JesusSavemefromWD: only 3.5 weeks sertraline enough to destroy me

[JesusSavemefromWD]

I have seen it thank you 

I ll be careful with sugar blood sugar levels. My point was more than I used to have these late cravings before my Zoloft nightmare.... so starting to have them again gives me hope I am very very slowly starting to return to my old me.... like my brain going back to its old habits and functions....

[ChessieCat]

Yes it is a good sign but please be aware that things can still change.  That's when it's really important to try to remember the better times and that they will happen again.  Remind yourself that your brain is busy trying to work things out.

[JesusSavemefromWD]

I am really bad right now in terms of depersonalization... not that it has ever gotten away but when it picks so much I feel like I d take anything to make it go away. Wondering if it is indeed the drug WD or is just me getting sicker and sicker. 

[JesusSavemefromWD]

I was wondering how is it possible within the same day to have such fluctuations in symptoms? Every day some hours are pure hell and other hours are very bad but nowhere close to the hell state. And at this point there is no clear pattern on when hell comes during the day. Today those hell hours almost made me took Zoloft but I didn’t.... 

[manymoretodays]

Hi JesusSavemefromWD,

 

I copied your PM over to here:

Hi 

I saw at some point you posted a table on re-instainment and possible outcomes . Is this a table I could email me? I can’t find it now and even when I came upon it I could only see the middle columns and not the left right columns of the table. 
 

thanks

 

And one of the members put together a table, and I wonder if that is what you are referring to?

If you click on the arrow at the top upper right, it will take you to that post with the table.  See if that one is more viewable.

 

And hey, if you don't mind fill me in as to how things were going before you restarted a AD, back there in August when you recovered from an adverse reaction to Cipralex? 

And I take it you were not doing well prior to trying the Cipralex?

 

And then how did you do on the sertraline for that 3 and 1/2 weeks?

 

And then how long now with the intensity of symptoms that you are having?  I went back to page one here to see, and it still is a bit unclear if you went on Zoloft to treat an adverse effect of Cipralex, or then had WD from Cipralex treated with Zoloft? 

 

When is the last time that you had a good day JesusSavemefromWD?

 

And yes, sometimes WDsymptoms will flucuate quite a bit.  I think one of the keys to coping, or it was for me, was beginning to get a sense of my own patterns in WD and then beginning to find coping skills, that helped me......well, cope.  And sometimes I just really had to go beyond my comfort level, just a little bit at a time, to actually start to see any progress.

 

And best JesusSaveme.  I so wish I had a magic wand sometimes to wave and take away some of the struggles here.  I don't though.

 

I did, early on, get a book recommend from a member here.  And I'll pass on the title and author to you now.

Cure, a Journey Into the Science of Mind Over Body the author is Jo Marchant.

 

L, P, H, and G,

mmt

[Colonial]

Yes, one can go from ok, to feeling so awful for some hours, and then if just also lifts within 30 minutes.

If your asking "how" in the scientific sense of why our bodies function such strong symptoms?

I don't think I've ever read an actual bio-chemical explanation of it myself.

But Cancer patients remark about a similar cyclical pattern after certain treatments.

When I have a bad wave I just remind myself another good window is only a few more hours away. 🙂 

[JesusSavemefromWD]

Thanks for the reply 

yes that’s the table I was asking for.

filling you in:

- august: feeling chest tightness that wouldn’t let me sleep or eat (work stress related ).

- went on cipralex for 2 days : hours of completely out of my body experience and feeling literally i am going crazy. STOPPED. Recovered from adverse reaction in 24 hrs. 
- 3-4 days later chest tightness returns stronger than ever, lasting for hours, got in panic  

- started Zoloft ; 3.5 weeks at 25mg experiencing during days or nights long hours of : out of my body experiences, derealization, constant, constant inner fear and panic attacks, inability to leave my house. 
- 4.5 weeks tapering Zoloft to zero, experiencing: all the above Plus sweating, tinnitus, numb face , eye red blood vessels , appetite loss and depersonalization. All symptoms would be On off except fear which was constant. 
-50 days off Zoloft: first weeks dead like feelings, soul despair, suicidal thoughts, horrific ruminating thoughts, insomnia, difficulty in breathing, feeling like I am really going crazy, like my brain is OFF and deep depersonalization.

at the moment all symptoms have been reduced a lot , most disappeared (such us fear, panics, insomnia, appetite loss) except depersonalization, which has gotten deeper and 24/7. I know I might think wow so many symptoms are gone , why are u complaining? My DP is severe, it is like being dead, trapped inside my body, house ridden cause I don’t have connection with my brain or the outside world if I go out. It feels like another bad identity has taken over me... i prefer to have all the other symptoms together but not the DP. 

