UK woman tapering paroxetine: "After 18 years of stupor—of emotionless head fog, of sleeping 14 hours a day, of apathy—I’m succeeding in getting off the #antidepressant Seroxat." /1
After reducing to 7mg paroxetine: "I spent the first half of 2019 in continual, breathless, agitated terror.
....
I couldn’t sit still, and my constant squirming made my partner cry. I suspect I had something I’ve since found out is called #akathisia." linkedin.com/pulse/learning…
"Within days of that first panic attack in January [2109], I decided to stop tapering the Seroxat and stay on the same 7mg dose. I got in touch with my GP to tell her what had happened.
"On one visit, I was so distraught and agitated while describing what was happening—as I had to every time with each different health professional I met—the nurse asked me if I’d been seeing or hearing things she wouldn’t be able to see or hear". linkedin.com/pulse/learning… /4
"Like most of the health professionals I encountered, she refused to consider the obvious & logical cause of my problems.
For any well person, this would have been mildly frustrating. For me...I had to sit on my hands and tangle my jerking legs into a still, locked position." /5
(This was 2019 in UK. Information about the risk of #antidepressant withdrawal syndrome is inside every packet of SSRIs. Reinstatement of drug is advised. FDA put a warning about withdrawal on Paxil or Seroxat in December, 2001. This #psychiatric nurse still didn't know it.) /6
"I had appointments with 4 different #psychiatrists....that’s how many times I was assigned to a new one due to staff shortages and bureaucracy.
(Again, this was in 2019. The warning about withdrawal syndrome was put on Paxil or Seroxat in December, 2001) /7
"All 4 of the #psychiatrists dismissed my symptoms as imagined, or at most a relapse of the original ‘depression’ that prompted me to start Seroxat all those years ago. And they did so even though my symptoms were nothing like my pre-Seroxat self." /8
"to 1 #psychiatrist, I mentioned the government's newly-revised NICE guidelines about antidepressant withdrawal—which now talk about the severe effects of stopping antidepressants—she said she hadn’t heard of them & that “you can’t trust everything you read on the internet”." /9
"Each #psychiatrist recommended a different cocktail of sedatives. One wanted me to stop the Seroxat immediately and take diazepam for 3 months. When I said diazepam is in a class of drugs that is proven to be addictive, I was told I’d be fine." /10
(Please note, again, that all SSRI package inserts recommend reinstatement of the drug when withdrawal symptoms appear. This has been on the Paxil or Seroxat insert since December, 2001. It's in all the UK NHS advice. None of these #psychiatrists were aware of this.) /11
"I know how medication can make things bearable, or in my case, can make things feel different. And feeling different is often enough.
....
I took a 10-minute questionnaire at a weepy moment in my early 20s, was prescribed Seroxat, & I am paying the price ...18 years later." /12
"And the girl who had a perfectly healthy reaction in a doctor’s surgery, after escaping from living with a violent man, moving home twice and changing jobs as many times?
All she needed was someone to talk to. And more than that, someone who would listen to her." /13
"And I'm not sure if I ever really had depression."
This beautiful short piece captures the experience of millions of ordinary people struggling to come off #psychiatric drugs after years of possibly unnecessary treatment.
FACT: “Chemical imbalance” or "neurotransmitter deficiency theory" was deployed by pharmaceutical companies to advertise their #psychiatric psychotropics. Never been scientifically proven, debunked many years ago, still circulating as rumor 20+ years later.
See sources below. /1
@_pem_pem Why this is nonsensical: "Jeffrey Lieberman, a professor of #psychiatry at Columbia University...“The problems that they’ve been criticized for have more to do [with] the way they’re used by doctors & the heterogeneity of the condition that they’re indicated for.” /1
@_pem_pem What Lieberman is saying is that if #antidepressants were prescribed to a population for which they are known to work well, they would have a much better track record. This is true, because it is a tautology. /2
@_pem_pem The reasoning is circular, if #antidepressants were prescribed for those people for whom the drugs worked, they would work. /3
Monoamine hypothesis aka "chemical imbalance" & other synonyms, arose circa 1965, but was known to only #psychiatrists, who were unhappily prescribing TCAs and MAOIs to a niche market. Patients hated the many adverse effects of the drugs. /1
Until mid-1990s, monoamine hypothesis (aka "chemical imbalance", "serotonin deficiency" etc.) was not circulating as a "folk model", not in medicine or in the general public. 1990 is ~center of this chart, when #psychiatrists, many paid by pharma, started churning out papers. /2
As a meme or "folk model", monoamine hypothesis (aka "chemical imbalance", "serotonin deficiency", "neurohormone imbalance", etc.) was diligently planted by dozens of #psychiatrists -- not a few -- many paid by pharma. Not something that arose organically out of nowhere. /3
Lewis, et al. respond to letters to the NEJM editor, demonstrating they do not understand basic concepts of #antidepressant withdrawal @ANTLERtrial
Maintenance or Discontinuation of Antidepressants in Primary Care | NEJM nejm.org/doi/full/10.10…
@ANTLERtrial Some in non-discontinuation group were taking their drugs inconsistently. Lewis, et al. missed potential withdrawal symptoms in that group: "but participants reported some new & worsening symptoms while continuing to take #antidepressants"
@ANTLERtrial Lewis, et al. claim "an increase in depressive symptoms might lead to an increase in “new & worsening” symptoms that are recorded as withdrawal symptoms" EXCEPT they also recorded physical withdrawal symptoms, failed to identify who had both, & did not exclude them from "relapse"
@sanilrege@markhoro@SenadHasanagic1 Not at all, Sanil. Among my site members, many people come off #antidepressants & other drugs with slight or no withdrawal symptoms except an emotional anesthesia, which they may describe as depression, anhedonia, various kinds of malaise, even "relapse" but.... /1
@sanilrege@markhoro@SenadHasanagic1 ....it's a "relapse" unlike anything they've experienced before. While they may use #psychiatry's vocabulary, because that's all they've got, this emotional anesthesia is actually a result of long-term psychotropic exposure, not "relapse"..../2
@sanilrege@markhoro@SenadHasanagic1 Post-drug emotional anesthesia is well known among those who have gone off psychotropics classified as addictive & considered a feature of those protracted withdrawal syndromes. There is no reason to think chronic #psychiatric psychotropics are exempt..../3
With all due respect to the fine @awaisaftab, these are the varieties of #antidepressant withdrawal syndrome:
1) WS with only physical, no emotional symptoms 2) WS with both physical & emotional symptoms 3) WS with only emotional symptoms 4) WS manifested as emotional anesthesia
@awaisaftab Of the above, types 1 & 2 are WS, not "relapse", even if "depression" is present. Emotions such as those that compose "depression" do not exist apart from experience. Emotional reaction to feeling neurobiologically out of control should not be diagnosed as "depression".
@awaisaftab Type 3 may include the waves of intense anxiety, fear, & "black holes" characteristic of WS. Characterized by intense sensations with interludes of relative calm. Typically, these very gradually abate over months.