in Search
Welcome to Neopoleon - Sign in | Join | Help
Navigation: Home | Forums | Galleries

Drugs: Time to Quit Again

Over the years, I've accumulated a few too many prescriptions. Anti-depressants, anxyolitics, anti-seizure meds, sleep aids, and more. When I moved to the Seattle area and it was time to pick up a new shrink, I just happened to get one of the west coast's best addiction specialists. With a couple mistakes in life, I've never considered myself to be an "addict," but he thinks otherwise.

This guy keeps his dog in the office all day. It's this big black poodle-y thing with a penchant for sharing its bodily fluids. That animal's day just isn't complete unless it has marked every patient as its private property. I think my shrink decided I was on too many meds when the dog passed out the first time it licked me.

It's amazing how easy it is to become human blotter paper for psychiatric drugs if you let people tell you what you "need." I'm not saying I'm not totally insane and in need of help. That's a given, as anyone who has read, say, at least three of my posts could tell you.

But even I won't deny that two anti-depressants, several different benzodiazepines, and various other pills might be excessive.

Since I started with this guy, I've managed to drop the sleeping pills, the benzos, and am working on one of the anti-depressants. It has made me a little moody, but I'm starting to feel the benefits.

I think I wound up on all these things because I was seeing more than one doctor down in Portland. I knew I needed some kind of help, but wasn't skeptical enough about various doctors' assessments, instead believing that everything thrown at my brain would ultimately help. It was all very THX-1138 (or The Electric Acid Kool-Aid Test, depending on which pop-culture reference resonates more with you).

Zoloft, Wellbutrin, Klonopin, Ativan, Xanax, Valium, Lunesta, Cardene, Nadolol, Verapamil, Neurontin... these are just a few meds I've been given over the past two years. I've forgotten what all the others were. Probably because I was on Zoloft, Wellbutrin, Klonopin, Ativan, Xanax, Valium, Lunesta, Cardene, Nadolol, Verapamil, Neurontin...

Right now, the only meds I'm on are Zoloft and Wellbutrin, and I'm about halfway through dropping the Zoloft.

It's amazing what a difference it makes not to be on all this stuff. I don't think there's anything wrong with head drugs, as it seems many people do, but when you're on as many as I was, and unless you have a serious mental illness, the meds themselves will eventually drive you mad - long before your own brain does.

Because this shrink knows what he's doing, it's been surprisingly painless. I had been taking various benzos for years (Klonopin, Ativan, Xanax, and Valium are all benzos - medications for treating acute episodes of anxiety). Never having stopped long enough to notice how they were affecting me, I let my head sit in this drug-induced fog for the entire time I was on them. They hurt your ability to concentrate, your short-term memory (and, consequently, the formation of permanent memories as well), can wreck your libido (probably a good thing in my case), and you'll become physically dependent on them if they aren't used correctly.

I didn't use them correctly.

Every day since quitting them, I've felt clearer and clearer. It's fantastic. I had tried to ditch them on my own in the past, but couldn't. When this new shrink took me on, I was on very high doses of these things. Not only was I on high doses, but I took them everyday. That's a bad thing for a class of medications meant to be given in stints no longer than two weeks, and only for treatment of symptoms - not prophylaxis.

The only drug that has been giving me any problems is Zoloft - an SSRI anti-depressant (in the same class as Prozac). Most doctors will never tell you this, but starting and stopping SSRIs can be extremely difficult. When starting you go through a confusing ramping-up period. When stopping, it's not uncommon to go into withdrawals.

I'm right smack in the middle of those withdrawals.

Not that I'm complaining. I've been through worse, and actually feel quite good right now despite the nausea, headaches, sweating, occasional confusion, and the seemingly paradoxical combination of fatigue and insomnia.

Finally managed to sleep last night, and had some uber effed up dreams. If you've ever had "fever dreams," then you kind of know what it's like to dream while coming off of an SSRI.

One dream in particular stood out in my mind when waking up.

I dreamt that I was going to a plastic surgeon to have my nose done. I won't lie - with a nascular appendage like mine, it's hard not to wonder what it would be like to have it smallened and shaped into something less prone to swaying in a strong wind. I'd never actually do it, but there's always that Michael Jacksonian curiosity in the back of the head.

When I arrived at the plastic surgeon's office, they didn't waste time. I was given some pain-killers, and then one of the surgeon's assistants chopped my nose right off my face (not that they would have chopped it from any other surface of my body - had that been the case, cosmetic surgery would have been the least of my worries).

I was left with a gaping face-crater where my nasal innards were exposed. There was blood all over the place, and I felt a slight tingling in the area my nose should have been.

Another assistant walked up and covered the face-crater with a sheet of wax paper. Because of all the blood, it stuck in place without any adhesive.

