have any answers for her. What are your thoughts? Thanks for your patience in reading this detailed account; it has been very therapeutic for me to be able to articulate it in this way.

October 2006 until May 2007: Zoloft 12.5 mg once daily, increased to 25 mg once daily over a month's time; Xanax 0.5 mg once or twice daily

From May 2007 until December 2015: 0.5 mg Xanax, once or twice a day; my wife discontinued Zoloft in May 2007

December 2015: Risperdal 0.20 mg (drops) once daily, Topamax tablets (only tried twice)

January 13, 2016: Risperdal 0.25 mg (tablets) once daily; started Lipitor 10 mg once daily

February 17, 2016: Risperdal 1 mg (tablets) once daily; Lamictal 25 mg once daily; Klonopin 0.5 mg twice daily, Xanax discontinued

March 1, 2016: Risperdal increased to 2 mg once daily; Lamictal increased to 50 mg once daily

March 9, 2016: Risperdal dosage divided into 1 mg twice daily

March 14, 2016: Risperdal and Lamictal discontinued; Zoloft 25 mg daily started; Klonopin increased to 1 mg three times daily

March 19, 2016: Stopped taking Lipitor

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  • Moderator

Hi Supportperson--  Welcome to the group, I'm sorry to hear that your wife is having such a hard time.  It's a awful situation from both sides.  I'll have to admit that that was a long intro post and I will have to read it several times to get a grasp on what is going on before I can make any recommendations.  If you look in the listing for the introduction forum there is a thread about making a signature bloc right at the top. (I'd post a link here but my mouse has packed it in so I cant navigate too well)  Please fill out a signature with a brief history, it will really help us see what is going on.

 

It is wonderful that you're taking the time to care for your wife in this manner.  We have several other members doing the same thing.  On a side note, make sure that you're taking care of yourself and getting the support you need too.  You're in a very taxing position and can burnout quickly in not careful. 

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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I am one of the few here that believes I have a "mental illness", my doctor codes it as bipolar NOS. Really, antidepressants aren't good for many people with bipolar II. Messing around with all those med changes isn't good for anybody!

 

I have found the website www.psycheducation.org extremely helpful. Not being a fan of drugs, I just overlook that part, but it's there if you want it. A new book came out this week that you and your wife might find helpful, A Mind of Your Own, by Kelly Brogan. She practices in Manhattan (for amazingly high fees). Although it is about depression, she has stated elsewhere that she treats all mental illness the same.

 

You sound like an amazing husband! I hope you both can find peace soon!

1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.

Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12

Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13

Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15

11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)

9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol

7.4.14 Started Walsh Protocol

56 years old

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  • Moderator

 A new book came out this week that you and your wife might find helpful, A Mind of Your Own, by Kelly Brogan. She practices in Manhattan (for amazingly high fees). Although it is about depression, she has stated elsewhere that she treats all mental illness the same.

 

Meimeiquest,

 

I've received my copy -- big fan of hers.  I agree, however, that her fees are insane (even for NYC).  I think that virtually everything she does on the diet side is covered in the book.  The testing she would do is also expensive but I think much of the benefit can be derived just from the dietary changes.  By her own admission, a significant portion of her patients get substantially better within 30 days just by diet alone.

 

Supportperson -- your wife is very lucky you are so committed.  Many significant others are not as dedicated.  I would recommend you get the book on Kindle for $13.99 and read it.  Really sheds light on depression generally.

 

Best,

 

Andy

Sertraline 50mg and Clonazapam .375mg from 2000 -- symptoms of dizziness Spring 2012

increased to .5 Clonazapam and 100mg Sertraline -- no improvement

Benzo microtaper from November 2012 to November 2014 (followed benzo sites "taper benzo first")

Started Sertraline taper in December 2014 cut by 25mg to 75mg; 62.5mg 1/1/15 and 50mg on 2/1/15

Held at 50mg through April 5 to use liquid 
Reduced dosage in 10% or less drops from 50mg to 25mg -- at single tablet of 25mg on 10/5/15

Transitioned to all liquid for accuracy while tapering -- Horrible insomnia -- back to 25mg liquid and held until October 1, 2016

10/16 -- 11/18 tapered very slowly to 10.6mg.  No real improvement and never really stable so updosed to 12.5mg (1/2 a pill) for convenience and long hold.

