#while everything else in this season feels like an inconsistent fever dream

[doortotomorrow]

SHIPS IN THE SPOTLIGHT : memori edition favourite storyline - becoming the leaders of sanctum

[self-critical-automaton]

Whats Been Going On With Me Lately

So basicly the TLDR is:

I’ve been super ill in weird and new brain ways since about mid-december, when withdrawal from my antidepressants resulted in strange intense psychological events, and I’ve been dealing with the fallout and day-to-day distress ever since. I’m terrified that i might have suffered permanent alterations/damage to my mental state, but who can say.

Details under the cut for anyone who wants to know how ive been doing, or wants to hear about what happens when you quit a high dose of fluoxetine cold turkey after five or six years.

Or for anyone who is going through something similar and wants some info/hope, since withdrawal experiences seem to be super idiosyncratic and variable and its almost impossible to find detailed descriptions.

I’d really appreciate it being read, esp. by people in my life, but dont feel compelled or whatever idk i dont make the rules but srsly please read it if you can it took a lot of time and effort

PS: this and several other articles on that blog were a huge help to me getting through the first couple phases, if you’re having trouble with withdrawal please go read PPS: fine to reblog, in fact please do

In 2017 I started getting painful physical side effects from my antidepressants, which gradually got worse until in lateish-2018 I decided to stop taking them outright. Everyone ever says you shouldn’t quit antidepressants cold-turkey, and they are right, but I’d been taking them inconsistently due to the pain, and I was beginning to suspect they’d stopped helping me anyway, so it seemed the best option.

I quit in probably mid-October and for a couple months felt much the same as usual, but then around the 13th of December it all kicked off. At first I had no idea what was happening, and I thought I was suffering a sudden and intense flu coinciding with a bad depressive spike, but after a couple days I figured out that withdrawal can be offset by weeks or months in rare cases, and decided this is what must be happening. That first round of Withdrawal Time had a few soft-edged but distinct phases (lasting about a week each), and I went through by far the worst experience in my entire life, closely followed by the second-worst and then third-worst.

Round One Start! Phase One: intense existential dread

It kicked of very suddenly, around the 13th december, getting rapidly worse over a couple days. I was paralysed with fear as my mind sunk into thinking in infinite circles, unable to do anything other but endlessly contemplate and debate morbid philosophical topics, forced to confront the inevitability of death, emptiness of life, terror of oblivion, impossibility of afterlife, and so on. I also suffered sensory experiences similar to those ive heard described by people who take drugs like LSD, or very severe fever dreams. Sensations of expanded perception, becoming trapped in imaginary scenarios on other planes, that sort of thing.

In this phase I ate almost nothing, and over that week lost 4 or 5 kg. I also had some flu symptoms, mostly as fevers and chills, and could ony, really sleep in short bursts of a couple hours each. There was very little I could safely occupy myself with, as almost all media (books, games, film, fiction and nonfiction, everything really) would in some way trigger me into thinking about an existential topic, and then the terror would resume. I spent what time I could working to fix the problems with my life that I had suddenly become aware of (my social isolation, my medial issues, my mental health, etc), so I made a lot of phone calls, doctor visits, and applied to some mental health counseling services. I also started looking for avenues to make friends and acquaintances online and in person, and did a lot of research on antidepressant withdrawal.

Towards the end of this phase, the dread got more manageable and began to ease off, and I found I could play simple puzzle games to help occupy myself during the day. Listening to certain podcasts also was a source of relief and distraction. However, things remained bad in the morning and evenings, and I ended up referring to these times as ‘morning hell’ and ‘evening hell’. Also, I began to keep a basic daily log of my symptoms.

Phase Two: generalized anxiety

As I segued into this phase, the existential dread mostly withdrew during the day, leaving instead a sense of severe generalized anxiety. I’ve had issues with anxiety in the past, but it’s always been event-related or social, so Generalized Anxiety Disorder style anxiety was an interesting addition to my mental health cocktail. I still suffered the existential dread, but primarily during the Morning and Evening Hells, and as occasional spikes during the day. Mostly, I felt like it was off to one side somewhere, and felt anxiety about thinking about existential topics.

I got little done, but was able to occupy myself with podcasts, housework, simple games, and (oddly enough) Star Trek: The Original Series. Almost anything else I tried would worsen the anxiety, and threaten to trigger existential dreads. During this time I started sleeping more normally, but also began waking every night with chest pains and leg pains, which of course caused a great deal of anxiety about heart issues and blood clots. I also began to feel like I had begun to ‘wake up’ after having sleepwalked through the past year or so.

