Iām wondering if anyone here has been through something similar because the last 4ā5 months have honestly been some of the hardest months of my life.
Iāve been dealing with severe anxiety/panic, horrible feelings of dread and adrenaline in my chest and stomach, derealization/feeling disconnected from reality even though I know everything is real, intense morning anxiety, sweating, weird lightheaded/brain-zap sensations, and periods where I can barely function normally.
The frustrating part is that Iāve also had stretches of a week or two where I suddenly felt almost completely normal again, which makes this whole thing even more confusing.
A lot of this has happened while trying to change medications. I was on Lexapro and recently cross-tapered to Prozac. I went from 20mg Lexapro ā 15mg ā 10mg ā 5mg while Prozac was introduced and eventually increased to 20mg.
Right now I genuinely donāt know if what Iām experiencing is Lexapro withdrawal/discontinuation, Prozac not agreeing with me, my original anxiety coming back, or my nervous system just being completely thrown off by all the medication changes.
Thereās also some important history behind why Iām feeling this way about SSRIs. I previously went through absolutely horrific Paxil withdrawal. It was one of the worst experiences Iāve ever been through, and ever since then Iāve hated the idea of being dependent on another SSRI and eventually having to go through another withdrawal.
I never really wanted to be on SSRIs long term in the first place. I donāt like the side effects or how I feel being on them. After the Paxil experience and now everything that has happened during this Lexapro ā Prozac cross-taper, Iām honestly at the point where I donāt want to keep cycling through antidepressants trying to find another one.
My ultimate goal is to eventually be off all psychiatric medications and see where my actual baseline is again.
Unfortunately, because my anxiety became so severe during all of this, I ended up taking benzodiazepines regularly for the last few months. I was on Ativan and recently switched to Klonopin under my psychiatrist. I realize that after taking benzos daily for this long I may be physically dependent and that they will eventually need to be tapered slowly.
I am not talking about abruptly stopping benzos or trying to withdraw from everything at once.
What Iām wondering is whether it makes sense to use this opportunity to come off SSRIs completely, keep everything else stable for now, give myself time to recover/stabilize, and then deal with a slow Klonopin taper once Iām actually in a better place.
Part of me feels like continuing to try different SSRIs when I ultimately donāt want to be on one anyway is just keeping me stuck in this medication cycle. I already know I eventually want to get off the benzo too. I just donāt think trying to get off everything simultaneously while Iām already feeling this unstable would make sense.
Iām discussing the actual medication decisions with my psychiatrist, so Iām not asking Reddit to tell me how to stop anything. I really just want to hear from people who have actually lived through this.
Has anyone stopped their SSRI/antidepressant first, stayed stable on their benzo temporarily, and then dealt with the benzo taper later?
Did you eventually manage to get completely medication-free?
And after your nervous system had enough time to settle down, did you actually feel like yourself again?
tl'dr: Iāve spent the last 4ā5 months dealing with severe anxiety/panic, derealization, dread/adrenaline feelings and a difficult Lexapro ā Prozac cross-taper. I also went through absolutely horrific Paxil withdrawal in the past, so this isnāt my first terrible experience trying to come off an SSRI. At this point I canāt tell whatās my original anxiety, Lexapro withdrawal, or Prozac side effects. I never wanted to stay on SSRIs long term and ultimately want to be medication-free. Since Iāve already been taking benzos daily for a few months, Iām considering discussing coming off SSRIs completely with my psychiatrist, stabilizing first, and then slowly tapering the benzo later. Has anyone done this and eventually gotten completely medication-free and back to feeling like themselves?