After 8+ months of holding with no noticeable improvement decided to add .4ml of liquid Prozac (about 1.5mg) to see if that improves the situation

Supplements, Magnesium, D3, Omega 3, curcumin, Valerian, 81mg Aspirin, L-Theanine, Vit. C,

 

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Interestingly enough,even Dr. Phelps at psycheducation.org has published a case report on two patients who did better on a ketogenic diet than meds. Which is not exactly the diet Dr. Brogan recommends, and one I can't tolerate because it raises cortisol, but their approaches agree in many ways. She has really written it out in a more clear manner, though,

1st round Prozac 1989/90, clear depression symptoms. 2nd round Prozac started 1999 when admitted to dr. I was tired. Prozac pooped out, switch to Cymbalta 3/2006. Diagnosed with bipolar disorder due to mania 6/2006--then I was taken abruptly off Cymbalta and didn't know I had SSRI withdrawal. Lots of meds for my intractable "bipolar" symptoms.

Zyprexa started about 9/06, mostly 5mg. Tapered 4/12 through12/29/12

Wellbutrin. XL 300 mg started 1/07, tapered 1/18/13 through 7/8/13

Oxazepam mostly continuously since 6/06, 30mg since 12/12, tapered 1.17.14 through 8.26.15

11/06 Lithium 600mg twice daily, 2.2.14 400mg TID DIY liquid, 2.12.14 1150mg, 3.2.14 1100mg, 3.18.14 1075mg, 4/14 updose to 1100mg, 6.1.14 900 mg capsules 7.8.14 810mg, 8.17.14 725mg, 8.24.24 700mg...10.22.14 487.5mg, 3.9.15 475mg, 4.1.15 462.5mg 4.21.15 450mg 8.11.15 375mg, 11.28.15 362.5mg, back to 375mg four days later, 3.4.16 updose to 475 (too much going on to risk trouble)

9/4/13 Toprol-XL 25mg daily for sudden hypertension, tapered 11.12.13 through 5.3.14, last 10 days or so switched to atenolol

7.4.14 Started Walsh Protocol

56 years old

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  • Moderator Emeritus

Hi SupportPerson,

 

Here's the link:  Please put your Withdrawal History in Signature

 

Please include ALL drugs, dates, doses and how she decreased/increased.  Giving as much detail as possible will allow the volunteer staff to make suggestions based on your wife's individual situation.

 

You can use this Intro/Update topic to ask questions and are welcome to use it as a journal of your wife's progress.

 

Brassmonkey said "On a side note, make sure that you're taking care of yourself and getting the support you need too.  You're in a very taxing position and can burnout quickly in not careful."

 

I agree.  Looking after yourself is not selfish.  If you don't look after yourself you may not be able to look after you wife in the way you want to.

 

Brassmonkey - the 3rd person with mouse issues.  NZ11 as well as me.  I've got a new one now.

 MISSION ACCOMPLISHED:    13 November 2021 -  0mg Pristiq      

Woohoo!!!  Finally off Pristiq   

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

My full tapering program     My Intro (goes to my tapering graph)    My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.  I do not provide tapering advice via PM.  Please post questions in your Introduction topic.  Please do not tag me for any reason.  I am an unpaid volunteer and assist members if I am able to and when I have the time.  Thank you for your understanding.

Mid Nov 2021 changed to low carb diet due to diabetes & cholesterol.  Lost 1/16 body weight, BP has reduced a lot. 

Links to my exercises and weights.  I also do 3 x 5.5 min with HIIT on exercise bike with 20 secs/min as fast as I can cycle.

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  • Moderator Emeritus

Hi Supportperson , welcome to the site.

As ChessieCat asked , we need more specific information about your wife's drug history before guessing what may be causing her symptoms.

 

" Last month we decided that it was too difficult to deal with the home country psychiatrist long distance, and found a psychiatrist close to home. The new psychiatrist increased her Risperdal dosage from 0.25 mg to 1 mg daily, added Lamictal, and replaced her Xanax with Klonopin.

