Category: treatment issues

How to Stop Antidepressants While Minimizing Withdrawal

While antidepressants can absolutely be life-saving medications, sometimes antidepressants aren’t the right medication at the right time for you. Or sometimes, it’s just time to try to get off of antidepressants. (For simple depression, this is often done if you have been stable for 6-12 months.)

Can't Get Off Antidepressants

But the key to getting off antidepressants successfully is to minimize withdrawal symptoms because otherwise you may feel like you’re trapped on the antidepressants. Additionally, the withdrawal symptoms may get mistaken for returning illness symptoms, which you do have to watch for, but if possible, it’s best not to get withdrawal and returning symptoms confused.

So, here are some tips on the best way to get off antidepressants while minimizing withdrawal.

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Bipolar Disorder – When to Get Off Antidepressants

I try not to give medical advice here because I am not a doctor. But so many people ask me about this I felt I had to address getting off antidepressants without withdrawal. So many people with bipolar disorder (depression and others) need information about getting off psych meds and they are not getting it from their doctors.

This is the first in a three-part series:

  1. When to Stop Antidepressants in Bipolar Disorder
  2. How to Stop Antidepressants in Bipolar Disorder While Minimizing Withdrawal
  3. How to Stop Taking venlafaxine (Effexor) and Desvenlafaxine (Pristiq) – as they are particularly nasty to get off

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Selling True Hope to People with a Mental Illness

The Bipolar Burble doesn’t sell anything, not to people with a mental illness, or anyone else.

It will one day. One day soon it will be selling my book. And then another book after that. We writers do stuff like that.

And maybe one day there will be ads here trying to sell you other things too – therapeutic lights or omega-3 supplements for mood.

But one thing I do not now, nor will I ever sell:

Hope.

I will never, ever try to sell you hope, true or otherwise. Hope is free and selling it is a lie.

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Mixed Bipolar Disorder – How to Treat Mixed Mood Episodes

In the final installation of my mixed moods series, I talk about how to treat mixed moods in bipolar disorder. If you need a refresher on mixed moods in bipolar 1 or bipolar 2, see the first three articles in this series:

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Safety Warnings for St. John’s Wort

Including the Dangers of Using St. John’s Wort to Treat Bipolar Depression

I mentioned last week that St. John’s wort has been shown ineffective at treating mild depression as well as moderately severe depression (major depression).

Nevertheless, St. John’s wort is the most well-known alternative treatment for depression and many people take it. However, there are absolutely some dangers in taking St. John’s wort that you should know about, especially if you’re bipolar.

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Polypharmacy Treatment Requires As Much Faith As Science

As I’ve said, mental illness treatments often don’t work. And you have to keep trying treatment anyway. Because without doing anything new, you are condemned to being stuck in the same mental illness mire you are currently in.

But in all honesty, mental illness treatment requires faith. Trying psych med after failed psych med requires a belief that something will work in spite of the evidence to the contrary. It requires a belief that is not based on proof.

I hate that.

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Mixed Bipolar Disorder – Mixed Mood Episodes in Bipolar 2

As I mentioned, mixed moods are technically considered part of the manic phase of bipolar disorder and thus, by definition, are only a part of bipolar disorder type 1. However, those of us with bipolar type 2 can tell you we mix it up with the best of them.

So, in part II of this series on mixed moods in bipolar disorder, I look at mixed moods in bipolar type II.

Bipolar Disorder Type 2 Mixed Mood EpisodesMixed Moods in Bipolar Type II

Now that we’ve wandered into Diagnostic and Statistical Manual (DSM)-free territory, definitions on mixed states get a bit looser.

Mixed mood states may be, in fact, the most common way of experiencing bipolar type II. I find most people have a hard time distinctly separating “depression” from “hypomania” from “normal” moods.  There is just too much crossover.

Two Types of Mixed Moods in Bipolar Disorder

Additionally, considering mixed moods to be part of the manic phase of bipolar disorder becomes useless when looking at bipolar II. As an article in Psychiatric Times suggests, there are really two types of mixed moods in bipolar disorder:

Those two mood types better reflect my own experience and I think the clinical experience of other patients and doctors.

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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