I only felt good one day during tappering; I was an 5 mg and all of a sudden I became back to normal, back in life,    I cried and said “ it is over”. Little did I know.... things got way worst since then ( that was 8 weeks ago)

thank you for reading !

[JesusSavemefromWD]

I am thinking of reinstaining a small dose of Zoloft. I am in pure suffer 51 days off the drug (plus 4 weeks during tapering and 3 weeks in the drug) with only one day window feeling normal, and feeling a bit better for the week of being at 6.25 mg. I dropped out from 4mg to

zero .... I know u can’t make the decision for me but please give me your opinion... this suffering is too much every day 24/7 depersonalized and disconnected from my own brain. I really feel I ll end up in the hospital and they ll force me to take drugs anyways 

thank you 

[Colonial]

"at the moment all symptoms have been reduced a lot , most disappeared (such us fear, panics, insomnia, appetite loss) except depersonalization,"

 

I am thinking of reinstaining a small dose of Zoloft. I am in pure suffer 51 days off the drug"

 

You go back and forth in describing your progress depending on how you are when you make the post which makes it difficult to ascertain your true state

 

 

Dec 9th: marks one and a half month completely OFF 

 

Please put the exact date for that important mark as best you can in your signature line.

I don't know if your counting by 6 weeks or 45 days

So  you are saying your last dose of Setraline was October 25th? 28th?

 

Considering it looks to be you were either on it 8 weeks or 2 full months you could be having both WD and adverse reaction, but the symptoms your describing could be either.

 

What dose are you considering reinstating at?  0.25mg? 0.50mg? 0.75mg?

 

 

Edited December 15, 2020 by Colonial

[JesusSavemefromWD]

Hi Colonial,

I don’t know how else to explain it... most of the aforementioned symptoms have indeed subsided, some completely gone, but it seems that as the intensity of these symptoms was “transferred” into the DP state which is getting worst now .... no windows in DP for all these days off the drug, and actually getting worst weeks 6,7,8 (current week). As I mentioned this is the one symptom I cannot handle and from what I see here most people don’t recover from DP. Even if they do, I am not getting the slightest relief... 24/7 non stop DP and brain disconnected... I tried hard but can’t do it anymore... only goes away when I sleep. I was thinking trying 2.5 mg ? Too much you think? Please advice 

[Colonial]

5 minutes ago, JesusSavemefromWD said:

this is the one symptom I cannot handle and from what I see here most people don’t recover from DP.

 

This is a broad statement, and untrue, the question is how long and how to go about finding relief.

IF someone should not have reinstated too high but did, symptoms can get worse.

IF someone could have reinstated but did not, they may suffer longer than they would with a small reinstate.

I would not advise more that 0.5mg to start for a few weeks.

Perhaps the Mods who know Zoloft a little better can ascertain if that is a good suggestion.

[Edmunds]

 

18 hours ago, JesusSavemefromWD said:

Hi Shep,

I admire you for what u went through..... thank you for now helping others. I was wondering how bad was your DP/DR in the beginning of quitting the drugs and how is it now? Do u still have it? I was on Zoloft 25mg 3 1/2 weeks and tapered during another 4 1/2 weeks down to zero. While tapering I experienced waves of both DR and DP. Going into zero (50 days off now) I have constant 24/7 severe DP to the point that I feel dead trapped in my own body... needless to say it is debilitating... lost my job, can’t socialize, can’t leave the house, can’t take care of my two young boys and husband.... am I ruined for life? 50 days off Zoloft after such a short time in the drug, I was expecting some improvement in DP....

 

@JesusSavemefromWD

 

my heart goes out to you as someone who has dealt with long derealization episodes since age 19 (a long time ago). Several times I have had DR symptoms (the feeling of living in a foggy dreamworld), and several times I've completely recovered. In recent years I have, with help from psychotherapy, come to understand the complex trauma I experienced in both childhood and adulthood owing to a parent with untreated mental health issues of her own. Moderate DR and anxiety symptoms returned several years ago, but my new understanding of this pathology has given me strength. The symptoms of DR, profoundly entangled with anxiety, got worse in mid 2019 following a too-fast taper from both Effexor and Wellbutrin.

