It occurred to me, recently, that I can't remember when I first started anti-depressants. I can list all the ones I've tried, the sweat-inducing switches I have made to new generations of drugs that promised to make me even less depressed than I was before while still preserving my desire to have sex (and more importantly, my waistline).
I can tell you about how I lay shaking on the bathroom floor of my university apartment, making promises to the universe in exchange for mercy, as I withdrew from Zoloft to get onto Paxil. I can recall the nausea that forced me off the subway on my way to work one morning and had me balled up on the platform, apologizing to the commuters stepping over me, as I withdrew from Paxil to get onto Celexa. I'm not on Celexa anymore.
I know that Prozac was the first, but I can't remember when I first started taking it. Was I 13? Sixteen? I wade through my memory, try to remember landmarks in time, but I don't know when to stop walking. Was I on pills at my Bat-Mitzvah? Did I take one the morning of my Grade 10 biology exam? I don't know. I have been in a relationship with drugs for so long that I can no longer recall our first date.
This lapse in memory never really troubled me before. Drugs have always been a staple in my life that I never questioned. I never considered the efficacy of anti-depressants, whether they are overvalued or over-prescribed. This debate, to me, was an academic luxury of the non-mentally ill. I thought I had made peace with my biochemistry and its genetic need to be altered.
I leaned on the oft-quoted line of pharmacological drug users everywhere: if I had diabetes, surely I would take insulin. Well mental illness is just like that, but without the sugar highs; unless, of course, you're manic. There were times I was jealous of people who experienced mania because at least they get upswings. It's no difference though because we are all on drugs, the manics and me, hoping to be the best version of ourselves that we know we could be, but for our illnesses. Except, in not remembering when my love affair with drugs began, I don't even know any version of myself without them. I can't say for sure where I stop and the drugs begin.
Now, I am starting to question anti-depressants and anti-anxiety medication. I am beginning to question them because I no longer have insurance. I was all for these medications when Great West Life was paying for them. "Gimme a D, Gimme an R, Gimme a U, Gimme a G," I would say, as I submitted my claim to Green Shield for reimbursement. What's that, doctor? You think I should be on a cocktail of two drugs to better address my depression and anxiety? Yes! I love cocktails! A prescription for Xanax just in case I have panic attacks, you say? Fill 'er up!
It turns out that these drugs are incredibly expensive. So expensive, in fact, that it's depressing. So depressing that it could push one into a panic attack just thinking about it.
"That will be $306.17," the pharmacist says.
"Sorry, come again?" I ask, "I thought I heard you say these cost $300.""Will that be cash or credit?"
I look at my two tiny pill bottles. "Three hundred dollars and I didn't even get a good smelling cream, unnecessary hair products or a trashy magazine?"
"Are there other things you want to get? Did you want me to wait to ring you up?"
Of course there are other things I want to get! I want to get a new lipstick just for fun. I want to get an armful of books that I have been waiting to read. I want to fix my broken oven, take a much needed vacation. I want to get new shoes and some pretty, little sundresses for the summer. I want to get new glasses, a haircut, more itunes. I want to get a tax receipt from the next little high-schooler who comes to my door asking me to buy a newspaper to help her earn a scholarship to university. There are so many things I could be getting for the price of mental health. You gotta be rich to be crazy!
Looking at the bill I began to consider if drugs are really the answer to what ails me, if it's really a good idea to be on so much medication for so long. I'm reading all the studies now, wondering if it's better to take life on au naturale. I feel indignant, angry with my drugs, like a jilted lover who was wooed by the promise of intimacy and then dumped as soon as she took off her underwear. I feel self-conscious and exposed.
I shake the clear, blue bottles in my hands. What's so wrong with me, drugs? Hasn't it been as good for you as it has been for me? Don't you love me? I really thought we had something special here. I thought we were going to grow old together.