" He attributed her anxiety to Risperdal and took her off both that drug and Lamictal, deciding to focus on the anxiety rather than the mania. He also prescribed 25 mg of Zoloft to start and increased her Klonopin from 0.5 mg twice daily to 1 mg three times daily. He took away Xanax because of its short half-life and potential for rebound anxiety."

 

Instructions for filling in a signature are in this thread  http://survivingantidepressants.org/index.php?/topic/893-please-put-your-withdrawal-history-in-your-signature/

 

best wishes ,  Fresh

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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Thanks to all for their support and helpful advice! I have added the medication history in the signature as suggested and am beginning to read A Mind of Your Own. I'll keep everyone posted on my wife's progress.

October 2006 until May 2007: Zoloft 12.5 mg once daily, increased to 25 mg once daily over a month's time; Xanax 0.5 mg once or twice daily

From May 2007 until December 2015: 0.5 mg Xanax, once or twice a day; my wife discontinued Zoloft in May 2007

December 2015: Risperdal 0.20 mg (drops) once daily, Topamax tablets (only tried twice)

January 13, 2016: Risperdal 0.25 mg (tablets) once daily; started Lipitor 10 mg once daily

February 17, 2016: Risperdal 1 mg (tablets) once daily; Lamictal 25 mg once daily; Klonopin 0.5 mg twice daily, Xanax discontinued

March 1, 2016: Risperdal increased to 2 mg once daily; Lamictal increased to 50 mg once daily

March 9, 2016: Risperdal dosage divided into 1 mg twice daily

March 14, 2016: Risperdal and Lamictal discontinued; Zoloft 25 mg daily started; Klonopin increased to 1 mg three times daily

March 19, 2016: Stopped taking Lipitor

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The last few days have been really difficult for my wife. Over this time span, she has had yet one more effect on top of all the others: a strange tingling sensation coming from her genital area that is extremely uncomfortable. The closest explanation for this phenomenon is one that has only recently been designated as "restless genital syndrome." She believes that it is a side effect of the Klonopin but I can't be sure that it is. We have left a message with her psychiatrist and are waiting for a call back. I also advised her to stop taking her 10 mg of Lipitor for the time being. The last time she took it was Friday night.

 

The scariest part is that on Saturday afternoon I found her in our guest bedroom with a belt wrapped around her neck. Now it's clear that this sensation is driving her to do this.

October 2006 until May 2007: Zoloft 12.5 mg once daily, increased to 25 mg once daily over a month's time; Xanax 0.5 mg once or twice daily

From May 2007 until December 2015: 0.5 mg Xanax, once or twice a day; my wife discontinued Zoloft in May 2007

December 2015: Risperdal 0.20 mg (drops) once daily, Topamax tablets (only tried twice)

January 13, 2016: Risperdal 0.25 mg (tablets) once daily; started Lipitor 10 mg once daily

February 17, 2016: Risperdal 1 mg (tablets) once daily; Lamictal 25 mg once daily; Klonopin 0.5 mg twice daily, Xanax discontinued

March 1, 2016: Risperdal increased to 2 mg once daily; Lamictal increased to 50 mg once daily

March 9, 2016: Risperdal dosage divided into 1 mg twice daily

March 14, 2016: Risperdal and Lamictal discontinued; Zoloft 25 mg daily started; Klonopin increased to 1 mg three times daily

March 19, 2016: Stopped taking Lipitor

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  • Moderator

Hi Supportperson-- I' sorry to hear that DW is still having such a hard time.  The new symptoms you describe sound a lot like what we refer to as PGAD (Persistent Genital Arousal Disorder) a very uncomfortable  thing to get. Go to google and search "survivingantidepressants.org PGAD" and you should get a lot of information on it.

 

Please make sure that she is kept safe.  We take suicide very seriously here.  Being just an online forum there isn't much we can actually do recommend getting face to face help to control the situation.  This is a very difficult and painful process at times but with persistence the results are very good.

20 years on Paxil starting at 20mg and working up to 40mg. Sept 2011 started 10% every 6 weeks taper (2.5% every week for 4 weeks then hold for 2 additional weeks), currently at 7.9mg. Oct 2011 CTed 15oz vodka a night, to only drinking 2 beers most nights, totally sober Feb 2013.

