off the meds

[joswift]

Sorry to hear Jeff


Are you using Setralin? Duloxetin? Lergigan?

nothing at the moment
Occasional Diazipam at night

[OneMoreRep]

citalopram 30mgs
mirtazapine 15mgs

Just stopped, last dose 3th November, was OK for 4 weeks, must be out my system by now

Probably should have tapered off but I am where I am

Got it. It would have been beneficial to follow a gradual weaning schedule off these medications to potentially mitigate rebound depression symptoms. Additionally, considering a potential underlying element of anxiety in this situation, addressing that aspect might also be crucial.

On a related note, have you explored alternative classifications of medications for treating your depression? Emotional blunting is a common side effect of SSRIs like Citalopram and others. For instance, Wellbutrin XL, also known as Bupropion in its generic form, could be worth considering. Unlike Citalopram, which primarily increases serotonin availability, Wellbutrin XL is an NDRI (noradrenaline and dopamine reuptake inhibitor). This means it enhances both Noradrenaline and Dopamine levels, potentially beneficial for depression. Higher Noradrenaline levels can regulate arousal, attention, cognitive function, and stress reactions. Elevated Dopamine levels may improve feelings of pleasure, satisfaction, motivation, and impact memory, mood, sleep, learning, concentration, and movement. If you haven't explored this option or it hasn't been suggested, it might be worth looking into. Disregard this suggestion if you've tried it without success or experienced adverse effects.

Of course, there are other medications you can consider trying if you haven't already. SNRIs (Serotonin Noradrenaline Reuptake Inhibitors) like Cymbalta/Duloxetine, Effexor/Venlafaxine, or Pristiq/Desvenlafaxine are examples. The choice depends on your specific comorbidities in the context of behavioral health (anxiety, OCD, panic disorder, social anxiety, etc.). Different medications may work better depending on the combination of conditions present. Focusing solely on depression, Wellbutrin XL is worth considering due to its relatively quick efficacy (1-2 weeks) and the absence of the need for tapering off, unlike most other antidepressants.

Apart from exploring different antidepressant classifications, have you thought about alternative treatments such as Ketamine, Psilocybin mushroom treatments or even more invasive options like Electroconvulsive Therapy or Transcranial Magnetic Stimulation?

Happy to talk about these things at any time if you want to, can also always reach out via PM.

With you always brother,

"1"

[joswift]

Got it. It would have been beneficial to follow a gradual weaning schedule off these medications to potentially mitigate rebound depression symptoms. Additionally, considering a potential underlying element of anxiety in this situation, addressing that aspect might also be crucial.

On a related note, have you explored alternative classifications of medications for treating your depression? Emotional blunting is a common side effect of SSRIs like Citalopram and others. For instance, Wellbutrin XL, also known as Bupropion in its generic form, could be worth considering. Unlike Citalopram, which primarily increases serotonin availability, Wellbutrin XL is an NDRI (noradrenaline and dopamine reuptake inhibitor). This means it enhances both Noradrenaline and Dopamine levels, potentially beneficial for depression. Higher Noradrenaline levels can regulate arousal, attention, cognitive function, and stress reactions. Elevated Dopamine levels may improve feelings of pleasure, satisfaction, motivation, and impact memory, mood, sleep, learning, concentration, and movement. If you haven't explored this option or it hasn't been suggested, it might be worth looking into. Disregard this suggestion if you've tried it without success or experienced adverse effects.

Of course, there are other medications you can consider trying if you haven't already. SNRIs (Serotonin Noradrenaline Reuptake Inhibitors) like Cymbalta/Duloxetine, Effexor/Venlafaxine, or Pristiq/Desvenlafaxine are examples. The choice depends on your specific comorbidities in the context of behavioral health (anxiety, OCD, panic disorder, social anxiety, etc.). Different medications may work better depending on the combination of conditions present. Focusing solely on depression, Wellbutrin XL is worth considering due to its relatively quick efficacy (1-2 weeks) and the absence of the need for tapering off, unlike most other antidepressants.

Apart from exploring different antidepressant classifications, have you thought about alternative treatments such as Ketamine, Psilocybin mushroom treatments or even more invasive options like Electroconvulsive Therapy or Transcranial Magnetic Stimulation?