Started to have second thoughts at this point. I was under the impression that the doctor might have knocked me out before shaving my nose off. I didn't like this business of remaining conscious while having body parts removed. Even worse, I realized that I didn't know what kind of nose I wanted - I hadn't bothered to look through a catalog to select a new model with which to replace my old proboscis. Worse still, I was told that my old nose had been thrown away and that I couldn't have it back.

Screwed.

And, speaking of screwing, for reasons I don't understand, I was told I'd also have to have my private parts removed.

All of them.

Maybe it was in the fine-print and I had missed it, but this was an even worse surprise than the we're-going-to-chop-your-nose-off-while-you're-awake thing.

Satisfied with the wax paper bandage covering my face-hole, the assistants went to work "down there." I watched as they hacked and cut around the organ, eventually removing it.

As though a dream like this possibly could have continued without further horrors...

I could feel that something was wrong (I mean, in addition to having things cut off my body). Didn't know what, but one of the assistants was happy to tell me all about it.

There was a powder I was supposed to place around my reproductive bits the night before to prepare for the procedure. I didn't do it. Because of this, there was a complication during the wiener-removal phase: My testicles were supposed to be cut off, too, but due to my absent-mindedness and not having put the special powder on the night before, they didn't come off properly. Instead, both testicles were cut right in half, not at all what was supposed to happen.

In short, they weren't going to be able to restore my reproductive organs following my plastic surgery. I was stuck that way.

When the dream ended, I was naked, had no penis, had two half-testicles attached to me (which, together, formed one whole, but useless, testicle), and was wearing a bloody piece of wax paper over the hole in my face where my nose had been.

I really hope this is the last time I ever have to quit an SSRI...

Published Thursday, April 05, 2007 2:24 PM by Rory

Comments

 

Michael Sivers said:

Wow, didn't know you had all that going on! (note to self... of course I didn't, why would I, it's not like I know you?!) Does this, at least partially, explain what happended last week? Your responses that is, not the attacks on Channel 9 and Microsoft?

Glad to hear things are heading in the right direction for you. I'm sure it's not easy, although it's good that you can post such a funny entry about it! LOL about the whole lucid dream thing! Honestly though, I wish you all the best.
April 5, 2007 2:47 PM
 

Barry Kelly said:

Bravo - that's the funniest thing I've read in a long time! Tears are streaming out of my eyes, even as I hold my crotch... :D
April 5, 2007 3:16 PM
 

Slacker said:

The thing about those dreams is, though, how great do you feel when you wake up and realise it was all just a dream?

Now *that's* a good feeling... :-)
April 5, 2007 3:24 PM
 

Rory said:

Michael -

"Does this, at least partially, explain what happended last week? Your responses that is, not the attacks on Channel 9 and Microsoft?"

Yes - and I'm glad you used the word "partially." There's always *some* source of stress in life - it's just that it usually comes from *outside* your body.

I also don't care for shirking responsibility. I could have been injecting everclear (which would have killed me, but let's not get lost in the details here), and I'd still own up to what happened.

It's hard to tell when the withdrawal effects are kicking in. In the case of my responses to the trolling, it seemed to me at the time that I was responding in an appropriate way, but looking again tells me otherwise. While it's normal for me to get a little bothered by things like that, my temper doesn't usually run unchecked. It took much less to piss me off than usual.

The anger actually began just a few days into quitting the benzos. I took the week off from work to quit at home where I wouldn't accidentally snap at anyone, but with a net connection, it turns out you can snap at people all over the world from the comfort of your own home (at least they weren't my coworkers).

As soon as I had stabilized from the benzos, my shrink decided it was time to stop the Zoloft.

Really, it's been one long period of withdrawal. I'm *just* starting to feel better (I'd rather not say how long this has been going on - I'll just leave it at "a really, really, really long time").
April 5, 2007 4:04 PM
 

Rory said:

Slacker -

"The thing about those dreams is, though, how great do you feel when you wake up and realise it was all just a dream?"

Terrified.

Upset.

Shocked at the horrifying images my brain conjurs up when I'm not awake to tell it that it's being a jerk.

Because the images were so vivid, I don't feel any better now than I did when I woke up. It's not like a regular dream that fades - it's more like a memory.

It's just *stuck* there.
April 5, 2007 4:18 PM
 

GuyIncognito said:

Have you ever thought of trying Dianetics?
April 5, 2007 4:26 PM
 

Kevin Daly said:

I don't think that was a dream at all, I think that in your unconscious and mentally altered (or er, dis-altered?) state you mysteriously tuned into one of Michael Jackson's actual memories.

