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Many People Taking Antidepressants Discover They Cannot Quit

nytimes.com

41–50 of 233 posts

Re: Many People Taking Antidepressants Discover They Cannot Quit

#41
What's worse is that the longer you take certain psychiatric drugs, the greater the long-term damage it can possibly cause to almost disability. It's being between a rock and a hard place.

I've taken Abilify, Wellbutrin, Seroquel, and a number of other drugs. The biggest problem when you enter the psychiatric system is you go through pill roulette. You take a drug, try it, see what works, and keep trying till you find what works. Even worse is that I entered the system in high school which is a tumultuous developmental period.

One sad personal story is that a psychiatrist started me on a developmental drug. A drug that was approved for other problems but was "in development" for other uses. I tried it and it was worse than Seroquel. Seroquel, if I missed a dose, I couldn't sleep. For this new drug, if I missed a dose, I had a panic attack and if I took it, I would fall asleep. So if I was out too long, let's say traveling, I had to choose between a panic attack or falling asleep.

When I confronted my psychiatrist about this problem, instead of taking me off the drug, he prescribed me medication for panic attacks.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#42
post #16
post #11

Earlier quoted context omitted.

This is psychiatry . We don't know how to cure the underlying diseases, because we don't entirely understand them. When the field can actually cure them, like for PTSD and certain anxiety disorders, it's very happy to.

It doesn't cure any of these disorders. All they can do is reduce the symptoms just enough between each pill you pop.

Psychological treatments like exposure therapy are highly effective in treating PTSD, panic disorder and phobia. A significant proportion of people with severe anxiety-related disorders can be completely cured in a matter of weeks. It doesn't work for everyone, but thousands of lives have been transformed by psychotherapy.

The best available evidence suggests that psychological treatments are equally effective as drug treatments for most common psychiatric disorders. Psychological therapies are generally orders of magnitude more expensive than drug treatments, so unfortunately they aren't as widely available.

Psychiatry is an incredibly challenging field and there are a lot of things we just don't know. Drug companies might have a strong incentive to keep selling you pills, but insurers have an equally strong incentive to cure you outright. Single-payer healthcare systems like the British NHS have a huge incentive to use the best, most cost-effective treatments available. It's just an unfortunate fact that we can't fix everyone. There is no magic wand to cure all human misery and there's no conspiracy to keep people sick.

http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD0033... http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD0111...

Re: Many People Taking Antidepressants Discover They Cannot Quit

#43
post #20

I hope that this doesn't come over as sarcastic, but the pharmaceutical industry is a business , and they will always operate like one: A business is about making the most money possible: Maximizing revenue is about minimizing the main costs which are generated by the activities of: (a) acquiring the customer (through: advertising and marketing) and, (b) retaining the customer (in this case: through dependency). Ther…

That's hardly the reason for why antidepressants cause what's known as "dependency." I don't think there is malice or nefarious nature to the state of drugs in psychiatry - it's moreso that almost all the drugs that have non-subtle effects, also come with dependency. And thus, doctors' want to prescribe something that has immediacy, because most patients will have doubt and abandonment of a treatment plan if it isn't strong enough to cause immediate change.

But I would agree that the field of psychiatry (not psychology which doesn't require a medical license) has it in their interest to say that antidepressants aren't _narcotics_. And they aren't. But the cruel thing is that the difference between a narcotic and a dependency-causing-drug is blurred.

For example, Wellbutrin is a norepinephrine aka noradrenaline agonist and reuptake inhibitor. It's a stimulant - to call it an antidepressant is a bit of an ongoing joke. If someone has no energy and lacks willpower, any stimulant will get them to do things they might not otherwise have done.

The reason Wellbutrin isn't considered a narcotic is mainly because being full of adrenaline is often a shitty experience - whereas being full of a 10%/90% adrenaline/dopamine mix is quite pleasurable (ADHD stimulants - amphetamines/phenidates.) But it's entirely unscientific to say that an antidepressant cannot be addictive to a person that likes the effects more than the average neurotypical person. Just google Wellbutin abuse and you'll find a ton of personal stories.

And then lets talk about dependency. Dependency is just a rebound effect by the body to adjust its endogenous feedback in order to find homeostasis again. It's why most drugs that have large immediate "gratifying" or noticable psychological effects, also come with a downregulation in the same areas by the brain and body. So when you stop taking the drug, your body is actually BELOW baseline and it will take quite a bit of time before you are back to baseline. In some cases of extreme use, the brain can be structurally changed and permanent damage can result. See "parkinsons from stimulant abuse" for a typical example.

Dependency and addiction only have a difference in a psychological way. The physical withdrawal and rebound effects are mutual. Don't be fooled when you are told that an antidepressant drug is not a "narcotic" and isn't habit forming. It is a lie.

