Mood Stabilizer Withdrawal

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Do not stop taking any medication unless under the care of a licensed professional.

I have been on a mood stabilizer for about five months now. I first started taking it after going to the crisis center in the emergency room.

The Start

The first day I took the mood stabilizer, I had pretty severe anxiety. I was also prescribed an anti anxiety medication for fast acting anxiety relief. I used that at least once during the first week of starting. Eventually, I went from 10mg to 15mg of fluoxetine and stayed at 15mg because it was effective at a low dose.

Progress

After making progress in EMDR and inner child work, my EMDR therapist and talk therapist both agreed that I could try to ween off of the antidepressant. I was instructed by my third therapist, a psychiatrist, to take 10mg for a month then drop down to 5mg for another month.

Going Well

For the first three weeks, I did not notice any changes. It was like I was not even weening off the medications. I thought, hey this is easy!

Previously, I was on a medication for migraines that was also an antidepressant. Weening off that was awful, but short lived thankfully.

The First Signs

It started midweek. I was sitting at my desk unable to focus for more than a few minutes. I could not sit still. I was restless and moving my legs. I started hearing things louder than they really were and had to constantly wear headphones. Music generally helps me focus, but I was unable to find any genre of music to help me.

Downward Spiral

It was not until I started having a sensation of warm water flowing down the back of my leg that I started to wonder what was going on. Shortly after, I became very fatigued. Fatigue and restlessness are the weirdest symptoms you can have simultaneously. Starting things became so cumbersome and I was not able to have longevity in much of anything.

Very quickly, I became exhausted beyond belief, had pains all over my body, insomnia, anxiety, irritability, spotting, clumsiness, hot flashes and chills, and the headaches came and went.

Seeking Guidance

I spoke to all three of my therapists about this. The prescriber of the fluoxetine told me that all these symptoms were, unfortunately, normal and that I was doing the best I can to deal with the symptoms.

Building Anxiety

Yesterday, I finally felt better. I also had EMDR. Up until that point I was dealing with trying to focus at work, take care of my kids, and adulting. All while being so very tired while having simultaneous insomnia. I ended up taking ibuprofen and a fast acting anxiety relief medication to relieve some of the anxiety and other symptoms.

Hidden Fear

While in EMDR, I learned I am actually afraid of coming off the medication.

My fear was related to the need for medication for life. Will I be able to function without it? Will I return to the person I was before I started on my healing journey? Will I go back to the hospital? Can I still be the new happy me without the medication? Is the anxiety returning because I cannot handle life without the meds?

After uncovering this fear, I felt so much better. Mind over matter as the saying goes. And while I felt better before I went to EMDR, I improved so much after learning what was bothering me. I find it amazing that I had no idea this problem was there and why.

I have detoxed from opiates and this is comparable if not worse because it did not improve after a few days of symptoms starting. At least with the opiates it seemed shorter lived. My biggest fear, currently, is wondering if this will happen again when I go down to 5mg in a week. I guess I will just have to proceed and hope for the best!

Through all this I realize that while meds may have helped me get through some of the hard times in EMDR, I do not know that they were absolutely necessary. I have come so far in my healing journey.

I can do this!

If you are having problems weening off a medication, see my page about healthy coping skills and make sure to check in with your doctor too!

The Turning Point

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In life there are always moments that define us or change us. One of these moments came as I was preparing to go back to work after having my daughter. While I was at my 6 week appointment, I scored really high on the scale for postpartum depression. It was a ten question multiple choice questionnaire. Doctors highly encouraged me to go to crisis, despite going to therapy my entire pregnancy and before, plans to return to EMDR therapy, and appointments in place to seek mood stabilizers. My talk therapist never sent me to crisis as she did not think I was a danger to myself or anyone else. The doctor sent me because of a potential liability and a point system designed to help. In this case, it did not serve its purpose.

In the Crisis Ward

My husband came to the office, picked up our daughter and took me to the emergency room. Security took my cell phone. I changed into a scrub like outfit. All contact with the outside world was severed. The place was hectic. My bed was in the hallway. A doctor stopped to take my vitals and ask me some questions. As we talked, I shared I had anxiety being there due to my ex-boyfriends experience. Doctors tied my ex down. Gave him an injection to sedate him and made me leave the ward. He was like a zombie and sleeping for days. He ensured me that those things hardly ever happen. A nurse gave me some water but I missed out on lunch since it was now 2pm. I had not eaten since I planned on grabbing something on the way home from my appointment. By this point I was starving.

Avoiding Contact

While waiting in the hallway, others tried to speak to me. The person on the stretcher next to me was talking to herself about murder and alien abductions. One woman walked by me and tried to get my attention. She pulled up her shirt to show me her bruises. She indicated the bruises were given to her by personnel in crisis. I made a point to avoid all eye contact and avoid any interaction with anyone there.

After some time passed, several people were released or transported to other facilities. A nurse offered me a room where it would be more quiet. I took the offer and finally broke down and cried.

At some point I started hearing yelling and a commotion. A man and a woman arrived. They started energizing each other. Police or security took the man to a room, strapped him down and sedated him. The one thing assured never happens, happened. My anxiety went up at that point. The woman was still in the hallway and kept asking for her glasses, among other things. She kept indicating she didn’t belong there and asked repeatedly if she was in a sanitarium. It was after some time that I had to give up the room and go back to the hallway to avoid a riot. She repeatedly yelled and refused to calm down.

Another woman arrived and nurses locked her in her room. She was banging on the door and screaming. The door was two feet from my bed in the hallway.

After some time a young boy went home. It broke my heart to see someone so young there. I moved to his room. The woman that was yelling in the hallway was in the room next to me and kept yelling about her glasses.

At some point I feel like being in that place would actually drive me insane! I begin to question if I am I really like these people. I begin to question the system and how it has now failed me.

I realized that the possibility of staying the night increased. Very upset, I started thinking about all the things I do with my kids at night before bed. I miss my family more than I ever have. After dinner, everyone got quiet, so I asked for the phone to call my husband. He picked up, thank god! I was glad to hear a familiar voice and know my kids were doing alright but missed me. He told me he spoke to a counselor and they asked him some questions.

Going Home

Shortly after that, the counselor came to speak to me and get some insights. She told me she talked to my husband and really saw no reason for me to be there. The time was now past 9pm. I called my husband to arrange for pick up. Finally, after 7 hours, I could go home.

7 hours.
7 hours of fear.
7 hours of anxiety.
7 hours of my life I will never get back.
7 hours to think about my priorities.
7 hours to decide I would never return to that place.
7 hours to decide to never let my anxiety and depression control me anymore.
7 hours to become stronger.
7 hours that showed me that darkness can lead to light.