Thank God it wasn't one of his "What Me And My Little Friends Did At Neverland" memories.
April 5, 2007 4:53 PM
 

Kevin Daly said:

To anyone else who tries to push the Scientology idiocy, I have only one thing to say:

All Hail To Our Emperor Xenu

'Cos obviously the world needs more people as well-adjusted as Tom Cruise.
April 5, 2007 4:58 PM
 

Melle said:

Out of curiosity, does your liver glow in the dark these days...? That's some serious chemical stew you were marinating in.
April 5, 2007 5:31 PM
 

GuyIncognito said:

Kevin, what I'm talking about here is a win for Rory.
April 5, 2007 5:38 PM
 

Blue said:

Rory, good luck with your weaning. That's one of the best things you have done for yourself this year.

But, tell me, what's wrong with your nose? I like it. It's sexy and manly. Men shouldn't have tiny or delicate noses. Look at Michael Jackson's; it looks ridiculous. No wonder your brain associates having your nose removed with having your private parts chopped! And you know, some women think the size of a man's nose indicates the size of...  ;)

A sturdy nose is much more alluring on a man anyway, but don't worry: "C'est un roc! C'est un pic! C'est un cap!" clearly does not describe your nasal appendage. You seem to have a hang-up about it but your nose fits you perfectly and is part of the panache thing about you. Let it slice through the air proudly, my dear.

Take a poll on that! Ask the ladies! I'm sure they'll mostly agree about the congruence of your nose... :)
April 5, 2007 6:04 PM
 

Kevin Daly said:

I have a fairly impressive honk myself, and I personally regard it as a blessing.
It provides shelter for the small woodland creatures that merrily scamper here and there, and on rainy days (we get a *lot* of those) it helps to keep the rain off my trousers, thereby sparing me the appearance of one beset by an embarrassing case of incontinence.
Last but not least, when casting looks of disdain at those who attempt to embody in their own persons a practical disproof of evolution  ("if it's true, explain me!"),  it helps me aim.
April 5, 2007 8:49 PM
 

Andrew said:

Rory, man, all the best wishes on shaking the meds. It can't be easy and I admire your willingness both to do it and to talk about it so openly.

As to "fever dreams"...yeah, I've had recent experience with those (thank you, useless flu shot!!). Spent a significant part of Monday night through Thursday morning in a stew of not-quite-asleep, not-quite-awake, but damn if my brain wasn't running full-speed the entire time. On several occasions I woke up enough to realize that I was, in fact, awake, but not enough to shake whatever psychotic alien vision-spawn my subconscious had been throwing at me mere seconds before.

And that combination of fatigue and insomnia -- preach on, brother. That SUCKS. I'm hoping tonight to have a decent night's sleep for the first time since Saturday -- even NyQuil hasn't helped me sleep. That's some serious-ass insomnia.

Stay strong and remember that, in the end, you'll be much better off without the chemical soup. We aren't quite good enough at brain chemistry yet, I fear.
April 5, 2007 10:37 PM
 

Erwin Blonk said:

GuyIncognito said:
"Have you ever thought of trying Dianetics?"

I have and it made my giggle for a day.
Maybe because I once read Isaac Asimov´s story of how LRH came up with it. Hint: 4 sf witers [Asimov, LRH, L. Sprague de Camp and Van Vogt] used to meet regularly, having a drink and toss rough ideas at each other [think storylines, scientific concepts]. It fell apart after their lifes got busier and very much when LRH kept nagging them about one of his ideas and how he was basing a church around it. Apparently he forgot they were socializing, not proselytizing.
April 5, 2007 11:58 PM
 

dddddddddddddddddd said:

What a horrible dream. I bet you were glad when you woke up.

Prescription drug addiction is just as bad as regular drug addiction.
April 6, 2007 7:19 AM
 

Ian said:

And you're sure it wasn't the sweet and sour chicken?! That stuff can do nasty things to you y'know
April 6, 2007 8:42 AM
 

Zer0Mass said:

I agree with you, there is nothing wrong with taking medication to help keep your head strait.  I just don't like doctors that want to give you a pill for every little thing end up putting you on 20 different medications and no thought is given to treating the cause just the symptoms.  Glad to hear  that your new doctor in your long term health, not how much he can bill your insurance.
Now excuse me I need to go take my ADD medica . . . ohh shiny!
April 6, 2007 9:16 AM
 

paul said:

Just say NO Rory, give up the drugs then the shrink. Find a cute bartender, have a beer and tell her your life story. She won't believe a word of it, who would.....but if you give her a nice tip her smile will make you feel much better.  Good luck, it's Easter a good time to be reborn.
April 6, 2007 10:08 AM
 

ZBT said:

Good for you!  Have you had any "zaps?"  Like ... little electric shock sensations?  Just curious - had a friend try to self-ween from paxil recently but he gave up because of "zaps."  Anyway, I know it ain't easy & I'm glad for you.  
April 6, 2007 11:03 AM
 

Betsy said:

Here I am, at the end of a sorta blah week, feeling like I need to read some Rory. The world, and me, needs more Rory.

And does Rory deliver? Yes.

Not only am I grateful for my simplistic caffeine addiction, I now rejoice that I can't have dreams like that, because I'm a girl. My current demons are quite enough, thankyou.

