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  #1  
Old Aug 30, 2026, 10:20 PM
WantToShare WantToShare is offline
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Dear Friends,

Today I had a long phone conversation with my loved brother. He has had clinical depression since about age 10. He's 81 now. He's been on antidepressants for at least 20 years. He told me when he first started on an antidepressant, it was abdsoultey wonderful, but now, and for the past many years, the pdoc has not been able to find one that works for any length of time.

He wants to taper off his meds, with his excellent pdoc's support, but is wondering if he does that, would he be worse off than he was before he ever stasrted the meds?s

I've had depression since age 3. Our parents thought I had "manic depressive tendencies" when I was in high school. So whatever, I've had bipolar since high school, if not earlier.

The only psych med i'm on at this time is Lexapro., For the past several months I have had terribvle terrible rages, screamikng loud and long. Terrible technostress almoist every morning. I wake up cheerful and happy, then read emails and text, discovering that one or more technical electonics are malfunctioning (with no fault of my own, nothiong I'd done wrong), and I get estlremely frustrated and upset, scream a lot, and it ruins my whole day. This is new, ever since I moved from my old apt building to this one, at the end of Feb. this year. My health care rep thinks all thse things are due to my; move. The new building is much nicer, but I livled at my old bldg for 23 years, and had to move because fo a new mgt comp;any that was overbilling me and a lot of other dysfunctional things about it. My dear significant other lives in this buildin and it's one I'd wanted to live in for a longtime, anyway.

So I am considering asking my pdoc about tapering off Lexapro. Then I would no longer have any psych meds, and they aren't helping me anymore anyhow. I'm 'treatment resistant." For decades we've tried many psych meds, and nothing really helps.

But I wonder, like my bro does, if I get off all psyhch meds, would I be worse off than I ever was b4 I started taking them? And by the way, for much of my of my life I was in abusive marriages, and my dad was invading myh life, too. I have not had any abusive people in my life for nearly 15 years.
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Don’t ask yourself what the world needs;
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Then go and do that.
Because what the world needs is people who have come alive.

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  #2  
Old Aug 30, 2026, 11:16 PM
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ThatOtherMike ThatOtherMike is offline
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Those are very tough questions. You're probably going to have to make the decision all on your own (which you should right?) and then wait to see what comes from your decision. I don't have much knowledge about the sea of psyche meds other than what I've been prescribed. I've been taking generic Effexor XR and clonazepam since sometime in the 1990s. I've stopped both twice.
I don't want to influence your decision with the details of my experiences but I don't mind sharing if you think you want to hear how it turned out.
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  #3  
Old Aug 31, 2026, 09:09 AM
WantToShare WantToShare is offline
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Dear Sweetie, TheOtherMike. Ulp. Yes, Ulp, if you don't mindi sharing, I would definitely like to know your experience when you tapered off your psych med/s.

Love,

WantToShare
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Don’t ask yourself what the world needs;
Ask yourself what makes you come alive.
Then go and do that.
Because what the world needs is people who have come alive.

-- Howard Thurman
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  #4  
Old Aug 31, 2026, 10:32 AM
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Nammu Nammu is offline
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If your brother is in his 80’s I’m guessing you’re up there too. Meds at an older age are a different can of worms.

Though I don’t advise going off without a doctors help, a good strategy is a straight forward honest discussion of meds.
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…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
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Thanks for this!
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  #5  
Old Aug 31, 2026, 12:07 PM
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ThatOtherMike ThatOtherMike is offline
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Okay, I'll just add back the part I deleted from my post.
I just googled Lexapro so I know now it's an SSRI. Effexor (my med) is an SNRI. I think SSRI meds are a little easier to come off of than SSRI meds. I don't know that for sure but I found people talking about using a very low dosage of Prozac (SSRI) to ease the withdrawal effects when tapering off Effexor which is an SNRI. My first time stopping Effexor was a nightmare. It made benzo withdrawals seem like a Sunday picnic. My doc and I used very low dosage Prozac the second time to help with the so-called discontinuation syndrome. It helped but the end results were the same. I was soon scoping out easily accessible high buildings without safety rails. I was back on Effexor within two weeks. Effexor to me is a bargain with the devil.
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  #6  
Old Aug 31, 2026, 12:14 PM
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ThatOtherMike ThatOtherMike is offline
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The withdrawal symptoms were typical. Severe anxiety, brain zaps that were almost nonstop, occasional anger progressing to rage, eventually deep depression. Maybe all that would have subsided over time but I wasn't in a position to find out. I was in a situation where I had to function.
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"It is no measure of health to be well adjusted to a profoundly sick society."
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  #7  
Old Sep 01, 2026, 09:23 AM
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Ruftin Ruftin is offline
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Quote:
Originally Posted by ThatOtherMike View Post
The withdrawal symptoms were typical. Severe anxiety, brain zaps that were almost nonstop, occasional anger progressing to rage, eventually deep depression. Maybe all that would have subsided over time but I wasn't in a position to find out. I was in a situation where I had to function.
Ohhhhhh my goodness!!!!!! I went through the same thing. Left me
Possible trigger:
. I wound up in the hospital fighting for my life and then in the psych ward as they tried to stabilize me. It’s the worst experience Ive ever had.
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Considering tapering off my one only psychmed
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  #8  
Old Sep 01, 2026, 09:58 AM
WantToShare WantToShare is offline
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Ohhnhh all this sounds so horrible!!! Thanks for sharing. I'm terrified.