 

The DR/anxiety continue to be a challenge because I'm still tapering off liquid Prozac, and indeed I was on a variety of ADs and related drugs for 33 years. But there are days when I see some light ahead. And other commentators are right that any effort you can make to struggle less will help. DP/DR are particularly challenging because the symptoms are so weird and because they are hard to explain to people who have not experienced them. But anything you can do to "float" with them will help in the long run. There's no quick fix, but I found one book to be quite helpful on the issue of our inclination to struggle constantly with our fears: Fugen Nezirouglu and Katharine Donnelly, Overcoming Depersonalization Disorder (New Harbinger Publications, 2010).

 

You will recover!

 

Edited December 15, 2020 by ChessieCat
added quote before moving to member's intro

[brassmonkey]

Hi JS-- Gridley posted this thread https://www.survivingantidepressants.org/topic/23081-are-we-there-yet-how-long-is-withdrawal-going-to-take/?tab=comments#comment-492494

 

in his first response at the beginning of your intro. If you've already read through it, might I suggest that you read through it again. It will really help you to understand the position you have found yourself in.

 

Having an immediate adverse reaction to the drugs and then having to face a prolonged recovery is one of the most disheartening situations we run into here. We have a large number of members who are in the same situation and are recovering well. We also have a large number of members who have been through it and are once again leading happy, productive lives.  

 

The unfortunate thing about an immediate adverse reaction is that it takes a disproportionate amount of time to recover. Having only taken the drugs for a few weeks and then having to go through a vary long recovery can be quite a shock to the psyche.  All the symptoms that you are currently struggling with are quite common for ADWD, whether it involved years of using the drugs or just a few days. The symptoms will eventually resolve themselves and go away, but it will take more than a few day, weeks or even months. They will come and go in a windows and waves pattern and change from one symptom to another. Each one in turn will seem like it is the worst symptom  imaginable, but they are all just your body trying as hard as it can to get back to normal, and given enough time it will happen.

 

DR/DP is one of the more common symptoms of ADWD. It is common to almost all the major drugs that we deal with here. In fact it is actually fairly common for people not on AD medications, but as a reaction to life stress. Most of our members experience it several times through out their tapering and recover. Although it may seem like it is your mind rebelling, DR/DP is actually a defense mechanism employed by a persons mind to help them cope with a  traumatic situation over which they have very little control. This goes hand in hand with another common symptom we refer to a "anhedonia", the loss of all emotional feelings, which is a similar defense mechanism employed by the mind to protect itself as it heals and recovers.

 

After you have reread the post linked above, please start at the beginning of the article and read the whole thing. It contains a lot of good information and explanations of the process and the things you might experience along the way. Understanding the process and acceptance of the situation are two major keys to a successful recovery. We see it all the time here, as people work their way through healing and recovery, then return to their everyday lives.

[JesusSavemefromWD]

@Edmunds just wondering if u have windows free of DP. For me is complete 24/7 and started a bit while tappering Zoloft ( felt more like derealization during tapering) but during last 7/8 weeks I ve been OFF the drug is complete deep DP which makes me completely dysfunctional. I am afraid I can’t deal with this in any way and thinking of reinstaining a small dose of Zoloft. What do u think? Thank you!!!

[JesusSavemefromWD]

@brassmonkey thank you for the long message responding to my situation. I understand all you explain and could stay strong if i had some tiny improvement or some short windows in DP..... 24/7 I just can’t and this I am thinking of going back into a small dose of Zoloft. However the obvious question arises: if I was getting On/Off DR/DP during the drug why do I think a small dose will fix my present DP? Well that’s because during tapering when I was in a week of 6.125 mg (1/4 of my dose) I remember feeling much better , even had a day feeling absolutely normal but I guess it didn’t last because I kept tapering .what’s ur opinion in reinstaining a small dose?

[ChessieCat]

This post by Edmunds has been moved from Shep's success topic because each member's topic is for their own story.  I added the quote of JS's post to give the response context.

[Edmunds]

I have not had daily or weekly ups and downs with DR. After 17 years of freedom from it, I started having the usual symptom (partial disconnection from surroundings) in 2013. I believe this , along with aggravated anxiety, were triggered by a particularly stressful set of circumstances (including the renters from hell who were temporarily renting our house). The DR receded significantly for about about 2 years, so much so that my wife and I did some enjoyable traveling. I was on both Effexor and Wellbutrin then, though I can't say whether these drugs were responsible for my feeling a bit better or not. In any case, they did not help enough with the DR that I wanted to stay on them. My psych tapered me off both way too fast, and that's when the DR started getting more troublesome. I must say that I have always been able to function pretty well despite the DR. There are important distinctions between DP and DR. My symptoms have always been particular, not the ones usually describe as DP.