The only psychological drugs that are truly therapeautic are upregulators like Cordyalis, known as Yan Hu Suo in Chinese medicine. It causes neurogenesis and upregulates dopamine. It is quite a beneficial drug to consume when withdrawing from any type of stimulant or dopamine agonist.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#44
post #40

"Cannot stop" is kind of strong. More like "have nasty side effects while tapering off and puss out". Having been on the Zoloft,I can say is got a black box warning for a reason and should only be taken if you're seriously in danger of self harm. Shrinks like it because it keeps people coming back. People like it because they're not willing to confront their real problems and want something to numb themselves out. Ju…

[deleted]

Re: Many People Taking Antidepressants Discover They Cannot Quit

#45

What's worse is that the longer you take certain psychiatric drugs, the greater the long-term damage it can possibly cause to almost disability. It's being between a rock and a hard place. I've taken Abilify, Wellbutrin, Seroquel, and a number of other drugs. The biggest problem when you enter the psychiatric system is you go through pill roulette. You take a drug, try it, see what works, and keep trying till you fin…

Seroquel is part of a family of drugs (antipsychotics) which have some of the worst long term adverse effects of all psychiatric drugs. Everything from tardive dyskenisia to enlargement of the ventricles of the brain are routinely observed over decades of use, and that’s not even mentioning adverse effects which appear almost immediately. In general though, these drugs have little or nothing to do with antidepressants, SSRI’s or anything most poeple will ever take.

Of course the adverse effects of psyshcosis and untreated psychotic illness are much worse, including homelessness and death. So while these drugs are undeniably difficult to live with, people who have been prescribed the family including Seroquel generally really need them to function. All of which is to say that the struggles of people on neuroleptic therapy are generally very different from what’s being discussed in the article here.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#46
post #40

"Cannot stop" is kind of strong. More like "have nasty side effects while tapering off and puss out". Having been on the Zoloft,I can say is got a black box warning for a reason and should only be taken if you're seriously in danger of self harm. Shrinks like it because it keeps people coming back. People like it because they're not willing to confront their real problems and want something to numb themselves out. Ju…

> "Cannot stop" is kind of strong. More like "have nasty side effects while tapering off and puss out".

sure, but you can make the same point about any drugs that people develop physical dependencies on. aside from alcohol and benzodiazepines, you will survive. antidepressant withdrawal varies a lot from person to person though. the brain zaps can definitely be severe enough that it becomes unsafe to drive a car, for instance.

> Just say "No!".

this I can certainly agree with, for all but the most severe cases. it's almost never worth the common side effects, let alone the rare ones.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#47
post #19
post #17

I was up to 10mg/daily of Lexapro for two years. When my doctor and I agreed it was time to stop taking it, his advice was to go down to 5mg for a week, then stop. When I tried stopping after the 5mg dose I had constant vertigo symptoms and incredible difficulty sleeping. What I ended up doing was cutting the pills in half for a few weeks, then quarters, then removing one day a week from the schedule until I was down…

I had the same issues coming off of Lexapro. Weird brain shocks. Bupropion (Wellbutrin) has been better for me all around, but I worry about what it will be like coming down off of it too. The good news is that I'm overall in a good place and feel like I probably don't need it anymore.

Same thing happened to me going off of Lexapro. I called it "the zaps".

Re: Many People Taking Antidepressants Discover They Cannot Quit

#48

I've seen enough people in my life become addicted to antidepressants because of a traumatizing event in their life for me to have a dark outlook on it. Instead of therapy or taking real course of action to resolve the trauma/inner problem, a doctor will just label a person suffering depression. The greatest use of an umbrella-word "Depression" to get people on prescription medication and typically the problem never…

Antidepressants have drawbacks, but what matters is that the benefits outweigh the cost. That is something that doctors discuss with their patients when considering such a treatment.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#49
post #19
post #17

I was up to 10mg/daily of Lexapro for two years. When my doctor and I agreed it was time to stop taking it, his advice was to go down to 5mg for a week, then stop. When I tried stopping after the 5mg dose I had constant vertigo symptoms and incredible difficulty sleeping. What I ended up doing was cutting the pills in half for a few weeks, then quarters, then removing one day a week from the schedule until I was down…

I had the same issues coming off of Lexapro. Weird brain shocks. Bupropion (Wellbutrin) has been better for me all around, but I worry about what it will be like coming down off of it too. The good news is that I'm overall in a good place and feel like I probably don't need it anymore.

Bupropion is marketed as Zyban as a smoking cessation aid meaning that people are coming down on it when they quit Zyban, after they quit smoking. I've done this, twice. I've also used Ritalin in the past. It works similar, and from my memory the coming down is also similar.

Re: Many People Taking Antidepressants Discover They Cannot Quit

#50
post #35

The "Chemical Imbalence Theory", although heavely popular and promoted, is largely unfounded on science: https://joannamoncrieff.com/2014/05/01/the-chemical-imbalanc...

Meta studies still show that antidepressants help more than the placebo https://www.bmj.com/content/360/bmj.k847
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