Happy to talk about these things at any time if you want to, can also always reach out via PM.

With you always brother,

"1"

I have always been very independant since I was a child , my experience in hospital highlighted my human frailties and vulnerability hence the trauma

I have never relied on anyone up until my time in hospital and I didnt get the care and help I needed, (NHS is fucking shit)

I am hyper vigilant bordering on paranoid but paranoia is the misinterpretation of reality, Im almost always right even though most of what I pick up goes over other peoples heads

I listen to every word people say, and pick up on what they dont say, I studied body language for years so pick up on signals and cluster gestures when people talk.

I also think I have Alexithymia

Signs and symptoms of alexithymia include: difficulties identifying feelings and emotions. problems distinguishing between emotions and bodily sensations that relate to those emotions. limited ability to communicate feelings to others

[wes]

Meditation,not medication may also help.

[dj181]

I have always been very independant since I was a child , my experience in hospital highlighted my human frailties and vulnerability hence the trauma

I have never relied on anyone up until my time in hospital and I didnt get the care and help I needed, (NHS is fucking shit)

I am hyper vigilant bordering on paranoid but paranoia is the misinterpretation of reality, Im almost always right even though most of what I pick up goes over other peoples heads

I listen to every word people say, and pick up on what they dont say, I studied body language for years so pick up on signals and cluster gestures when people talk.

I also think I have Alexithymia

what's vic blacks body language here?

[Raymondo]

citalopram 30mgs
mirtazapine 15mgs

Just stopped, last dose 3th November, was OK for 4 weeks, must be out my system by now

Probably should have tapered off but I am where I am

No mate... you don't want to cold turkey these meds. Slow, very slow, super slow taper is the way to go and even then ...

I really suggest going to a psychiatrist and asking if they cannot put you on low-dose prozac (fluoxetine), which is one of the milder SSRIs, just to stabilise the symptoms and then slowly taper off that. Best go to a private one, too. NHS takes months.


My own personal experince for what it's worth: I did a slow taper on paroxetine 15 years ago and when I stopped for good it triggered a major depressive incident that lasted five months. 18 hours a day in bed, pouring sweat, flat affect. Never had depression before, it was prescribed for anxiety.

[OneMoreRep]

I have always been very independant since I was a child , my experience in hospital highlighted my human frailties and vulnerability hence the trauma

I have never relied on anyone up until my time in hospital and I didnt get the care and help I needed, (NHS is fucking shit)

I am hyper vigilant bordering on paranoid but paranoia is the misinterpretation of reality, Im almost always right even though most of what I pick up goes over other peoples heads

I listen to every word people say, and pick up on what they dont say, I studied body language for years so pick up on signals and cluster gestures when people talk.

I also think I have Alexithymia

Aside from the potential presence of Post-Traumatic Stress Disorder (PTSD) contributing to anxiety and depression, there may also be an overarching neurodevelopmental issue that influences much of what you've described. This underlying factor could be a significant contributor to the behavioral health issues you're facing, including anxiety, depression, and PTSD. Still, this is just the two of us talking out loud.

Nonetheless, severe depression can lead to suicidal ideations or worse. Given the intensity of your feelings, addressing the depression should be a primary focus. Over the past three years, I've witnessed many friends and family members grappling with challenges unlike any other period in my lifetime. How is your support system at home (wife, kids, family etc.)?

"1"

[IroNat]

Read...

[joswift]

Aside from the potential presence of Post-Traumatic Stress Disorder (PTSD) contributing to anxiety and depression, there may also be an overarching neurodevelopmental issue that influences much of what you've described. This underlying factor could be a significant contributor to the behavioral health issues you're facing, including anxiety, depression, and PTSD. Still, this is just the two of us talking out loud.

Nonetheless, severe depression can lead to suicidal ideations or worse. Given the intensity of your feelings, addressing the depression should be a primary focus. Over the past three years, I've witnessed many friends and family members grappling with challenges unlike any other period in my lifetime. How is your support system at home (wife, kids, family etc.)?

"1"

been there several times

Just my wife
I dont really have "friends" as most people know them and I havent seen my son for about 18 months

Im not a people person even though I can make them believe they are the most important people in the world if I want to

[joswift]

Read...

Im depressed enough thanks

[OneMoreRep]

Just my wife

Good that you have her.