[ChessieCat]

This was written for members who are tapering but applies equally to all members:

 

  

On 8/22/2016 at 12:16 PM, scallywag said:

What do you mean by self-manage?

 

Dealing with this challenge requires a lot from you, the "taperer". You need to be able to

• take responsibility for your decisions
   
• exercise extreme patience
   
• tolerate discomfort and uncertainty
   
• communicate truthfully and responsibly about what is going on with you

 

[brassmonkey]

All taking a tiny amount of zoloft will do is confuse your body even more, especially now that you've added xanax onto the mix.

[manymoretodays]

Hi JesusSavemefromWD,

And from your most recent PM, I just copied it over:

I filled u in on my suffering details, just wondering if I could get ur opinion in reinstaining, please? I don’t know how to tag someone to make sure he/she sees my post

 

It looks like you've gotten quite a bit of input from others here today.

To tag someone, you can use the @ symbol, and then when you begin to type in a name, a list comes up of members and moderators, and you can select who you wish to tag.

 

And thank you for clarifying in some more detail for us.  I did take a read through.

I was checking your signature too, and noticed yesterday, or on the 14th you tried some Xanax

Dec 14: 0.25 mg Xanax ( I know it’s not good to start benzodiazepines but my suffering was too much today)

 

Did you just take a one time dose, or did you take a couple of doses?  And then, did it offer any relief, or did you notice any relief from your most prominent symptom of late.....The DP/DR.

Did it make things worse at all?

 

The problem with benzo's, and Xanax is a benzo, is that I think it could make DP/DR even worse.....and that seems to be a predominant symptom, at least for the last few days or week.  Benzo's are kind of tranquilizing in that way.

 

On reinstating with the sertraline,  I'm not sure whether it would offer a lot of relief, but sometimes it can help a little bit with symptoms.  And you would want to start really low with a reinstatement dose, nowhere close to where you jumped off.  It appears you jumped off at 4 mg.  Since you have had so many strong reactions to AD's, or you are really sensitive now to them, I would not reinstate more than 0.5 mg, and perhaps even as low as 0.25 mg.

 

I'd like you to read through the reinstatement topic really well, especially the first post there:
About reinstating and stabilizing to reduce withdrawal symptoms

 

And brassmonkey is correct, as you just made one significant medication addition, you would not want to further confuse your nervous system any more right now.  It's a case of less is often more, while your nervous system is trying to regain homeostasis, or more balance.

 

And okay, and what kind of window moments have you noticed today JesusSaveme......?  Any at all?  I hope so.  It's getting late here, and maybe very early there, so I hope your sleep was good as well.

 

Best, L, P, H, and G,

mmt

 

 

[Colonial]

On 12/13/2020 at 8:34 PM, JesusSavemefromWD said:

My panic attacks are also gone for good.

 

On 12/13/2020 at 9:04 PM, JesusSavemefromWD said:

It’s been three days in a row..

 

I'm confused why you would start xanax when you were now saying the anxiety was gone since the 10th. you were only now having depersonalization. I see it in your signature now that brassmonkey mentioned it but I did not see you discuss it in the thread anywhere.  If you have started xanax than I would not add zoloft back in.  Only 1 drug adjustment at a time. How you will react to the xanax is unknown.

 

May I ask what the doctor thought xanax would do for depersonalization?

Do you have a solid treatment plan with Him-Her?

 

We really don't help with drug plan management or helping a person to form a new medicine cocktail.

We assist with support for tapering off and symptom management.

If your plan is to begin new medications we may not be able to be of assistance to you.

 

 

 

Edited December 16, 2020 by Colonial

[JesusSavemefromWD]

My plan is not to start new medication but yesterday I just freaked out in the thought that I have been having 24/7 DP and took one time Xanax. My doctor”s plan is to put me in Prozac but I don’t want too. I prefer to see if low amount of Zoloft reinstaining would help. I really read about many people suffering DP long time due to AD withdrawal. I know I must be positive but I also have to be realistic. 

[JesusSavemefromWD]

@manymoretodays

Thank you for your reply. I only took a single dose of 0.25mg Xanax. Didn’t do anything other than making me sleepy during the day. The only symptom I still have is severe DP, so severe that I am either bed ridden or not leaving the house cause it gets worst outside. No windows or waves just deep DP which fluctuates in intensity during the day but always is at the severe side. My brain feels fried really...... I only get relief when I sleep. Thankfully I sleep good.