Hang in there Rory. You can always get addicted to doing Ironman trialthlons or something and dream about padded spandex. Or actually if you really want to exorcise, play a video game for 5 hours straight. I dreamed making Oblivion potions for hours.

B
April 6, 2007 1:43 PM
 

Rory said:

Guy -

"Have you ever thought of trying Dianetics?"

Totally. But I got distracted by Hubbard's fantastic radiation treatment.

It involved swallowing a handful of pills (something I already know how to do), getting ready to laugh, and forgetting every last thing I've ever learned about anything.

I've already sent away for my e-meter. I'm tired of modern medicine and the way it's turned me into a walking chemlab. What I feel I need now is a good old fashioned dose of expensive exorcism meets scifi.

My engrams have been flaring up as late, anyway. Probably best I get started on the road to Clear before it's too late.

(See? College was good for something - when I got an ear infection and had to stay home, I learned everything I had ever wanted to know about Scientology :) )
April 6, 2007 3:12 PM
 

Rory said:

Melle -

"Out of curiosity, does your liver glow in the dark these days...? That's some serious chemical stew you were marinating in."

The last time I removed my liver for kicks, I forgot to see if I could read by its light.

Not to be concerned, though - some of the meds don't ruin the liver - they ruin the kidneys instead.
April 6, 2007 3:13 PM
 

Rory said:

Guy -

"Kevin, what I'm talking about here is a win for Rory."

Word.

I wonder what *his* crimes are...
April 6, 2007 3:14 PM
 

Rory said:

Blue -

"But, tell me, what's wrong with your nose? I like it. It's sexy and manly."

Well.

You're certainly right about that.

Thank you :)

"Men shouldn't have tiny or delicate noses. Look at Michael Jackson's; it looks ridiculous."

Hadn't thought about it that way.

"No wonder your brain associates having your nose removed with having your private parts chopped!"

Or *that* way...

"And you know, some women think the size of a man's nose indicates the size of...  ;)"

Really? Are the sizes inversely proportional?

"A sturdy nose is much more alluring on a man anyway, but don't worry: "C'est un roc! C'est un pic! C'est un cap!" clearly does not describe your nasal appendage."

The Cyrano association was the only thing making me feel better.

THANKS A LOT, BLUE - GAWD.

MAYBE I SHOULD JUST CHOP THE SUCKER OFF MYSELF NOW.

GAWWWWWD.

"You seem to have a hang-up about it but your nose fits you perfectly and is part of the panache thing about you. Let it slice through the air proudly, my dear."

OK. You've restored my faith in my nose :)
April 6, 2007 3:17 PM
 

Rory said:

Andrew -

"Rory, man, all the best wishes on shaking the meds. It can't be easy and I admire your willingness both to do it and to talk about it so openly."

I talk about it openly because I don't feel it's something I need to keep secret. People medicate all the time - they just don't realize it.

In my case, it was (mostly) deliberate. The big problem is that it got out of control. Lost perspective, thinking it was fine to be on so many pills.

Maybe when I'm 80. However, at 29, I think it may have been a bit much...

"As to "fever dreams"...yeah, I've had recent experience with those (thank you, useless flu shot!!)."

Dude... I wish I had gotten a flu shot this year.

I didn't get one because I usually feel drowsy for a couple days after, but this was the first time in nearly a decade I hadn't gotten one.

Perhaps it was because it had been so long since the last time I had had the flu, but I had forgotten how miserable it is.

Next season, I'll gladly roll up my sleeve and accept my fatigue. I thought it was useless, too, but then I got the flu.

"And that combination of fatigue and insomnia -- preach on, brother. That SUCKS. I'm hoping tonight to have a decent night's sleep for the first time since Saturday -- even NyQuil hasn't helped me sleep. That's some serious-ass insomnia."

I'm not yer doctor or anything, but I'd suggest you try any of the antihistamine-based sleep meds. Unisom is a fine one. So is the Tylenol brand sleep aid.

Then, skip the label - it's just there so they don't get sued - and take 2-3x what it says.

If they say to take one pill, then take two or three. Two pills? Then take four, five, or six.

That's what I do.

But, then, NyQuil has never been able to knock me out. I've heard tales of the medication's ability to push its users off into a state of blissful sleep, but never experienced the pleasure first hand.

So... yeah. If you can't sleep, and if you really want/need to, it's probably safe-ish to take extra, although I can't accept any legal responsibility for this advice, and ALL INFORMATION PROVIDED BY NEOPOLEON.COM IS GIVEN AS-IS, WITHOUT WARRANTY, AND CONFERS NO RIGHTS TO ITS USERS. NEOPOLEON.COM CANNOT BE SUED BY YOU OR ANY LEGAL ENTITY INCLUDING GOD. NEOPOLEON.COM IS INNOCENT. INNOCENT, I TELL YOU. INNOCENT!