Since I wrote this I have continued to decrease my dose by 10% every 6 weeks (2.5% every week for 4 weeks and then hold for an additional 2 weeks). I added in an extra 6 week hold when I hit 10mg to let things settle out even more. When I hit 3mgpw it became hard to split the drop into 4 parts so I switched to dropping 1mgpw (pill weight) every week for 3 weeks and then holding for another 3 weeks.  The 3 + 3 schedule turned out to be too harsh so I cut back to dropping 1mgpw every 4 weeks which is working better.

Final Dose 0.016mg.     Current dose 0.000mg 04-15-2017

 

"It's also important not to become angry, no matter how difficult life is, because you can loose all hope if you can't laugh at yourself and at life in general."  Stephen Hawking

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  • 5 months later...

I want to thank all of you for your support. Things are much better now. After our communication, my wife spent 6 days in the psychiatric ward of a local hospital. The result was that her medication was changed to Seroquel, 100 mg twice a day, and the impact of the stay led her to abandon suicidal thoughts and actions entirely. She was still suffering from depression and the sensations, and a week after her discharge from the hospital, we went to a specialist in pelvic medicine, who diagnosed it as atrophic vestibular vulvodynia instead of PGAD, which was a blessing because the former is very treatable. After two weeks on gabapentin and applying estrogen cream locally, she demonstrated significant improvement and from then on was able to live relatively normally. We changed psychiatrists, and the new psychiatrist increased the Seroquel to 150 mg, added Zoloft 100 mg and kept Klonopin for my wife to use twice a day at 0.5 mg. She will continue to use gabapentin and the estrogens. Initially, for about a month, she would get very sleepy with this regimen, but with a few changes in the timing of the dosage, the sleepiness diminished. Her cycles are much less extreme. She will probably not return to work, except on a very limited basis, and I will remain at home with her most of the time so that we can monitor her situation, but our quality of life is much improved. I am well aware that this happy result is not a given, and I am profoundly thankful to God and all the people who assisted us at different phases of this journey.

October 2006 until May 2007: Zoloft 12.5 mg once daily, increased to 25 mg once daily over a month's time; Xanax 0.5 mg once or twice daily

From May 2007 until December 2015: 0.5 mg Xanax, once or twice a day; my wife discontinued Zoloft in May 2007

December 2015: Risperdal 0.20 mg (drops) once daily, Topamax tablets (only tried twice)

January 13, 2016: Risperdal 0.25 mg (tablets) once daily; started Lipitor 10 mg once daily

February 17, 2016: Risperdal 1 mg (tablets) once daily; Lamictal 25 mg once daily; Klonopin 0.5 mg twice daily, Xanax discontinued

March 1, 2016: Risperdal increased to 2 mg once daily; Lamictal increased to 50 mg once daily

March 9, 2016: Risperdal dosage divided into 1 mg twice daily

March 14, 2016: Risperdal and Lamictal discontinued; Zoloft 25 mg daily started; Klonopin increased to 1 mg three times daily

March 19, 2016: Stopped taking Lipitor

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Greetings supportperson.

Thankyou for taking the time to do an update.

Ive just read your thread wow with all those changes in march 16 no wonder you stumbled upon sa in order to find some answers.

no wonder you said

It is very hard to figure out what is causing this latest bout with anxiety: Risperdal withdrawal? Lamictal withdrawal? Xanax withdrawal? Rebound anxiety from either Xanax or KIlonopin? A combination of some or all of the above?

i reckon you were spot on with 'all of the above' and most probably a CT off xanax after 9 yrs use would be a major player. ouch!!

I am sorry all of this resulted in a stay in hospital

 

My heart goes out to you and your situation.

Thought for the day: Lets stand up, and let’s speak out , together. G Olsen

We have until the 14th. Feb 2018. 