[JesusSavemefromWD]

@Edmunds

I am so sorry you have to endure DP/DR as well. Is it 24/7 severe DP? Mine is and only started during Zoloft and after tapering..only took Zoloft for few weeks, 52 days off and DP is still present without improvement...

[Shep]

2 minutes ago, JesusSavemefromWD said:

I only get relief when I sleep. Thankfully I sleep good.

 

JesusSaveme, I would be grateful for this and stop messing around with psychiatric drugs. If you have any Xanax left, I would get rid of it so you don't end up with a benzo problem, which will only make the DP/DR worse. 

 

Many (if not most) people with DP/DR are struggling with horrific insomnia. The fact that you're sleeping well means your brain is working to heal.  These threads may be helpful:

 

How psychiatric drugs remodel your brain (for antidepressants)

 

What is happening in your brain? (for benzos)

 

15 hours ago, brassmonkey said:

DR/DP is one of the more common symptoms of ADWD. It is common to almost all the major drugs that we deal with here. In fact it is actually fairly common for people not on AD medications, but as a reaction to life stress.

 

I'm bolding this part of Brassmonkey's quote because by constantly ruminating on this symptom and going into catastrophic thinking, you are making yourself worse. This is seen here in your post today: 

 

23 minutes ago, JesusSavemefromWD said:

My plan is not to start new medication but yesterday I just freaked out in the thought that I have been having 24/7 DP and took one time Xanax.

 

This is catastrophic thinking leading to a spiral. See:

 

Dealing With Emotional Spirals

 

When a thought like this comes, you should immediately do this:

 

"Change the channel" -- dealing with cognitive symptoms

 

Find some non-drug coping skills and start distracting yourself (i.e. "changing the channel") with mindfulness videos, breathing exercises, yoga, healing music, art, photography, etc. Even playing a quiet video game can take your mind off your thoughts. 

 

Non-drug techniques to cope with emotional symptoms

 

 

You may want to start with a couple of breathing videos:

 

4-7-8 Breathing video (3.5 minutes)

 

The Breathing Space by Jon Kabat Zinn video (4 minutes)

 

Whether going back on a small dose of Zoloft will make you better or worse is unknown. However, considering you don't have insomnia, I would not advise reinstating a drug you clearly had an adverse reaction to and risk getting insomnia, which is a very common symptom of withdrawal. 

 

[Shep]

On 12/13/2020 at 9:04 PM, JesusSavemefromWD said:

It’s been three days in a row... as day progress not only I am hungry but I am starving eve though I had a good lunch and dinner, around 10 pm I feel I am starving and craving sweet things...  I feel it in my guts that’s a good sign .... if I tell my doctor she ll probably tell me “ hmm you are probably developing an eating disorder as well let’s get u on Prozac right now!” Lol ... I can’t believe I am making a joke even though depersonalized.... that’s another good sign. I was on this med for so little ... my recovery can’t be too far away 

 

Re-posting this from just 3 days ago. Not sure why you're now wanting to re-introduce a drug. 

 

Be mindful of eating sugar, as that will likely make DP/DR (and other withdrawal symptoms) worse. 

 

Please work on the non-drug coping skills. 

[JesusSavemefromWD]

@Shep thanks for writing 

I was trying to think positive and convince myself that since my appetite is back I should soon get some DP relief... but it is not happening. Please understand it is severe, keeping me in bed most days and feeling like I am going crazy literally... I am not complaining for nothing... I wish I was....

thank you all

[JesusSavemefromWD]

My husband is taking me to the emergency... my brain has shut down and nausea and physical exhaustion have appeared today ... 

[manymoretodays]

Oh so sorry to hear it has gotten so difficult JesusSaveme.......

Please let us know how you fare.  When you can. 

 

And breathe......just breathe.......4 seconds in through the nose, then hold for a count of 7, and then a nice exhale of 8 seconds.  Keep practicing and bring all your thoughts to "just breathe".

 

Wishing you well, waving my magic wand vigorously.

And best to your husband as well.

 

L, P, H, and G,

mmt

 

And editing in, I just found this one, the breathing sequence is a little shorter, but it's got some visuals and sound that might be helpful:

 

Edited December 16, 2020 by manymoretodays

[ccfb]

1 hour ago, JesusSavemefromWD said:

hi,

happy to hear u are getting better. Is your depersonalization constant or On/off? I am off Zoloft almost 8 weeks now (took it only for 4 weeks and another 4 weeks tapering from 25mg to 0) and have been having severe non stop depersonalization. Was your depersonalization constant or more intense during the first months off the drug? How is it now? Thank you 

 

At the risk of sounding dismissive, try an intensive 30-day guided meditation course. Meditation is wildly underestimated. 