TheOtherMike wrote:

"I was soon scoping out easily accessible high buildings without safety rails. "

Very funny ,but not really. Me, I consider buying a gun. The other day, when I was screaming likle this, if I'd've had a gun, I definitely would've put it in my mouth and pulled the trigger. I wouldn't even care anymore if blood and brains splattered a;ll over the room. It woulds've been too hard to put a pillow case over the guns so my loved ones would not see such a mess.

Yesterday, I deleted the gun shop's phone number from my phone''s contact list. I have a techno emergency plan, and I will read that now, because I'm upset all over again. Today at my therapy appointment, I'm going to work with my wonderrful therp to create a safety plan so I don't off myself. I already tried once; I'd planned it for years. It didn't work, and the result of the overdose was that I fell/fainted and broke my; collarbone, three ribs, and my pelvis. My friends and family reported me as a missing person with the police, and friends have told me they saw me on TV as a missing person. I would never do this to them again. I ended up first in one hosp, then in a psych ward which was absolutely miserable and a complete waste of time, and then in rehab for my broken bones, whidh was a nightmare.
__________________
Don’t ask yourself what the world needs;
Ask yourself what makes you come alive.
Then go and do that.
Because what the world needs is people who have come alive.

-- Howard Thurman
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  #9  
Old Sep 01, 2026, 02:40 PM
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ThatOtherMike ThatOtherMike is offline
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Damn... scaring you was exactly what I wanted to avoid. That was why I originally deleted what I wrote.
The second try using (10mg I think) Prozac wasn't hard at all. The plan was a small dosage of Prozac to prevent the worst effects of Effexor withdrawal and then taper off he Prozac. It just didn't work out. It may work for you but Lexapro is very similar to Prozac.
Yes, a bullet makes a huge mess. Even with a pillow. Your family will have to clean that up bc the police and EMS workers won't do it.
I've considered suicide many many times but that first time coming off meds was one time I didn't even consider suicide. I was my mother's caregiver at the time. The only people I wanted to shoot were the people in my state government who cut funding for mental health care and the doctors/administrators who made the decisions about which patients to end service for. I didn't make the choice to stop taking my meds at that time. The choice was made for me by politicians and the state mental health agency. Fortunately my mother's primary care doctor stepped in and prescribed my meds.
The second time was my choice. I just didn't want to be on meds anymore. I hated the thought of dependency. Dependency is a weakness. It's something I can't control.
Why do you want to stop your medication? There are worse things than dependency. And you may still need/benefit from the Lexapro. Antidepressants don't make life wonderful. That isn't their purpose. Antidepressant meds make it possible to remain functioning. Life is seldom 'wonderful' unless one has a complete lack of empathy, compassion, and sensitivity.



Quote:
Originally Posted by WantToShare View Post
Ohhnhh all this sounds so horrible!!! Thanks for sharing. I'm terrified.

TheOtherMike wrote:

"I was soon scoping out easily accessible high buildings without safety rails. "

Very funny ,but not really. Me, I consider buying a gun. The other day, when I was screaming likle this, if I'd've had a gun, I definitely would've put it in my mouth and pulled the trigger. I wouldn't even care anymore if blood and brains splattered a;ll over the room. It woulds've been too hard to put a pillow case over the guns so my loved ones would not see such a mess.

Yesterday, I deleted the gun shop's phone number from my phone''s contact list. I have a techno emergency plan, and I will read that now, because I'm upset all over again. Today at my therapy appointment, I'm going to work with my wonderrful therp to create a safety plan so I don't off myself. I already tried once; I'd planned it for years. It didn't work, and the result of the overdose was that I fell/fainted and broke my; collarbone, three ribs, and my pelvis. My friends and family reported me as a missing person with the police, and friends have told me they saw me on TV as a missing person. I would never do this to them again. I ended up first in one hosp, then in a psych ward which was absolutely miserable and a complete waste of time, and then in rehab for my broken bones, whidh was a nightmare.
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"It is no measure of health to be well adjusted to a profoundly sick society."
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  #10  
Old Sep 01, 2026, 03:05 PM
WantToShare WantToShare is offline
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Dear The Other Mike,
;
Thanks for more of your story. You asked:

"Antidepressant meds make it possible to remain functioning. Life is seldom 'wonderful' unless one has a complete lack of empathy, compassion, and sensitivity.:" You asked why I want to get off my meds. I'm going to wait till my pdocappt tomorrow to figure out what to do. But I think the meds have made me extremely and suddenly irritable, and screaming. This was never how I was before recent meds. Do you know if meds can cause this? My life is out of control.
__________________
Don’t ask yourself what the world needs;
Ask yourself what makes you come alive.
Then go and do that.
Because what the world needs is people who have come alive.

