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Doctors are finally learning to manage antidepressant withdrawal

newscientist.com

341–350 of 385 posts

Re: Doctors are finally learning to manage antidepressant withdrawal

#341
post #229

Earlier quoted context omitted.

Were you experiencing side effects that made you want to get off? For the vast majority of people there really are none.

This is the same myth that women get told about hormonal birth control, it's not an "if" with side-effects of SSRIs, it's a "how much" and "when"

It’s not a myth - the vast majority of women on birth control experience no side effects at all, and many actually get improvement in adjacent conditions like endometriosis and PCOS.

Re: Doctors are finally learning to manage antidepressant withdrawal

#342

Earlier quoted context omitted.

Diagnosed with ADHD as an adult, and on stimulants (went through 3 kinds before we found one that seemed to help). What "high"? Our brain chemistry literally works differently than neurotypical people and the stimulants don't get us high. In fact they often have a calming effect. I had to fight not to fall asleep at my desk two days this week (Not entirely the medication's fault, lotta family stress wrecking my sleep…

> In fact they often have a calming effect. That's clucky addiction mate same reason opioids can make addicts chatty and full of life again if they've been struggling to score all day

Right but amphetamines are supposed to have the opposite effect. You’ve seen people on meth, do they look calm to you?

Re: Doctors are finally learning to manage antidepressant withdrawal

#344
post #320

Earlier quoted context omitted.

Then don’t ask about whether the drugs cure the disease or just “bury it further”. Own your opinion and state clearly that you don’t believe depression is real. Don’t argue silly tangents that serve only to obfuscate your actual point.

What might the difference between between ADHD and ALS though? One is a neurodegenerative disorder and the other is indiscernible from some ditsy airhead who can't be bothered to do things

See how freeing that is? You can just be honest about your beliefs and others can choose to engage or not based on that instead of playing some silly game of pretending that treating symptoms is a bad thing.

It’s ironic that the current secretary of health believes that medicines like SSRIs are overprescribed while simultaneously believing that TRT is underprescribed. It’s interesting to see how people can accept their own “treat the symptoms” medicine as appropriate but deny others. Especially when the primary symptom of low T that most attest is lack of energy and motivation. Aka “can't be bothered to do things”.

Re: Doctors are finally learning to manage antidepressant withdrawal

#345

Earlier quoted context omitted.

Been on hormonal birth control for 20 years. I've stopped twice to get pregnant. No side effects. I don't know why you're so confident here.

I already answered why, it's chemistry. Everyone has side effects, not everyone notices them. You can not introduce a medication, or any substance for that matter, into the human body that does not have any side effects — it's impossible.

Normally when people say side effects they mean things that you can actually observe. Hence your earlier point about going off the meds and noticing a difference. If I don't notice any difference other than I don't think your point really stands.

Re: Doctors are finally learning to manage antidepressant withdrawal

#346

Earlier quoted context omitted.

I'm so sick of this moralistic attitude toward psychiatric drugs. "Happy pills"? Come on. There are ways to work around tolerance. Even if there aren't, what's so terrible about a temporary improvement? I'd wager most of us use some sort of vision correction. This does nothing to fix the underlying problem or even halt the progression, and most of the treatments leave us with a lifelong dependency on them. And yet no…

> Even if there aren't, what's so terrible about a temporary improvement? Is it temp though? ADHD is a list of symptoms with no verdict on the cause. What exactly is the plan beyond the amphetamines? A lot of people I see simultaneously want diagnosing but not curing. It's like the double think required to say not having a symptom can actually be having one. As in, "Despite what I can achieve, I still struggle, and t…

You sure seem to spend a lot of mental energy on judging people.

Re: Doctors are finally learning to manage antidepressant withdrawal

#347

Earlier quoted context omitted.

I already answered why, it's chemistry. Everyone has side effects, not everyone notices them. You can not introduce a medication, or any substance for that matter, into the human body that does not have any side effects — it's impossible.

Normally when people say side effects they mean things that you can actually observe. Hence your earlier point about going off the meds and noticing a difference. If I don't notice any difference other than I don't think your point really stands.

I agree that what you notice is none of my business!

Re: Doctors are finally learning to manage antidepressant withdrawal

#348
post #126

There is a real lack of transparency in communicating some of the long term impacts of SSRIs to new patients. When I was prescribed sertraline not one doctor mentioned the massive (and sometimes permanent!!) sexual side effects, the likelihood of weight gain or how brutal it would be to taper off. Also, I ended up ignoring my doctor's (way too aggressive) tapering schedule and managing my own down-dosing with a pill…

It's harrowing to discover how much of the healthcare system can act like the nervous system does not exist, and the tools available to them are the only tools available, whether it's a prescription, or a focused therapy.

The inability to make an informed choice when not knowing the options up front other than the recommendation is truly one of the worst parts of all of this kind of stuff. Medication can be a reasonable reality many times, but increasingly in hindsight it seems like there can be other things to check first, physiologically, etc.

The number of things that are prescribed through guessing at groupings of symptoms vs just testing or imaging where it's applicable is something I truly can never unsee once I learned about it.

Semi related, did you ever come across saffron in your journey and what did/didn't stand out to you about it?

Re: Doctors are finally learning to manage antidepressant withdrawal

#349

Earlier quoted context omitted.

It's nasty because of the assumption that someone who is taking medication has "buried the cause further", in other words, done something to paper over the rent in their psyche that could have been fixed some other way. In my case, I had depression for no apparent reason, and I went through dynamic psychotherapy, which is basically about finding that reason. That failed, I got worse, and basically was disabled after…

> In my case, I had depression for no apparent reason, and I went through dynamic psychotherapy, which is basically about finding that reason. What was happening with you at that point, where were you at? Riding ecstatically high with your wife kids and large circle of friends, the constant socialising and good times?

I can see that there is no point in continuing this conversation. I wish you the best and that you may never experience depression with your wonderously, fabulously ecstatic life.

Re: Doctors are finally learning to manage antidepressant withdrawal

#350
post #170
post #7

To provide one additional anecdote: I came off escitalopram with no taper after taking it for about five years (10mg). I got brain zaps for a while, got very irritated at times, but largely was fine after a few weeks. Not downplaying the withdrawal effects for some people, but they’re not as catastrophic as this article suggests for many (perhaps most). And overall I’m very glad I took it! It got me through a rough p…

I think you are the flip side of what you mentioned about the article. I don't see the article as saying withdrawal is catastrophic, in fact I see it being well balanced when stating numbers. But you just said many or most people don't experience that. If I were to take your approach, and make generalized statements based on my own experiences, I would say many if not most actually do experience significant withdrawa…

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