I havent seen my son for about 18 months

How come? That can be incredibly relevant.

"1"

[joswift]

Good that you have her.

How come? That can be incredibly relevant.

"1"

I dont like his kids
We dont have much in common, hes OK gets on with his life

I dont miss people or crave company , I seldom go to social gatherings, If I do I tend to find one person who is interseting and spend my time talking to them

I dont go anywhere where there are children present if I can help it, if I do I dont interact with their parents

[CalvinH]

I dont like his kids
We dont have much in common, hes OK gets on with his life

I dont miss people or crave company , I seldom go to social gatherings, If I do I tend to find one person who is interseting and spend my time talking to them

I dont go anywhere where there are children present if I can help it, if I do I dont interact with their parents

If you just lived in your mom's basment you'd be the perfect GB'r

[joswift]

If you just lived in your mom's basment you'd be the perfect GB'r

 

[OlympiaGym]

A lot of depressives on this board. I wonder if being here helps or hurts.

[IroNat]

Some people you are better off to avoid as they bring you down.

Are you retired yet?

Some things to do...

Take long walks
Take bike rides
Go fishing

[OlympiaGym]

Seeems like being retired would be even worse for depression. At least work forces you to get up everyday and do something.

[joswift]

Some people you are better off to avoid as they bring you down.

Are you retired yet?

Some things to do...

Take long walks
Take bike rides
Go fishing

Almost, couple years tops

Used to fish in the summer months, not been for a few years, may start again

Hate the fucking wind when fishing

[1Patrick]

Feel better man .

[ProudVirgin69]

A lot of depressives on this board. I wonder if being here helps or hurts.

It’s a symptom not a cause

[Deacon Jeschin]

nothing at the moment
Occasional Diazipam at night

For "Fishbowl head" withdrawal, try lots of water and Benadryl.   

[D.O.A.]

Not going too well at the moment
If I could explain how my head is at the moment its this


Cant focus on anything, keep telling myself to shut the fuck up even though Im not talking

Depresssion is a twat

Jeff,
its the worst!
I suffered from childhood on. Got to keep doing stuff you really like or love. Get some help, right away. I works...
You are such a fun guy usually its a complete bummer to hear you are suffering.

If there is anything I can do or help you got my number.

[Kahn.N.Singh]

what do you think is the meaning of life and do you feel your life has purpose. i wonder about these things mainly when i am on the toilet and i think about all the people who have died on the toilet

pigbuild, your post betrays more than a porcine acquaintance with a great German existentialist who marshalled a load of focus to administer a philosofecal colonoscopy on questions over the meaning of human existence, finding that it was reamed out from the start – gaping with emptiness. There is no intrinsic purpose to life.
    By now, you know that I am referring to the perpetually pissed Arthur Goldenshower, who, like your self, experienced heavy mind-dumps whilst formulating his most fetid, but powerful, work, Existenz und die Kacke, on his unsteady 19th century Scheißlochsitz. Conclusion: don't be tight-assed, loosen up, nothing matters and life’s always been a crapshoot; so relax, lay waste to your worries, and go blast that shit!

[Kwon]

citalopram 30mgs
mirtazapine 15mgs

Just stopped, last dose 3th November, was OK for 4 weeks, must be out my system by now

Probably should have tapered off but I am where I am

Instead of Mirtazapine, try Sertraline and then move on to Duloxetine

Much better than Mirtazapine

IF you ever should have to go back on meds again

[pigbuild]

pigbuild, your post betrays more than a porcine acquaintance with a great German existentialist who marshalled a load of focus to administer a philosofecal colonoscopy on questions over the meaning of human existence, finding that it was reamed out from the start – gaping with emptiness. There is no intrinsic purpose to life.
    By now, you know that I am referring to the perpetually pissed Arthur Goldenshower, who, like your self, experienced heavy mind-dumps whilst formulating his most fetid, but powerful, work, Existenz und die Kacke, on his unsteady 19th century Scheißlochsitz. Conclusion: don't be tight-assed, loosen up, nothing matters and life’s always been a crapshoot; so relax, lay waste to your worries, and go blast that shit!

for a moment i thought you were serious and i was ready to read this monumental piece of literature but it was all a joke to you. job well done mate you are pretty funny but it has accomplished nothing