the Impact of Stopping Antidepressants on Mental Health

I wonder if it is related to stopping the medication on my own?

Hello, Doctor: I would like to ask you about my past experience with antidepressant medication.
I took it for about three months, and initially, the side effects were quite significant.
However, after some time and adjustments to the medication, I improved a lot.
Not only did I no longer experience discomfort, but my depressive symptoms also improved.
Later on, I became quite dependent on the medication; if I missed a dose for just one day, I could noticeably feel a drop in my mood the next day.
During the time I was on medication, my menstrual cycle also became irregular, so I decided to stop taking the medication during the winter break when I was home.
The first week was okay, and the second week was fine as well, but by the third week, I started feeling depressed again...
and I experienced severe dizziness.
In fact, I've been feeling dizzy for a long time, but it improved significantly during the stable treatment period.
After stopping the medication for six days, my menstrual cycle returned with heavy flow, and I thought the dizziness was due to anemia.
However, it's been two weeks now, and the dizziness is getting worse.
I would like to know if this is related to my decision to stop the medication on my own.
Since I have been off the medication for over three weeks, can I resume taking the medication that my doctor prescribed during my last follow-up? I also feel like I'm experiencing the same symptoms I had when I first started seeing the doctor...
I will begin my hospital internship at the end of February! I'm worried about a relapse...

Meiting, 20~29 year old female. Ask Date: 2004/02/01

Dr. Chen Guangpeng reply Psychiatry

Dear patient,
I am deeply concerned and regretful upon reading about your situation.
You may indeed be facing a risk of relapse, but there is no need to be overly pessimistic.
Treatment plans for mental health conditions place great importance on the involvement of patients and/or their families.
Therefore, I have always believed that psychiatrists should be among the most open-minded physicians.
We welcome feedback from patients regarding their treatment experiences and communication suggestions.
However, we often encounter situations similar to yours, where patients adjust their medications without discussing it with their primary physician, leading to unnecessary complications and discomfort.
Regarding your situation, I would like to offer you some advice: please seek assistance from your primary physician, as they are most familiar with your clinical course.
Additionally, if there are any aspects of the treatment process that you find unsatisfactory or have concerns about, do not hesitate to communicate with them.
This is essential for achieving the best possible treatment plan and outcomes.
If you wish to stop or reduce your medication, it is even more important to discuss this with your physician, as adjustments should be made by an expert who understands pharmacology to avoid adverse consequences.
Finally, I wish you a swift recovery.
If you take action soon, there should be a chance for you to return to a stable state by the end of February and lead a healthy, normal life.

Reply Date: 2004/02/01

More Info

Stopping antidepressants can have a significant impact on mental health, and it's crucial to understand the potential consequences and how to manage them effectively. Based on your experience, it seems that you have encountered several common issues associated with discontinuing antidepressant medication, including emotional instability, physical symptoms like dizziness, and the return of depressive symptoms.

When you stop taking antidepressants, especially after a prolonged period, your body may react in various ways. This is often referred to as withdrawal or discontinuation syndrome. Symptoms can include mood swings, anxiety, irritability, dizziness, and even physical symptoms like headaches or gastrointestinal issues. The severity of these symptoms can vary depending on the type of antidepressant, the duration of use, and individual factors such as your overall health and the presence of any underlying conditions.

In your case, you mentioned that after stopping the medication, you initially felt okay but began to experience increased feelings of depression and dizziness after a few weeks. This pattern is not uncommon. Many individuals report a resurgence of depressive symptoms after discontinuing medication, particularly if they have a history of recurrent depression. The brain may take time to readjust to the absence of the medication, which can lead to a temporary worsening of symptoms.

It's also important to consider the role of your menstrual cycle (MC) in your overall well-being. Hormonal fluctuations can significantly affect mood and physical health, and if your menstrual cycle has become irregular or more intense, this could contribute to your feelings of dizziness and emotional instability. The interplay between hormonal changes and mental health is complex, and it may be beneficial to discuss this aspect with your healthcare provider.

Given that you have been off the medication for over three weeks and are experiencing a return of symptoms, it would be advisable to consult with your prescribing physician. They can assess your current situation and determine whether it is appropriate for you to resume your previous medication or consider alternative treatments. It is generally not recommended to make decisions about medication without professional guidance, especially after experiencing withdrawal symptoms.

In the meantime, there are several strategies you can employ to help manage your symptoms:
1. Maintain a Routine: Establishing a daily routine can provide structure and stability, which may help alleviate some feelings of anxiety and depression.

2. Engage in Physical Activity: Regular exercise has been shown to improve mood and reduce anxiety. Even moderate activities like walking can be beneficial.

3. Practice Relaxation Techniques: Mindfulness, meditation, and deep-breathing exercises can help reduce stress and improve emotional regulation.

4. Stay Connected: Reach out to friends, family, or support groups. Social support is crucial during times of emotional distress.

5. Monitor Your Diet: Eating a balanced diet can have a positive impact on your mood and energy levels. Ensure you are getting adequate nutrition, especially iron if you suspect anemia due to heavy menstrual bleeding.

6. Sleep Hygiene: Prioritize good sleep practices to improve your overall well-being. This includes maintaining a regular sleep schedule and creating a restful environment.

7. Seek Professional Help: If your symptoms persist or worsen, it is essential to seek help from a mental health professional. They can provide therapy, medication management, or other interventions tailored to your needs.

In conclusion, stopping antidepressants can lead to a range of emotional and physical symptoms, and it is essential to approach this process with care. Consulting with your healthcare provider is crucial to ensure you receive the appropriate support and treatment as you navigate this challenging time. Remember, recovery is a journey, and seeking help is a vital step towards regaining stability and well-being.

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