Originally Posted by
LiveAboveIt
Yeah, I'm not sure what it is. I was on Effexor XR for about 3 weeks before I discontinued because they tried increasing the dose and I started to suffer severe panic attacks, always in the middle of the night. Was put on 20mg Prozac to bridge while I tapered down the Effexor, but had a severe reaction of akathisia after taking them both for about 4 days and had to just cold turkey both of them.
Had pretty severe withdrawals for around 4 weeks before they started me on 20mg of Citalopram. I was on Citalopram for around 5 weeks before I was told to cold turkey because of the severe reaction I had to it.
Since then, I am always in a constant state of anxiety and my thought patterns are very negative and I think I have convinced myself that I can't stop thinking about the anxiety and worrying. I don't know if this is normal GAD, but when I try to stop worrying about it, my mind continues to worry anyway and this ramps up the anxiety even further. I don't know if this is normal GAD or withdrawal. My automatic negative thoughts have much more punch than they ever had, anytime I have a thought like "I'm going to be stuck like this forever," its a very painful thought and is immediately considered truth before I even have time to analyze it or be rational.
It feels like I have absolutely no buffer for stress and anxiety and the emotions are just running wild. I have horrible anger spells for no reason where I get really hostile and aggressive. I cry at just about everything. And often times I will just suddenly feel overwhelmed by the anxiety and thoughts for no reason and start to despair with suicidal thoughts and what I would describe at psychosis. Last night I was in a terrible state where I couldn't handle the way I felt and the constant anxiety/thoughts, I was bawling to my girlfriend about wanting to kill myself and how I cant cope or do this. She kept trying to reassure me that it is withdrawals and would pass and I just didnt care, I firmly believed that I couldn't handle it anymore.
After it passes, I no longer feel that way and I'm just kind of left in bewilderment about what happened and how the hell I got to that place and I just worry about when its going to happen again, because so far it's been inevitable. It's so intense that I can't separate whats really me and when I just go off the rocker for no reason because of the withdrawals. I haven't been able to make that disconnect between myself and the symptoms.
But yeah, it wouldn't be so alarming if this was usually how I am, which it's not AT ALL. Before the Effexor XR even I wasn't this bad and never constantly thought about suicide or felt overwhelmed and unable to cope. This is my first experience with this and I have no idea how to handle it.
I have a long history of anti-depressant usage, but it's never been this bad before. I've been on and off the meds for the last 6 years or so. On for 3 weeks, off for 3 weeks, on for 4 weeks, off for 4 weeks. I've only ever been on maybe 2 or 3 medications that I was on for 3-4 months. Those were Effexor XR, Lexapro, and Citalopram.
But for whatever reason I can't tolerate meds at all anymore. Hell, even caffeine and sugar. I used to be able to drink coffee before bed and have absolutely no anxiety or trouble sleeping. Used to drink soda and sweet tea ALL DAY. Now I can't even have a glass of sweet tea without waking up in the middle of the night with random panic attacks and constant intense anxiety throughout the day.
I always do worry that this is just my anxiety now and this is the way it is, but there are too many other changes that point to some kind of chemical issue that I haven't ever had problems with before.
It feels like now I'm just stuck constantly ruminating/obsessing about the anxiety and the way I feel, like automatically, even though I don't want to.. And then it just builds for no reason and I lose control. And then some days I wake up and feel almost back to normal and I think I'm cured and then the next day or the end of the day causes me to lose control again.
My mind is just constantly whirring with anxious thoughts and thinking and I can drop over the cliff on a whim, it feels like I have no control.
I feel so unstable right now, it's awful. I don't want to reinstate Citalopram at all. I'm more open to trying a new med, like Mirtazapine or Pregabalin like Terry mentioned, but I'm scared of going through this all over again and I'm worried about how long I'm going to have to wait this out.
Sorry for the giant journal and thank you for the support.