Phase Three: misc badfeels and weird sensory effects

As phase 2 segued into this one, around christmas day, the anxiety started to recede during the day. I’d get a window of safety varying from half an hour to a few hours, usually starting in the early afternoon. I began to leave the house more, going for walks with my partner, which could occupy me safely during bad feeling times. During those windows, I often still felt bad, but it felt like a ‘normal’ bad, like depression and ennui, rather than the very active generalized anxiety or severe dread. I also began to be able to read again, and to play games more widely. I committed to attending some local social events (some board games/RPG things, and a support group) and mostly tried to get on with life. 

I was frequently quite sluggish and slow, and didn't usually get much work done, even napping occasionally. As my days improved, my nights worsened, with bad sleep and bad dreams. I would also have odd brief sensory effects, such as hallucinations and waking dreams. For the first time since withdrawal started, I began to worry that I was slipping backwards and getting worse again. Up until that point, I had felt like, as awful as I was feeling, there was a slow but consistent improvement.

By early January I was having inconsistent bouts of the existential stuff and the generalized anxiety in the day, but looking back probably not as intensely as in the earlier phases.

Phase Four: inconsistent rehash

Phase four was similar to phase three, except without the consistency that phase three had (at least earlier on) of ‘morning bad, day safe, evening bad’. It also lasted longer than the ‘about a week’ of previous phases. I had ups and downs of general bad feelings throughout the day, with occasional spikes or longer bouts of existential fear or generalized anxiety, and I developed an aversion to going to bed (as most mornings would feel worse than evenings). I usually slept badly, and I started waking up during what I’m pretty sure were sleep-panic-attacks an hour or so after going to sleep. Chest pains and so on were very common and worrying, so I talked to the doctor a lot and ended up on some cardio waiting lists.

I had some depressive episodes which felt very much like the kind of depressive episodes I’ve had over my life, and about the same topics, though more intensely. It was almost comforting, in a back-to-normal sort of way.

Frankly, this whole phase felt like a random jumble of previous phase symptoms and pre-withdrawl mental health stuff, almost like dimming lightbulbs on an old electrical system, fading in and out and going on and off randomly and unpredictably.

Towards the end of January, I had a bad bout of flu, but during that time I felt a lot better in mental health terms. I don’t know if this was due to the distraction of a big obvious ‘thing to survive’ or if it was a natural upswing as part of the arc of that phase. After I got over the flu, I had a couple days of existential stuff reasserting itself, and I was worried that it was a second bout of Phase One, but I stopped recording my log on the 5th of February, so it’s hard to recall anything past this.

Interstitial Period

I’m pretty sure that for most of February, I felt ‘back to normal’, and was feeling more-or-less how I had been before withdrawal kicked off. That said, my capacity to occupy myself has not really recovered. I’m occasionally able to play games or read, but I often have a bad sense of ennui. This may be my natural yearly Seasonal Affective Disorder, or a natural depressive episode (I have consistently if infrequently had times where I’m unable to occupy myself and suffer ennui, just as part of being a depressed person), but I’ve not had one this long before.

I have a strong fear that my cognition/way of being/mental state has been permanently altered by that first phase, that it in some way ‘opened my eyes’ and now I will never be able to go back to how I was. I’m scared that I might never be free of this existential dread lurking in the back of my mind, but also trying to dissemble, forget, or distract myself feels like a foolish naivety. Its something we all have to face, so postponing the inevitable is pointless, but also I can’t overcome or accept it, so I’m trapped in a limbo.

Round Two?

After feeling mostly ’back to normal’ for a while, I’ve been having some bad times again. For about a week or so (end of febuary/beginning of march), I’ve been having existential fears and the ‘big mix of generalized bad feeling’ again, on and off during the day, and especially in mornings/evenings. I was very afraid that it was the beginning of a downslope into a full repeat of this entire cycle, but it’s been pretty consistent so far, rather than getting worse.

I’m hoping that this is indeed Round Two, and that its just a lot less bad than Round One, which would be consistent with what I’ve read about this stuff.

Final Thoughts

Phase one was the worst thing ive gone through in my life, but on good days I feel somewhat optimistic that it’s had a ‘rock bottom’ kind of effect, that I can find some positive things to come out of it.

It’s given me some perspective, and it’s helped me come out of a sleepwalking time in my life. I feel what i’m missing in my life much more keenly (social isolation/ lack of friends, lack of passion, lack of purpose/drive/meaning in my life), but I’m also able to work on them to some extent for the first time in years.

That said, I know these take a lot of time and work to fix, but it’s hard not to look at the glacially slow progress i’ve made as ‘no progress in basically three months’, and sink back into the things-will-never-get-better-so-why-try kind of depression.

I’m gonna keep trying, though.