"Stay strong and remember that, in the end, you'll be much better off without the chemical soup. We aren't quite good enough at brain chemistry yet, I fear."

While I find the way we deal with these things a bit unsettling, I can say that I probably would have killed myself a long time ago had it not been for how well some meds worked.

As long as I can improve the quality of my life through chemicals, I will.

It's just that the quality of my life was going down on account of how many pills I was taking. Couldn't remember anything. Couldn't feel anything.

Feel much better now, but if history is any indication, I'll have to go back on *something* sooner or later.

That doesn't bother me, but I'd like to not be on anything if it's an option. Taking that option now...

And, as good as I feel now, I also know what it's like to be suicidally depressed as well as anxious. Fortunately, many of the conditions in my life that led to the stress that *seemed* to cause the depressed states are gone.

I'm excited to experience life without meds, and without all the insane stress. Thanks to my parents absolving me of any financial responsibility toward the remainder of my school debt, I don't feel like I *have* to have a "real" career.

Could join the circus. Or work in restaurant. Or be a valet again.

Or, and this excites me the most, I could finally become a writer rather than just someone who writes (the difference being that I don't get paid for it right now, and because so much of my brain is needed elsewhere, I don't feel that I have the mental wherewithal to write one of the five bajillion books I've dreamt up over the years).

OK. This comment is going to overshadow the post. Stopping now :)
April 6, 2007 3:33 PM
 

Rory said:

ddddddddddd -

"Prescription drug addiction is just as bad as regular drug addiction."

I disagree in almost every way.

First, it depends on what you mean by "bad" - it's my opinion that people should be free to do whatever they want to feel better, provided they don't harm anyone else in the process (emotionall/physically/financially/etc.).

Then, there are people who need (or, if not "need," at least deserve) some meds that are otherwise abused.

Someone who experiences chronic pain - cancer patients, people with serious back problems, and so on - deserves the right to go on pain killer like morphine (or any of the many other various natural, synthetic, and semi-synthetic opioids).

However, someone who *doesn't* need one of these meds is likely to cause a problem somewhere. Even someone who thinks he/she isn't hurting anyone still could be. The drugs have to come from *somewhere* - typically they're diverted, which is a blanket term that could refer to any number of illicit means of acquiring a drug. Theft of the drug from a pharmacy, theft from a patient, theft of a prescription pad - all sorts of things, each of which involves a victim. Sure, there are probably some people who can get this stuff without hurting anyone, but I'm guessing they're the exceptions and not the norm.

I'm not morally opposed to drugs - I just don't care for the means by which this stuff gets around. I also don't care for the lack of education out there. People get hurt all the time because they take drugs from unknown sources, or things they've cooked up themselves (one of the more famous examples of which were the guys who made their own batch of heroin, but who skipped a very important step and wound up creating something that gave them all Parkinsonian syndromes in their 20s). Or the kids who burn out on e - it'd be nice if there were a label on the stuff that indicated that chronic use can lead to depression, anxiety, and other conditions.

But, you specifically referred to "addictions" - to get back to that, consider the examples I gave earlier of patients experiencing chronic pain. *They* wind up addicted to opioids all the bloody time, yet I'd never think of denying them the right to morphine/oxycodone/whatever.

The one thing I'll agree with is that an addiction is an addiction, whether it's legitimate or not.

As I think I've probably made clear, though, is that I don't think there's anything "bad" about it.
April 6, 2007 3:45 PM
 

Rory said:

Zer0Mass -

"I just don't like doctors that want to give you a pill for every little thing end up putting you on 20 different medications and no thought is given to treating the cause just the symptoms."

I agree about it sucking to be stuck on a bunch of meds, but I think western medicine has taken a lot of undue flak over treating symptoms and not conditions.

While I wouldn't argue that western medicine is the *only* way to help people get better, it *is*, in my opinion, the best.

Sure, things aren't anywhere near perfect, but at least there's a system in place that provides the framework for protecting patients and ensuring doctors have at least some vague idea of what they're doing.

Modern medicine is still in its infancy. We can't expect doctors to have all the answers, yet they're often treated as though they should. When a doctor says "I don't know," we find it frustrating because we want to be cured.

It's this same apparent drawback that's taken advantage of by a wide range of quacks. Faith healers. Snake oil salesmen. Whatever.

There *are* people out there who have no medical training, but who are happy to say "I can cure your cancer" (for example). Unfortunately, there are also many credulous people out there who are so desperate for cures that they're willing to listen - also willing to pay. Some might spontaneously heal on their own, but the rest aren't getting the treatment that could actually save their lives.

Or, a less dramatic example, there's been a lot of excitement over "antioxidants" in recent years. I've read stuff giving them credit for damn near everything, but the thing I've seen most often is that they prevent cancer. While there might be some truth to that, the thing most people don't know is that, if you have an undiagnosed tumor, these things don't just protect your healthy tissue - they protect the tumor as well.

