Discover and read the best of Twitter Threads about #PAWS

Most recents (11)

@DrFulli @lapsyrevoltee I do agree, Dr. Fulli. Response to the drug most certainly is not a diagnosis, & those physicians who conclude an adverse reaction to an #antidepressant is diagnostic of bipolar disorder not only have poor pharmacology knowledge but poor logical skills as well. /1
@DrFulli @lapsyrevoltee Even people with no pre-existing #psychiatric symptoms may have a severe adverse reaction to an #antidepressant or any other psychotropic.

Conversely, any psychotropic might relieve "depression" in someone, eg. amphetamines or opiates. This is another law of psychotropics. /2
@DrFulli @lapsyrevoltee For what it's worth, I have a collection of case studies where people had immediate severe adverse reactions to #antidepressants & even though they quit within a handful of doses, suffered symptoms identical to post-acute withdrawal syndrome #PAWS for months or years. /3
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@psychunseen: "...if the goal of anti-psychiatry is to get #psychiatrists to listen...this is better done within a therapeutic relationship, not in a picket line at the American Psychiatric Association annual meeting or on social media" apparently refers to me personally. /1
I thought it stood out as particularly illogical in his most recent screed psychologytoday.com/us/blog/psych-…

Who pickets the APA other than Scientology?
Then I recalled I had attended an APA meeting where there were pickets. I did not do any picketing myself, but I was invited to speak outside:

/3
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@sandysteingard @awaisaftab Clarifying: Across psychotropics, withdrawal syndrome is not "time-bound" except by arbitrary distinction between acute & post-acute withdrawal syndrome #PAWS, which can last years & is often conflated with "relapse". Lerner & Klein, M. (2019). doi.org/10.1093/brainc…
@sandysteingard @awaisaftab Presentation from a Merck scientist that lays out tolerance, withdrawal, protracted withdrawal #PAWS: Markgraf, C. G. (2012, October). Introduction to Physical Dependence and Withdrawal. 12th Annual Meeting. Safety Pharmacology Society, Phoenix, Arizona. safetypharmacology.org/AM2012/am12pre…
@sandysteingard @awaisaftab Only wishful thinking & fixation on dangers of addiction have given #antidepressants, etc. a free pass from psychotropic adaptation, dependence, tolerance, withdrawal, & #PAWS. With very few exceptions, all regularly taken psychotropics cause withdrawal & #PAWS.
Read 4 tweets
@DrFulli @AllenFrancesMD Yes, we know. I've got 6,000 naturalistic case histories of adverse effects of psychotropics right here. I know more about adverse effects of psychotropics than I ever cared to. Being prescribed isn't a shield for a drug. survivingantidepressants.org/forum/3-introd…
@DrFulli @AllenFrancesMD Not joining handwaving over esketamine because it's so dangerous, though I abhor the dishonesty & hype. I counsel people with akathisia, movement disorders, suicidality induced by prescribed #psychiatric drugs every damn day. A psychotropic is a psychotropic. They all ruin lives.
@DrFulli @AllenFrancesMD I just had to review and document the suicides of 2 of my site members who could not stand their post-acute withdrawal syndrome #PAWS from #antidepressants any more. One was a woman with PSSD sexual dysfunction for 38 months. She was 21. Started sertraline at age 17. /1
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"I tapered down to 3mg [Lexapro] and I couldn't stand the way I felt, so on April 15 I just stopped....I went through many horrible feelings, the zaps when moving eyes side to side, I have the constant tinnitus & electrical showers in my head." survivingantidepressants.org/topic/14679-me… /1
Off Lexapro April 15, 2020: "I went through periods of feeling like I was slurring my words, as if I was drunk. Some days I feel like someone unplugged me & I have zero life force, my body is heavy like lead. Then the extreme dizziness & nausea started. /2 survivingantidepressants.org/topic/14679-me…
Textbook case: Off Lexapro April 15, 2020, she is moving from ~12 weeks of acute withdrawal symptoms to post-acute withdrawal syndrome #PAWS. "I think I am getting better because some of the symptoms went away, but then new symptoms take their place." /3 survivingantidepressants.org/topic/14679-me…
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I'm in a particularly bad mood about the delusions of #psychiatry having spent the last week analyzing the case histories of 70 people with #antidepressant post-acute withdrawal syndrome #PAWS: duration 5-166 months, median 29.5 months. Lots of #psychiatrists involved. /1
5/70 reported recovered, 2 reported suicides. One suicide, better after 69 months of #PAWS, had an adverse reaction to an antibiotic that threw her back into the depths of withdrawal. The other, a 21-year-old woman, because of 38 months of post-SSRI sexual dysfunction #PSSD. /2
The 63 for whom I do not have reports of recovery from antidepressant post-acute withdrawal syndrome #PAWS or suicide have mostly been lost to follow-up. After years of reporting grueling symptoms, they didn't come back to tell us how they were doing. I hope they did recover.
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Nevada woman: "spring 2002-summer 2008 - in chronological order: Effexor CT'd, Lexapro, possibly Luvox & Zoloft?, Prozac (brand name), Paxil, Geodon, & Prozac summer 2009-summer 2012 Prozac (up to 80 mg but settled at 60 mg) & Wellbutrin (300 mg)...." /1
survivingantidepressants.org/topic/21596-ho…
"....fall 2012-fall 2016 Prozac (60 mg) & Wellbutrin (300 mg) - also tried Anafranil close to the beginning of this period (unsure of dosage) fall 2016-fall 2017...." /2 survivingantidepressants.org/topic/21596-ho…
"....FT'd Wellbutrin to 0mg & Prozac to 10 mg (had FT'd both, reinstated at 300mg & 60mg, then FT'd again - very bad for my CNS) fall 2017-October 2018 Prozac (10 mg) FT'd to switch to Anafranil...." (FT means "fast taper") survivingantidepressants.org/topic/21596-ho… /3
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@DBDouble @f_hieronymus @awaisaftab @rcpsych I took it as "contend" but @f_hieronymus does not seem to be aware that while #antidepressant withdrawal problems are well-documented, this awareness has not translated to clinical practice for 60 years. What is the nature of the barrier? This is the epistemiological question.
@DBDouble @f_hieronymus @awaisaftab @rcpsych First, late '80s-early '90s, new #antidepressants were held not to have a withdrawal syndrome (despite known pharmacological principles of psychotropics & appearance in clinical trials).