-- Howard Thurman
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  #11  
Old Sep 01, 2026, 03:45 PM
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ThatOtherMike ThatOtherMike is offline
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Well, yes would be my guess. Medications can have side effects and can cause adverse reactions. If these things only began after you started taking Lexapro that would be what I would suspect is the cause. I'm more knowledgeable about my own meds than yours so I am aware that Effexor can cause side effects that are pretty much the same as I felt on withdrawal.
About ten years ago my then girlfriend was prescribed an antidepressant. I think it was Lexapro. She had awful reactions to it.
Long ago I was prescribed an anti-psychotic medication by an ER doctor. It was by accident I assume since I have never had any symptoms of psychosis. By the third day I think I was actually beginning to feel psychotic so I stopped taking it. My own doctor at the time said she couldn't imagine why the drug had been prescribed.
I hope you and your doc can work this out tomorrow.
Quote:
Originally Posted by WantToShare View Post
Dear The Other Mike,
;
Thanks for more of your story. You asked:

"Antidepressant meds make it possible to remain functioning. Life is seldom 'wonderful' unless one has a complete lack of empathy, compassion, and sensitivity.:" You asked why I want to get off my meds. I'm going to wait till my pdocappt tomorrow to figure out what to do. But I think the meds have made me extremely and suddenly irritable, and screaming. This was never how I was before recent meds. Do you know if meds can cause this? My life is out of control.
__________________
"It is no measure of health to be well adjusted to a profoundly sick society."
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Thanks for this!
Ruftin
  #12  
Old Sep 02, 2026, 11:08 AM
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Ruftin Ruftin is offline
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@WantToShare Illnesses like a urinary tract infection for example can cause sudden uncontrollable anger/agitation out of the blue. Even if you don't have typical UTI symptoms. You might want consider having some blood work, a "urinalysis and urine culture " done. Please ask your p-doc about this possibility. This would be an easy fix. As we get older infections like these can affect us in ways they didn't when we we were younger.
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  #13  
Old Yesterday, 10:15 PM
Tart Cherry Jam Tart Cherry Jam is online now
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Quote:
Originally Posted by WantToShare View Post

The only psych med i'm on at this time is Lexapro., For the past several months I have had terrible rages, screaming loud and long. Terrible technostress almost every morning. I wake up cheerful and happy, then read emails and texts, discovering that one or more technical electronics are malfunctioning (with no fault of my own, nothing I'd done wrong), and I get extremely frustrated and upset, scream a lot, and it ruins my whole day. This is new, ever since I moved from my old apt building to this one, at the end of Feb. this year. My health care rep thinks all these things are due to my move. The new building is much nicer, but I lived at my old bldg for 23 years, and had to move because of a new mgt company that was overbilling me and a lot of other dysfunctional things about it. My dear significant other lives in this building, and it's one I'd wanted to live in for a long time, anyway.
The health care rep attributes your frustrations and rages to the move. Quite possibly, this person, who knows you well, is correct. But it is also the case that you are taking a "naked" SSRI, which can greatly increase the risk of hypomania and mania (which, in turn, can manifest themselves as highly irritable mood, without grandiosity, euphoria, and feeling on top of the world) in people with known or latent bipolar tendencies. The question is, when did you stop antipsychotic and/or mood-stabilizing medication? When did you go on a naked SSRI? Can you build a timeline of the medication changes in the past two-three years and the life changes, such as the move? That timeline might be instructive for both you and the pdoc before tapering decisions are made.

Regarding your brother's woes, this is colloquially called antidepressant pooping out. It is very common. I am lucky in that I am stable on an antipsychotic monotherapy (and a low dose suffices, to boot), and antipsychotics do not have this tendency to poop out, unlike antidepressants. It is a real trouble for people with MDD when medications they came to rely upon poop out.

Plus, as @Nammu said, the age factor.
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Last inpatient stay in 2018

Zyprexa 3.75 mg, back to Zyprexa but at a reduced dose
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Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity
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  #14  
Old Yesterday, 10:28 PM
WantToShare WantToShare is offline
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Update: I had made some unlateral decisions to cut back two meds. My pdoc has put me on a regime that I think will help a lot.

Love, and thanks for all your good caring and feedback.

WantToShare
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Don’t ask yourself what the world needs;
Ask yourself what makes you come alive.
Then go and do that.
Because what the world needs is people who have come alive.

-- Howard Thurman
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Thanks for this!
Ruftin
  #15  
Old Yesterday, 10:37 PM
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All the best with the new regimen. Glad you and the prescriber work well together.
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Zyprexa 3.75 mg, back to Zyprexa but at a reduced dose
Naltrexone 25 mg


Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity
Hugs from:
Ruftin
Thanks for this!
Ruftin
  #16  
Old Yesterday, 11:40 PM
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Ruftin Ruftin is offline
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I agree with @tartCherryJam as for your move causing tremendous stress.

The top five most stressful life events include:
*Death of a loved one.
*Divorce
*Moving
*Major illness or injury.
*Job loss

So you've got the move coupled with the psych issues/meds so that's 2 major stressors on you right now. Hopefully your meds will level you out. Be kind to yourself because we want you well.
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Considering tapering off my one only psychmed
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