Haven’t been on this site in years probably, found this thread while looking for something else, I’m totally bumping it to thrown in my two cents.
Those that complain about the side effects and withdrawls of antidepressants, I have no sympathy for (most of) you. This is a total simplification, but lets think about what antidepressants are actually doing: THEY’RE FUCKING WITH THE CHEMISTY OF YOUR BRAIN!!! If you blindly take what your doctor gives you without having an idea of what it does and doesn’t do, that’s your fault. Effexor is a great example. From the very beginning Effexor has been know to be the worst antidepressant to come off of. If you didn’t do a two second google search to find that out, I have zero sympathy for you. That’s unfortunate because for a lot of people Effexor is actually very good at what it does.
Just recently I was on Effexor and it failed miserably. For me, anything blocking seratonin uptake ends badly, but I knew that going in, but it was the first time I tried an SNRI. I was on Zoloft/sertraline before and it was awful. Caused anxiety, caused depression, made me sleep all day, sexual side effects, etc. etc. But again, I knew going in that things like that could happen. Same with Effexor. Effexor was nowhere near as bad as an SSRI, but I didn’t just blindly let a doctor FUCK WITH THE CHEMISTY OF MY BRAIN!
I had to go onto Effexor because the antidepressents I was on that worked EXTREMELY good started to cause paradoxial effects after I almost died in a car crash. No big deal, let everything reverse itself and go back to what works.
For a bit of background on why I need them, it’s not because I needed something to help me get through a tough time. I was born with some major problems. My entire life I’ve been unable to sleep. My whole life I’ve had some minor social anxiety problems. My whole life I had an absolute inability to feel. Just imagine what it would be like to go through 24.5 years of life with an absolute inability to feel. Most people would’ve killed themselves I’m sure. I’ve freqently lost interest in things. I’ve constantly known in my head that lots of shit I’ve done was absolutely stupid, and yet did it anyways. Finally, I’ve always suffered from a lack of energy and motivation.
I tried the natural way first. 5-HTP and L-tryptophan failed. I told my doctor we had to try these first, as the side effects of an SSRI worried me. Obviously the SSRI was just as bad as I expected. After that, I was smart. Everything is always going to have side effects, just because of the way they work. If you look up what happens when you block seratonin reuptake, for some people it causes anxiety, hypersomnia, sexual side effect, etc.
All this research led me to two atypical antidepressants: Remeron/mirtazapine and Wellbutrin/Zyban/bupropion. Remeron doesn’t block reuptake at all, it’s main work on seratonin is blocking all activity at two seratonin sites known to cause insomnia, anxiety, etc. This same activity is also known to cause weight gain, as this activity causes the munchies. Because Remeron is also one of the most potent anti-histamines out there, it also caused me to be overly tired at times. That’s where Wellbutrin comes in. This works on norepinepherine and dopamine, or things that (in a simlified explanation) effect energy and motivation. Both of these drugs are known not to have sexual side effects, and for me, really, there is no side effects. The side effects of both counteract each other.
These two together have been a godsend. Now I get shit done, now I actually have emotions, now I sleep like a normal person, and now I don’t do self-destructive things. The drugs themselves didn’t change me at all, but I myself definitely changed as a result of the drugs.
Now, at their worst, Effexor and Zoloft were just as bad as some people make them out to be. But I knew that going in. The biggest problem is, there’s only one person who knows what’s going on in our heads: ourselves. Things did get to the point that most people would’ve considered suicide. I never did, because I knew what to expect. Even if I did, is that truly a problem with the drug, or of somebody who was born really, truly screwed in the head? It’s all too easy to just blame the drugs, when really the problem is just with the person themselves. We’re all different, and fucking with the chemisty of your brain is going to effect everyone differently.
The other problem is how so many people are just looking for a quick fix. These drugs aren’t quick fixes, it takes weeks for the full effect to show. It only took a few weeks for Wellbutrin, but eight weeks for the Remeron to show it’s full theraputic benefit. When I had to stop the Remeron, it was gone in less than two weeks. People must have patience, and they need to know what to expect. If people did, there’d be nothing left to bitch about.
BTW, I am now back on Remeron and Wellbutrin and everything is going well again