URGENT REQUEST Please consider submitting  for the petition on Prescribed Drug Dependence and Withdrawal currently awaiting its third consideration at the Scottish Parliament. You don't even have to be from Scotland. By clicking on the link below you can read some of the previous submissions but be warned many of them are quite harrowing.

http://www.parliament.scot/GettingInvolved/Petitions/PE01651   

Please tell them about your problems taking and withdrawing from antidepressants and/or benzos.

Send by email to petitions@parliament.scot and quote PE01651 in the subject heading. Keep to a maximum of 3 sides of A4 and you can't name for legal reasons any doctor you have consulted. Tell them if you wish to remain anonymous. We need the numbers to help convince the committee members we are not isolated cases. You have until mid February. Thank you

Recovering paxil addict

None of the published articles shed light on what ssri's ... actually do or what their hazards might be. Healy 2013. 

This is so true, with anything you get on these drugs, dependance, tapering, withdrawal symptoms, side effects, just silent. And if there is something mentioned then their is a serious disconnect between what is said and reality! 

  "Every time I read of a multi-person shooting, I always presume that person had just started a SSRI or had just stopped."  Dr Mosher. Me too! 

Over two decades later, the number of antidepressant prescriptions a year is slightly more than the number of people in the Western world. Most (nine out of 10) prescriptions are for patients who faced difficulties on stopping, equating to about a tenth of the population. These patients are often advised to continue treatment because their difficulties indicate they need ongoing treatment, just as a person with diabetes needs insulin. Healy 2015

I believe the ssri era will soon stand as one of the most shameful in the history of medicine. Healy 2015

Let people help people ... in a natural, kind, non-addictive (and non-big pharma) way. J Broadley 2017

 

 

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  • 1 year later...

Hi everyone, 

I wanted to provide an update. My wife has continued fairly stable over the space of the past year with minor changes in her medication. Fortunately, she is completely off Zoloft now, and continues with Seroquel 200 mg at night and Klonopin 0.5 mg once in the morning, as well as gabapentin and Estrace for the vaginal issues. The major issue now is that it has affected her desire for nearly a year. She has a new psychiatrist, the best she's had to date, who tried reducing her gabapentin to resolve this problem, but my wife could not handle the increased anxiety and went back to her earlier regimen. She will have another appointment next week, and maybe slightly adjusting the dosage of one of the other medications will work. Aside from helping her with intimacy issues, I feel that I need some more time alone, maybe getting away by myself for a few days periodically to decompress, as long as other family members are available to her. I've always said that her best therapy has been babysitting our grandson. 

 

She wants me to share information on the medications that resolved her vaginal discomfort, which was diagnosed as vestibulodynia (though she suspects now that it wasn't limited to that and may have had some elements of PGAD). I know I shared some of it here last year, but she asked me to quote the specialist's notes this time. I also would like to learn what other sites are good for sharing this information. Thanks as always!

 

1. Amitriptyline 2%/ketamine 2%  - fingertip amount to opening of vulva in am and after noon

2. Estrace - fingertip amount to opening of vulva at bedtime

3. Horizant 600 mg daily @ 5 pm with food (the insurance company didn't cover this and so it was replaced with gabapentin)

4. White Crisco applied to the vulva

5. Avoid scented soaps, body washes, bath gels

6. No fabric softener or dryer sheets on underwear

October 2006 until May 2007: Zoloft 12.5 mg once daily, increased to 25 mg once daily over a month's time; Xanax 0.5 mg once or twice daily

From May 2007 until December 2015: 0.5 mg Xanax, once or twice a day; my wife discontinued Zoloft in May 2007

December 2015: Risperdal 0.20 mg (drops) once daily, Topamax tablets (only tried twice)

January 13, 2016: Risperdal 0.25 mg (tablets) once daily; started Lipitor 10 mg once daily

February 17, 2016: Risperdal 1 mg (tablets) once daily; Lamictal 25 mg once daily; Klonopin 0.5 mg twice daily, Xanax discontinued

March 1, 2016: Risperdal increased to 2 mg once daily; Lamictal increased to 50 mg once daily

March 9, 2016: Risperdal dosage divided into 1 mg twice daily

March 14, 2016: Risperdal and Lamictal discontinued; Zoloft 25 mg daily started; Klonopin increased to 1 mg three times daily

March 19, 2016: Stopped taking Lipitor

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