Then, starting with Schatzberg et al., 1997, withdrawal syndrome was held to be trivial /1
@DBDouble @f_hieronymus @awaisaftab @rcpsych Schatzberg et al., 1997 claimed #antidepressants "discontinuation" symptoms were mild, transitory, lasting only a few weeks, barely needing tapering. This held sway to the present day (despite decades of many, many patient complaints of more severe problems). /2
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"I was eventually convinced by a psychologist (and my wife) to try Zoloft because I was one of those people that was either born with a chemical imbalance or I acquired one due to my childhood traumas. Well...those 3 days were...pure hell on earth." survivingantidepressants.org/topic/16251-ps…
After 2 years on #antidepressants: Diagnosed Paroxysmal Supra Ventricular Tachycardia "24 years of my life chasing this, never not once did any medical or other professional suggest I go see a cardiologist but they were all too willing to take my money.." survivingantidepressants.org/topic/16251-ps…
"I was very very ill about a week after I started Pristiq & I told my GP numerous times but she just said to "keep going" as it takes about 6-8 weeks to kick in and start working...it was obvious she was in too far over her head..." survivingantidepressants.org/topic/16251-ps…
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At age 33: "I ran into a situation that required me to confront someone. As that time approached, I became increasingly anxious about my ability to handle the situation....I went to my doctor for help. He immediately threw 20 mg of Prozac at me...." survivingantidepressants.org/topic/22572-by…
"I left my GP & sought out the top Psychiatrist in my city...By this time, I was such a mess due to the effects of the Prozac, I was diagnosed with GAD Generalized Anxiety Disorder....We tried several other types of antidepressants...." survivingantidepressants.org/topic/22572-by…
"we tried several other types of antidepressants over the following months....Each one effecting me the same way....Over the last 20 years I ran into a few occasions that required the medication to be increased....Again, I would lose my mind!" survivingantidepressants.org/topic/22572-by…
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#vss365
I started playing #guitar in college. Some of my friends back home played, so I thought I'd learn. It's been years since I kept up with it. With no job and an empty house, I had time. Plus, I could crank up my amp. Ava would have hated it. All the more reason to do it.
#vss365
Strumming a few chords or playing a riff through a loud amp usually makes me feel better. It's more of a distraction this time. My amp is a little old. Even a #ragpicker might pass on it. "If you're not going to play it, sell it," Ava nagged. Life always got in the way.
#vss365
Or I got in the way. Not even ten years ago I kept getting sick all the time. Painful stomach cramps would radiate weakness throughout my body. I learned how to wash it away like healing #rainwater. That's when I really started to figure out who I was and what I could do.
Read 857 tweets

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