There's research showing that people with tumors who take vitamins and eat foods high in antioxidants can make their tumors *worse*.

So, while modern western medicine isn't perfect, the alternatives are much worse. Sometimes, the best we can do is treat the symptoms of a condition.

Look at schozophrenia. We can treat the symptoms in some cases, but curing it? Nope. And, without modern medications, those suffering from schizophrenia wouldn't have *any* options.

I'll stop there. Sorry for the rant - I know you mean well - but as someone who'd be dead/crazy without modern medicine, I'm willing to accept its shortcomings...
April 6, 2007 4:01 PM
 

Rory said:

paul -

"Just say NO Rory, give up the drugs then the shrink. Find a cute bartender, have a beer and tell her your life story. She won't believe a word of it, who would.....but if you give her a nice tip her smile will make you feel much better."

Getting a beer would just be to get a mug full of legal drugs. Plus, I'm allergic to something in most beers, and I'll get a migraine within fifteen minutes of the first few sips.

Now, the *rest* of your idea... a cute bartender sounds quite nice.
April 6, 2007 4:02 PM
 

Rory said:

zbt -

"Good for you!  Have you had any "zaps?"  Like ... little electric shock sensations?  Just curious - had a friend try to self-ween from paxil recently but he gave up because of "zaps."  Anyway, I know it ain't easy & I'm glad for you. "

I've never had the "zaps" some people talk about, but I've also always tapered off of my SSRIs *very* slowly. Most people rush it, even when they think they're taking their time.

The worst that happens to me is I'll get a bit anxious, nauseous, etc.. Right now, I'm *really* irritable, but I also just halved my dose again, so it's not surprising.

It should take at *least* a month to quit an SSRI someone's been taking for a full therapeutic course (a minimum of nine months).

The one I'm quitting now is Zoloft, and I've found it to be fairly easy to stop, while others have very different experiences. On the other hand, Lexapro was a nightmare to quit for me, while others have no problem walking away from it.

Everybody reacts to this stuff differently. I had a girlfriend who was taking Zoloft and decided, after having been on it for years, to taper off over about a week. I warned her, but she thought she'd be fine.

In her third day of quitting, I went over to see her. She was on the couch, shivering, sweating, was really out of it, and looked sicker than hell.

100mg of Zoloft later, and she was fine.

Lesson being, a week was much too short for her.

If your friend would like to quit, he probably could, but shouldn't do so without talking to his shrink (GPs don't seem to be aware of all the problems one can encounter quitting SSRIs, so I never recommend that people see them for this stuff even though they can prescribe it).

Something else that can be done to make the experience less painful is to take a short course of benzos - it tends to help.

The important thing is that, if he doesn't want to be on this stuff, he should stop sooner rather than later. As with any drug that causes structural changes to the brain (no matter how small), it's going to get harder the longer he's on it.
April 6, 2007 4:11 PM
 

Rory said:

Betsy -

"Not only am I grateful for my simplistic caffeine addiction, I now rejoice that I can't have dreams like that, because I'm a girl. My current demons are quite enough, thankyou."

Don't worry. There are still plenty of ways for your brain to freak you out.

You could, for example, dream that you're having a penis *attached*.
April 6, 2007 4:12 PM
 

Andrew said:

"Or, and this excites me the most, I could finally become a writer rather than just someone who writes (the difference being that I don't get paid for it right now, and because so much of my brain is needed elsewhere, I don't feel that I have the mental wherewithal to write one of the five bajillion books I've dreamt up over the years)."

Speaking as a professional editor, I think I can safely say that if you were to do this, you would find an audience. You'd probably have to struggle for a while, just because it's almost NEVER easy for a blossoming young writer--

--um, strike that. See, that's why I'm an editor, not a writer.--

for a writer without credits to hit it out of the park with the first attempt. But it's possible to make enough on the first project to move on to the second, and if you can keep that string going, eventually you may reach a point where something DOES take off.

Another thing that makes this a potentially good move: self-publishing is nowhere near the hassle it used to be. Sites such as Lulu.com make it dead simple to publish your own stuff. The rewards may be smaller and you have to do your own marketing, but not having to fight the entrenched power structures at the big publishers on the East Coast has a lot going for it.

I'd say this is an eminently sensible thing for you to be considering at this stage in your life.
April 6, 2007 5:05 PM
 

Chrissy said:

Ahh yes, SSRIs. I remember going through withdrawal back in early 03. I hated every second of it. I had the zaps. The fucked up dreams. The inability to tell the difference between what I dreamed about and what really happened. I would often reference dreams and my partner would be like "??? That never happened." I thought I was losing it.

