Has anyone here found that the side effects or "changes" from taking an SSRI based anti-depressant persisted indefinitely even after stopping the drug?
About 10 years ago my mother was dying, my GF had dumped me, and my boss at work was basically a psychopath. I was depressed, had constant anxiety and ruminating thoughts, and was getting like 3 hours a sleep a night-- I was a wreck. After living that hell for about three months I went to see my doc and asked for some Xanax. He instead prescribed Lexapro, and despite my concerns over SSRI side effects he basically told me if they are bad, you just stop taking the drug and they go away. That was confirmed by the literature as well at the time. The lexapro did make me feel better, not by making me happy, but by making me emotionally numb. When you are overcome by constant grief, a numb like emptiness is actually a huge improvement. It only marginally helped with my sleep issues and totally killed my libido, but I didn't care at the time due to life circumstances. Four months later I quit the drug as I no longer had the stressors in my life and wanted to actually have a desire to watch porn again and get laid, and unlike most I had zero withdrawal symptoms, but very little changed as well. Libido barely recovered and the general emotional apathy persisted. My sleep also continued to be fucked, and for the last decade I get a shitty 5 hours sleep, and if I don't smoke weed before bed I have horrible vivid dreams. I'd go back to my doc and describe these problems, asked if they had anything to do with the Lexapro, to which he said absolutely not, and in fact my symptoms are of further depression and I should go back on an SSRI. Since Lexapro as the persistent cause was ruled out, I instead blamed these symptoms on a combination of getting old and some sort of mental "break" from being an emotional wreck for multiple months. I basically for the most part accepted that recognizing a women as hot, but not feeling anything emotional/physical would be the new norm. That nothing would bring pleasure and excitement like it once did. I remember describing to the doctor that I used to get feelings of excitement for a new movie, video game, or hot date. Now I simply recognize that these things should make me happy, but I have no physiological capacity to actually feel it. I'll play a great video game because it's entertaining, but that feeling I used to have at work to get back home and play has been totally wiped out. Again, both his suggestion and that of a psych was more SSRI's, which I refused as I couldn't fathom why I would actually want to make my shitty libido even worse. Their answer was that my libido and apathy were symptoms of depression, even though I told them I don't feel depressed, I just don't feel much at all. I'm fucking Spock.
So for the past decade I've had these short periods that come and go where libido has come back, only to escape again. Sex feels mechanical rather than that blissful fugue it once did. The emotional apathy has always persisted as well. Every year I'd once again see my GP, lament my condition, and once again refuse an SSRI.. Miraculous life changing relief was achieved by taking Wellbutrin-- I felt like my old self again, but then the drug stopped working after a month and I was back to my original state. About four months ago I was once again due for an annual, and once again lamented how my general apathy and emotional range sucks. I literally said "I make great money, I have a great job, I can pickup most women when I care enough to do so, I am healthy-- I RECOGNIZE that I should FEEL happy, but it's like some sort of mind/body link has been severed". He once again suggested an SSRI, Trintellex, but prefaced it with the claim of "very low rate of sexual side effects". So I said why the fuck not, might as well try, I have no other options. Keep in mind at this point that I still hadn't attributed my last decade of problems to taking lexapro, as both doctor/shrink dismissed that, almost becoming annoyed at the suggestion. So I take the trintellex, and by day three it felt like a door literally closed on whatever remained of my libido-- it was jarring, probably because unlike when I went on Lexapro, I wasn't actually depressed. So I immediately stopped the drug, let my doc know, and assumed my libido would come back to its previous low levels.. 1 week. 1 month. 3 months-- still no change. Went back to my doc, told him my sex drive was nil, T levels are fine, and again he declares that it has to be something else..
So I start researching low sex drive and anti depressants, and I came across a condition called PSSD. A condition it seems the Pharma companies and shrinks have done their best to downplay or even suppress over the years, even managing to have its Wikipedia page removed. Though my state isn't as bad as some of these people (thank God), the ones with a more intermediate level condition is like reading a diary. Worst of all there seems to be no effective treatment.
So, has anybody else noted persistent side effects after stopping antidepressants? Do these patient stories ring a bell with anybody else?
The level of risk of developing Post-SSRI Sexual Dysfunction (PSSD) from using an SSRI or SNRI antidepressant is currently unknown. Patients are never warned about persisting sexual side effects when these drugs are prescribed. Calls for informed consent are often met with the response that PSSD...
rxisk.org
Editorial Note: This is the fourth of five posts running over two weeks, about Post-SSRI Sexual Dysfunction (PSSD). The first was Wikipedia Editor inserts Foot in Mouth, followed by 120 cases of PSSD, and Recovering from PSSD. I first took citalopram in November 2007, at the age of 22. I had...
rxisk.org