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Prolonged anxiety after stress

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Scientists are uncovering clues to what might be unfolding in the relationship between the brain and immune system in those who suffer from long-term repercussions of stress.

New research details those connections, specifically that an abundance of white blood cells in the spleen could be sending messages to the brain that result in behavioral changes long after mice experience repeated stress.

"We found that immune cells in the spleen can contribute to chronic anxiety following psychological stress," said Daniel McKim, a graduate student at The Ohio State University and the lead author of the study.

"Our findings emphasize the possibility that the immune system represents a novel therapeutic target for the treatment of mental health conditions."

The research was part of a series of related studies presented Nov. 13 in San Diego at Neuroscience 2016, the annual meeting of the Society for Neuroscience.

McKim's co-authors and advisers, John Sheridan and Jonathan Godbout, are working toward explaining the complicated interplay between immunity and stress in animals that have experienced "repeated social defeat" in an effort to eventually improve the well-being of people who experience chronic psychological stress. Sheridan is associate director of Ohio State's Institute for Behavioral Medicine Research and a professor of biosciences. Godbout is an associate professor of neuroscience.

In this study, the trio of scientists determined that the immune cell changes persisted for almost a month after the mice experienced the stress.

"Stress appears to prompt the release of stem cells from the bone marrow to the spleen, where they develop into white blood cells, or monocytes, and expand over time," Godbout said.

"Then the spleen becomes a reservoir of inflammatory cells."

Sheridan said the spleen is now understood to be integral to the sensitization that happens after prolonged stress in mice, leading to anxiety and other cognitive problems down the road.

"It's like a stress memory," Godbout said.

In their previous work, Ohio State researchers have documented an increased prevalence of long-term anxiety and depression in mice exposed to chronic stress, a model that has been compared to post-traumatic stress disorder in people.

"Maybe anxiety is a good thing for survival -- it's beneficial evolutionarily -- but the issue becomes what happens when that system is put into overdrive. That's when it gets problematic," Godbout said.

Added Sheridan, "We're beginning to piece together more details about the bi-directional communication between the brain and the body and the body and the brain."

The research was supported by the National Institutes of Health.

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Materials provided by Ohio State University. Note: Content may be edited for style and length.

Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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Gee my spleen must be a real mess. 

WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivingantidepressants.org/index.php?/topic/1096-introducing-myself-btdt/

There is a crack in everything ..That's how the light gets in :)

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This argues for the rest cure...but would health insurance pay your salary for four to six weeks, along with airfare to a tranquil resort? Would it pay for a housekeeper and nanny so a person could come home from work and do nothing at all for a change? No sir. But it will pay for Paxil. 

 

Wouldn't it be nice to see a trial that compared antidepressants, cognitive behavioral therapy, a housekeeper and a nanny/pet-minder, and a holiday? 

2009: Cancer hospital said I had adjustment disorder because I thought they were doing it wrong. Their headshrinker prescribed Effexor, and my life set on a new course. I didn't know what was ahead, like a passenger on Disneyland's Matterhorn, smiling and waving as it climbs...clink, clink, clink.

2010: Post surgical accidental Effexor discontinuation by nurses, masked by intravenous Dilaudid. (The car is balanced at the top of the track.) I get home, pop a Vicodin, and ...

Whooosh...down, down, down, down, down...goes the trajectory of my life, up goes my mood and tendency to think everything is a good idea.
2012: After the bipolar jig was up, now a walking bag of unrelated symptoms, I went crazy on Daytrana (the Ritalin skin patch by Noven), because ADHD was a perfect fit for a bag of unrelated symptoms. I was prescribed Effexor for the nervousness of it, and things got neurological. An EEG showed enough activity to warrant an epilepsy diagnosis rather than non-epileptic ("psychogenic") seizures.

:o 2013-2014: Quit everything and got worse. I probably went through DAWS: dopamine agonist withdrawal syndrome. I drank to not feel, but I felt a lot: dread, fear, regret, grief: an utter sense of total loss of everything worth breathing about, for almost two years.

I was not suicidal but I wanted to be dead, at least dead to the experience of my own brain and body.

2015: I  began to recover after adding virgin coconut oil and organic grass-fed fed butter to a cup of instant coffee in the morning.

I did it hoping for mental acuity and better memory. After ten days of that, I was much better, mood-wise. Approximately neutral.

And, I experienced drowsiness. I could sleep. Not exactly happy, I did 30 days on Wellbutrin, because it had done me no harm in the past. 

I don't have the DAWS mood or state of mind. It never feel like doing anything if it means standing up.

In fact, I don't especially like moving. I'm a brain with a beanbag body.   :unsure:

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It makes sense honestly. Most people who went psychotic or "crazy" throughout history were immunocompromised from a number of infections. Syphilis, Encephalitis Lethargica, Toxoplasmosis, can all cause psychosis which are identical to schizophrenia.

On Psychiatric Medications since 2006

 

2006 - 2013 Luvox 300 mg/Ativan 2 mg (16 years old). Multiple failed cold turkey attempts with sporadic Benzodiazepine use. Reinstated to 150 mg of Luvox.

 

2013  Luvox 150 mg cut down to 100 mg. Had Severe Post Acute Withdrawal (POTS, DEREALIZATION, DEPERSONALIZATION, CRYING SPELLS, FATIGUE, WEAKNESS). Was extremely sick and bed bound. 

 

2014-2018  Mutiple hospitalizations.

 

December 2018  Reinstated Luvox 100 mg/2mg of Klonopin. Symptoms improving since 2013 but still exist.

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westcoast,  4633a0eadxcnylg6g.jpg

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

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