I was never a fan of the results SSRIs gave me. I'd sleep all the time. I put on weight. And only a small portion of my anxiety went away. If I skipped a dose, that day was guaranteed to be hellish and often times, somewhat dangerous. Then one day I woke up and decided I was a prisoner of the shit (Paxil). I quit quickly and it felt like a 3 week long bad LSD trip (Having never taken it, I had a friend confirm what a bad LSD trip was like.) Reading usenet helped a lot. The people there let me know that this wasn't going to be a lifelong thing..it would all go away in a matter of weeks.

I then went on Wellbutrin, an SSDI (dopamine rocks!), at the recommendation of a friend and LOVED it. There were no negative side effects that I was aware of. Life was better and better with each pill. Three years later, however, I decided it was time to quit. Having moved to San Francisco, I vowed that I would use diet, exercise and caffeine to help me cope. Quitting smoking in late 03 helped a ton too. It's worked out incredibly well. I've never been happier in my life. I still deal with anxiety but I kinda learned to deal with it. The lowest dose of Xanax for the tough days or turbulent plane rides helps a bit too though I've only used a few of them over the past 5 months.

I wish the bastard pharm companies would be upfront about what really happens when you use them. They work well for my brother, but I wonder what it will be like for him the day he decides its time to taper off. As for me, I'll never touch the stuff again. I applaud your journey to getting off of SSRIs. I think it's a great decision.
April 6, 2007 10:48 PM
 

UncleMidriff said:

Hooray!  Me and Rory are drug buddies! ;-)

I've been tapering off of Xanax for awhile now.

Out of the blue, about 8 or 9 months ago, I had my first panic attack.  I'd studied some Psychology in college, so after a few minutes I had pretty much figured what was happening to me, but it was still scary as hell.

Some months later, I had a really bad panic attack and I went to the ER.  I was just about positive that I was having a heart attack, even though I knew how unlikely that was for a person my age (25).

After the ER visit, my doc prescribed me 1mg Xanax XR, to be taken daily.  I was on that dosage for just *2 months* before I started becoming physically addicted to it.  I couldn't make it from one dose to the next without going through withdrawal...we're talking body parts going numb, blurred vision, muscle spasms, and diarrhea like you would not believe.

Since then (about 3 months ago) I have been tapering off of the stuff *very* slowly.  Sometimes it's easy, other times, it's not so easy.  Sometimes I feel fine, other times I won't be able to sleep for a week, I'll get heart palpitations, my stomach will feel like it's running laps around my insides, and my anxiety will be through the roof.

I'm almost completely off of it now though; I'm taking a very small fraction of what I used to.  Things are slowly improving.

I'm with Rory on this one.  As much as taking Xanax has truly sucked for me, I'm not about to say that it and other drugs like it don't have their uses.  Even with me, I don't think I'd have the ability to deal with panic attacks that I do now without having gone through my ordeal with Xanax.  Not everyone is as sensitive to it as I am, and if taking a Xanax every now and then can help a person live a better life, then I say go for it.

That said, I still kinda feel like I was suckered into a drug addiction.  I'm not mad at my doctor or anything, but I feel like if I had known how this was all going to go down, I might have considered other options.  That's my fault though; I should have done a little more research before gladly swallowing whatever happy pills my doctor threw at me.  And now I advise everyone else who talks to me about it to do the same.  Don't dismiss psych drugs out of hand because Tom Cruise said they're bad, but also be a little skeptical and learn about them before you go committing yourself to taking them daily.
April 7, 2007 9:59 AM
 

Zer0Mass said:

Rory your right, sometimes all we can do is treat the symptoms because that is all we know how to do.  My biggest fear is that we as a society tend to over medicate people and the side effects become a problem unto themselves.   It can also be hard to find a medication or combination of meds that will treat an illness without causing more problems than you are solving.  I’ve been on both sides of this.  As a kid I had teachers that demanded that I be medicated because I acted out in class and as a result I was over medicated (let’s just ignore the fact that the reason I was acting up in class was because I was bored and didn’t want to learn the same things for the third year in a row, and the fact that I developed a very high tolerance to the drugs they had me on).  I have also had doctors refuse to keep me on a medication that was working for me (I’m more than a little ADD and stimulants just don’t work on me).  It’s good that you found a doctor that will listen and work with you to find the proper balance of drugs to keep you well and functioning without leaving you in a medicated haze.
And Rory if you didn’t rant on this page I would have gotten board and stopped reading long ago.
April 9, 2007 10:16 AM
 

Rob Perkins said:

Oh, man.

Human addiction *fascinates* me. I didn't realize, for example, for about 10 years that the anxiety attacks I thought I was having were directly related to coming off a workday full of un-iced Diet Dr. Peppers. A six-pack a day. I didn't realize it for four *years* after being fired from that job.

