Quote:
Originally Posted by bpcyclist
Okay, fern, thanks. I will think about this. You know, I d/c'd all my meds in 2012 and the result was disaster for my brain and symptoms. But maybe we did it wrong or something. Obviously, I am happy for you that it is working so well and a bit envious. Maybe more than a bit. Dunno. Very confused.
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Well I wouldnt recommend discontinuation necessarily. However, you might have overlap and conflict of duties going on. A strategic and slow reduction of one thing at a time might help you to sort it out and figure out what is doing what.
For each step down you make you have to give it time because each reduction can cause withdrawal symptoms that are rebounding psych issues caused by the brain's dependence on the med. So for each you need to know what to look for and how long to give it before you know what is a withdrawal effect and what is a true aspect of a disorder. My doc was clueless. I had to come up with my own plan to keep me safe. She was like just stop taking it. I said, what about all of the withdrawal symptoms? She had no clue. The fine people here at PC in combo with lots of research helped me.
Essentially, you'd need to be up for riding out some potentially unpleasant and confusing effects for a while if you taper. For example, one of the major withdrawal symptoms of Geodon, an antipsychotic, is psychosis. What?!??! Crazy, but true. Also, insomnia (a mania symptom) and anxiety (another psych issue). How can you tell the difference? Time. Withdrawal symptoms eventually subside and lessen, true symptoms persist and spiral.
And you probably only want to shift one thing at a time. A sudden drop or changing more than one variable puts you at risk and makes it near impossible to figure out what is going on. Complete trial and error and the degree to which you need meds is very hard to discern unless you go off them in a very controlled, slow, and strategic way. Its kinda like food sensitivity studies and elimination diets. And I mean slow... Some people have to get liquid versions of their meds and go down one drop at a time. Microdosing.
For me, I did have some rebound delusional thoughts firing at first. I was able to recognize them as such and they passed. I also had the insomnia and crazy and scary and violent dreams for a while. I also experienced body issues like headaches for a period of time. This was all due to coming off one med when I was already at the lowest dose possible. I had to break pills in half for weeks and then space them out every other day and then every third day and then down to nothing. I gave each step down time to settle before moving on. My doc checked in at each phase and I continued therapy.
After my taper, life stuff came up. Very yucky, very challenging life stuff. Bad thoughts came, but I accepted them. I worked with them. I got (and am still in the process of almost a year later) down to the root of them. I looked for patterns and now I know more about how my mind and body responds. I see things starting and do the work to rebalance. It is working well for now. If I need meds again, I will not hesitate, but I will approach them as a stop gap and then try the same things or something entirely new to find balance on a low dose or on nothing at all.