I wonder now if I should be breaking up with my drugs, if they have really been all that good to me. I start to think about the clammy skin, the dizziness, the shakiness, the never-ending nausea that comes with withdrawal. I think of myself lying on the bathroom floor, the sweat leaking out of my pores. I think about the worst symptom of all: the feeling of helplessness. Have I been on medication just because I can't bear to get off of it? I twist the caps off the bottles and pour two pills into my hand. I can't really say. I don't remember.
Opiates were "the doctor's best tool" for 5000 years, suddenly it is replaced with chemicals made cheap, sold expensive, And anti-depressants causes suicides!! [in some, not all, in case you were worried, Wendy].
I am not a doctor, do NOT listen to me - but I would vote yes - for you to get off the drugs, slowly but as quickly as you can tolerate, see if you can function with alternative therapies such as meditation or moderately-heavy exersize, and for sure get out of bad relationships [we should not be defined by others] and quit that processed grain food crap and only have fermented milk and soy [soy ain't so great anyhow] Plus - "I tells ya glucose-fructose is outta here" it causes everything, get lots of nutritious foods
Get healthy, lots of vit c, by the boatload for awhile {i've never actually found my "bowel tolerance", I suppose we should once in our life}
But No, don't ask for morphine, not just yet... but it can cure depression - its just that you will be on it for the rest of your life, which is a ridiculous way to live.
Oh ya, I almost forgot, best advice - SOLVE PROBLEMS!!
I have seen everything and have lectures drs as I have a huge amount of experience and yes we can know more than untalented drs.
I can help .... be there many times :)
I have been on similar stuff for soon 25 yrs. changed etc... I take 4 meds , 11 pills every day and feel good.
I have other issues with depression .
you might need to look for other causes too.
chill and I can help as I have seen everything over 25 yrs.
However, I get nervous when I see someone writing or talking about going off of a medication because they're not sure if they need it anymore, or because it's really expensive, etc. I know people who have died because they made that choice.
I think I would have been happier with this article if I had seen a brief discussion about the inherent dangers involved with either stopping a drug regimen or going on a "drug holiday" to see if you really still need it. Please, anyone who is thinking this way, talk to your doctor - dosage reduction might work, and there is financial assistance available for those who cannot afford their meds.
However, I have some advice for you. Tryptophan is a chemical in many foods that is broken down into Niacin - an excellent natural antidepressant with zero side effects that actually works BETTER than Prozac.
A couple handfuls of cashews a day will actually be more effective than your SSRIs. Sadly, doctors don't learn anything like this in mainstream medical school. Don't take my word for it, do some research into it. Watch the documentary Food Matters it's all about proper nutrition.
Cheers and good luck!
"her sense of humour was spot on -"Gimme a D, Gimme an R, Gimme a U, Gimme a G," and it seems very honest. Refreshing!" Then you don't have a clue. There is such a thing as 'gallows humor'.Look it up and don't be such an id iot.
Oh. My. God. Just a week's worth had me terrified. My dreams were crazy, I felt like I had been dropped into an alternate universe. My moods went bananas. This was heavy, seriously mess with your head medication. I quit right away, and tried nicorettes instead.
I suppose if I had been in a paralyzing depression, it might have been worth it, but frankly, unless it WAS a paralyzing depression, I would stay far, far away.
Is it possible that the conditions that brought on their use may well have changed and you may not require them anymore? After all, a 13 year old is not the same as a grown woman.
And withdrawal symptoms, though, inexcusable or not, are often unavoidable...and if you've been on benzo and ADs a long time coming off drugs should be done painstakingly slowly.
Severe withdrawal syndromes hit some significant minority percentage of benzo and AD users...and it can be gravely debilitating in worst case scenarios. Many psychiatrists don't know much about it and just tell their patients it's the "underlying" condition, which, most people if they stick it out find is simply not true. Please educate yourself and proceed with caution.
So, what I'm saying is: even with tapering slowly, some people will have unpleasant symptoms either getting up to a therapeutic dose, or getting off of a given medication.