I thought I was going ape crazy from job stress, and it turned out to be soft drink abuse. And *that* makes me wonder about the millions of us who tank up on coffee or tea or whatever in the morning and then go home after work to withdrawl symptoms we never correlate with the popular recreational drugs in the stuff we consume.

The whole. freaking. world. does it, except maybe for some Mormons and a couple other minority groups or people on doctors' orders.

Good luck with the anti-d withdrawal. And stick with that shrink.
April 9, 2007 1:33 PM
 

Was_Once_Interested said:

Rory,

I need your help! I lost the reason why I was reading your blog! Can you remember?

Your blog was once the most entertaining thing for me. And in addition to entertainment there was a time when you talked about technologies and cool new things etc. But now... ??? Who do you think is interested in this? Thousands and thousands of words about Scoble, how bad/good/moody you feel etc. It gets boring! Where is the old Rory?

Do you have too much spare time? Why don't you do something clever? Do you still work for Microsoft? What are you doing all day? Where is the old Rory who got excited about gadgets?

Now I am depressed!

Cheers!
April 9, 2007 9:16 PM
 

Massif said:

I'm partly glad that my pathological hatred of even the idea of being addicted means I'm unlikely to get into that situation. (Although when you hate drugs on principle, and you have a migraine, life's not all that peachy.)

Glad you're cutting back, I have never had any faith in medication for moods. Not that I don't think they work, but simply that I don't believe that something as horrendously complicated as the brain, and the state of consciousness could safely be interfered with by something as crude as a drug.

Then again I've been self-medicating cookies for the last two months or so, and my waistline isn't going to forgive me any time soon.

As an aside, I was surprised when I visited NYC at the sheer quantity of pharmacies around, and the TV adverts. The only national pharmacist chain in the UK (Boots, and apparantly my great uncle designed the logo or some relation like that.) sells more sandwiches than pills; I was a little taken aback at the sheer numbers of people who must be popping pills on a daily basis in the US. (Amusingly Superdrug hardly sell any drugs at all in the UK these days.)

Oh, and what's with referring to Obstetricians and Gynaecologists as O-B-G-Y-Ns? Is that just prudishness taken to ridiculous lengths? I had this pointed out by a friend who's doing research in America, and gets seriously annoyed with it. Then again she used to live in glasgow and they probably refer to them as cunt-doctors up there.
April 10, 2007 1:22 AM
 

A Mysterious Person said:

Truth be hold, I didn't really read the post. But it's easy to see that this is all Tee's fault.

You remember King Arthur from Monty Python and the Holy Grail? When he came to a bridge which was guarded by a Black Knight he first tried to make friends with the Knight. And, when that didn't work King Arthur hacked the rogue to bits.

Since turning a problem into an advantage (or an ex-girlfriend into a friend) didn't work, the only logical thing to do next is to break down the problem so it's manageable.

It appears you've been doing nothing else but coping for some time. How long are you going to let that Black Knight hold you back?
April 10, 2007 10:45 AM
 

Massif said:

@ A Mysterious Person:

Are you suggesting Rory kills Tee? That seems a bit harsh. I mean, if I'd had to kill all my ex-girlfriends... (I'm not going there for fear of embarassing myself.)
April 11, 2007 12:33 AM
 

JLow said:

Rory,Have you thought of leaving MS? just leave and life will be so much better. Your anxieties will be gone. No wonder why medical benefits at MS are good, they have to. People do literally  get sick.
April 11, 2007 9:53 PM
 

punky said:

You don't need drugs. I hear jumping up and down in a couch does wonders for your psyche. Plus you get nice, shiny zealot eyes that way.
April 16, 2007 1:25 AM
 

Ian said:

Massif:
"I've been self-medicating cookies for the last two months or so"

I'm thinking of starting a self-help group for those of us addicted to the cookie.
Maybe we could meet once a month, sit around and chat about our addiction? We could boil a kettle and have some tea, maybe some biscu... Damn it!

PS, you're obgyn crack (pardon the pun) was excellent. I'll check with my glasgow dwelling pal and confirm.
April 18, 2007 8:50 AM
 

Rich said:

I think Dennis Leary said it best:

"I'm not happy. I'm not happy." Nobody's happy, ok!? Happiness comes in small doses folks. It's a cigarette, or a chocolate cookie, or a five second orgasm. That's it, ok! You cum, you eat the cookie, you smoke the butt, you go to sleep, you get up in the morning and go to fucking work, ok!? That is it! End of fucking list!"

""I'm just not happy. I'm just not happy. I'm just not happy because my life didn't turn out the way I thought it would."

Hey! Join the fucking club, ok!? I thought I was going to be the starting center fielder for the Boston Red Socks.

Life sucks, get a fucking helmet, allright?!
April 18, 2007 11:06 AM
 

Nikki said:

Lord knows when you're weaning, you get nosed & a wiening.
April 27, 2007 7:41 PM
New Comments to this post are disabled

About Rory

I *own* this site, you loser.