 

Exercise also helps DP/DR. 

[JesusSavemefromWD]

Thank you,

I have tried both. Exercise doesn’t help for me.... it is like a ghost of myself exercising and it is scary. Praying and meditating helps just a bit.... how are you doing?

[ccfb]

3 hours ago, JesusSavemefromWD said:

Thank you,

I have tried both. Exercise doesn’t help for me.... it is like a ghost of myself exercising and it is scary. Praying and meditating helps just a bit.... how are you doing?

 

You haven't been off-drug very long. 

 

Are you meditating and doing light exercise every single day?  Consistency matters.  I'd suggest guided meditation and walks with nature daily - at least 5,000 steps every day. 

 

I'd also suggest a sleep phase tracker, like Oura. 

 

I am doing well under the circumstances.  2020 has been hard b/c of pandemic, but effects of Lexapro withdrawal are gone.  It does end. 

 

[JesusSavemefromWD]

It is unbelievable we took it for so little and suffer so much for so long. I am hoping it is just a matter of time but as I see DP lasts long time. Bad weather and snow doesn’t allow much walking around where I live.@christianjw12 how are u these days? just hoping u could tell me a bit more of your DP symptoms? Have they been reduced? Was it 24/7 in the begging? Did u feel dead but living ..?? This is how I describe my DP.

[christianjw12]

21 minutes ago, JesusSavemefromWD said:

It is unbelievable we took it for so little and suffer so much for so long. I am hoping it is just a matter of time but as I see DP lasts long time. Bad weather and snow doesn’t allow much walking around where I live.@christianjw12 how are u these days? just hoping u could tell me a bit more of your DP symptoms? Have they been reduced? Was it 24/7 in the begging? Did u feel dead but living ..?? This is how I describe my DP.

Hi @JesusSavemefromWD, DP comes and go in the cycle of windows and waves. Sometimes, I even find it weird to watch myself in the mirror.

Or I start to hate my own voice, feeling it's someone else's voice.

But as @ccfb, mindfulness is the key to free you from your suffering. Scientifically, there's no meds that helps in the case of DP. DP is very scary and annoying, but actually, it's a form of OCD (obssessive compulsive disorder), the more you worry about this symptom and the less you're accepting your situation, it will only worsen your situation.

When you feel very overwhelmed and scared, just step back from your own thoughts and start to be present. Accept your feelings, your worry thoughts, your emotion, and keep on doing what you were doing. That's the only way to cope with DP, I've learnt this from my therapist, it's called Acceptance and Engagement Therapy or ACT.

[JesusSavemefromWD]

Ok , at least yours comes and goes ... mine is 24/7, and as u say yes I also can’t recognize my voice and it’s hard to look myself in the mirror. I know there is no treatment for it but I saw some people here who got DP during withdrawal and reinstained after a few months and DP was gone. Are you thinking it ll go away at some point? If we just keep patient? Was the intensity of your DP as bad in the begging bad it is now? Thank you..,,,,

[ccfb]

1 hour ago, JesusSavemefromWD said:

Ok , at least yours comes and goes ... mine is 24/7, and as u say yes I also can’t recognize my voice and it’s hard to look myself in the mirror. I know there is no treatment for it but I saw some people here who got DP during withdrawal and reinstained after a few months and DP was gone. Are you thinking it ll go away at some point? If we just keep patient? Was the intensity of your DP as bad in the begging bad it is now? Thank you..,,,,

 

You tapered fairly quickly and have not been off the medication very long.  Give yourself some time to adapt.

 

This is why I'm suggesting some daily habits.  

• 10 minutes/day of guided meditation (I'm a fan of Jeff Warren or Shinzen Young on Calm - but you can find a number of guided meditation videos on YouTube);
• 5,000 steps/day minimum (preferably of walking among nature and trees) - the more, the better;
• Consistent bedtime routine - possibly with chamomile tea and/or melatonin (after consulting doctor);
• Track your sleep with a wearable (I'd suggest Oura if you can afford it);
• Music in the background.

Everything you do changes your brain.  Exercise and meditation both cause powerful positive neuroplastic changes - but they require consistency.  These things build into positive change - it's not immediate.  If you try it for one day, it won't work.  Try it for two weeks minimum.  You took the sertraline every day for more than a month - give the meditation and light exercise the same chance.