Medication Tapering/Withdrawal

In the first systematic review of withdrawal problems that patients experience when trying to get off SSRI antidepressant medications, researchers found that withdrawing from SSRIs was comparable to trying to quit addictive benzodiazepines.

It's been five years today since I completed a six year withdrawal process from a large cocktail of psychiatric drugs. Today is also my 50th birthday which, frankly, seems much more remarkable to me at this point. Inside I am only aware of eternal youth. Upon having done an informal and small survey, it seems most people feel that way though it's not talked about much among the adults of our species. That which watches and experiences our lives in these bodies does not age. It's actually a wonderful thing. So I'm here wondering what comes next in this amazing trajectory which is the life being lived in this body that my parents called Monica.

Millions of patients find themselves caught in the web of psychiatric sorcery - a spell cast, hexed, potentially for life. They are told that they have chemical imbalances. They are told that the most important thing they can do for themselves is to "take their medication," and that they will have to do so "for life." Most egregiously, patients are sold the belief that medication is treating their disease rather than inducing a drug effect no different than alcohol or cocaine. That antidepressants and antipsychotics, for example, have effects like sedation or blunting of affect, is not a question. That these effects are reversible after long-term exposure is.

The childhood and psychiatric abuse altered my neurological, hormonal and other bodily functions and it was difficult to say which abuse left what mark. The doctors used medication to fix the changes and the taking of prescription pills became a habit. I took pills to calm me, pills to sleep, and pills to make me happy. A few months after stopping all medications, I was a bundle of nerves and I opened the cupboard for a pill. Living on autopilot as I had been doing for so long had to stop. I switched gears from absentmindedly resorting to pills, to purposefully calming myself without using drugs by breathing the way the psychologist had taught me.

There were days that I’d wake up and all I could do was cry for no particular reason, just another miserable day of withdrawal. However, the idea of taking photos would get me out of the house. Especially on those days, the absolutely only thing that would get me to move at all was the idea of taking photos. One particular day, I was just crying, crying, crying, and as soon as I got to a beautiful spot that I loved, I stopped crying, took photos, and felt at peace. I even found that the days I felt the worst were the days I took the best photos.

This week we launch Mad In America Continuing Education. It is an enormous privilege to be a part of this project and to proudly announce that the first course offering is a series of lectures by me on neuroleptic drugs. I review the history of the development of these drugs as well as their short and long term effects. I discuss what conclusions I have drawn from the data; I recommend that we need to work harder to keep people off these drugs or – if we use them – to minimize the dose and stop them as soon as possible. But there remain other pressing concerns for those individuals who are currently taking these drugs.

It was the first time in my Klonopin journey it occurred to me the problem might not be inherent in me. The problem might actually be the Klonopin. Convinced my very life was at stake, I made the firm decision to get off the stuff once and for all.

Two South African researchers review scientific understanding of the brain changes that lead to antidepressant discontinuation syndrome (ADS) in Human Psycho-pharmacology: Clinical and Experimental....

In a couple of weeks, I may see some of you at the MIA Film Festival. I am honored to be on a panel called “Re-Thinking Psychiatry” with two esteemed colleagues. In advance of the festival, I decided to write about what has been most central in my own “re-thinking”: my basic understanding of psychosis - when a person does not share consensual reality. It has been a fundamental re-think: how do we define it? how do we understand it? when do we intervene? how do we intervene?

Anne Hull and Dana Priest, of the Washington Post, received a Pulitzer prize for breaking the story of the horrid conditions at Walter Reed Army Medical Center where men were “afloat on a river of painkillers and antipsychotic drugs” Each morning, they were expected to rise at dawn for formation, though most of them were snowed under by benzodiazepines, opiates, alcohol – anything that would push Iraq and the pain away. A year later I too would be snowed under and would fight an invisible war of my own. It wasn’t until months later, deep in withdrawal tolerance that I realized my slide into disability was caused by the drugs.

It’s not just in spiritual circles but also in psychiatric and mental health circles that fear and anxiety are too often medicated away instead of worked with. It’s not easy to work with it and a lot of professionals don’t know how to hold such space for such courageous facing of the dark parts of psyche and so many people don’t learn that it’s actually possible. For those of us who’ve come off psych drugs and faced severe psychiatric drug withdrawal syndrome it becomes a necessary and often heinously difficult initiation . . . Learning to embrace my experience and surrender to it was the way through for me.

As a prescription drug and addiction expert for The O’Reilly Factor, Fox National News and many other news outlets, I am often called when a celebrity death occurs. While the loss of a talented actor or musician is tragic, I know from personal experience that the magnitude of devastation from legal drugs is happening to millions of innocent people – through psychoactive medications.

The Daily Beast reports that Brooklyn artist Marni Kotak is weaning herself off a cocktail of antidepressants and antipsychotic drugs in a Brooklyn gallery...

It is hard to believe that a year has gone past since I posted Playing the Odds: Antidepressant Withdrawal and the Problem of Informed Consent. The feedback I received underscored the more controversial aspects of SSRI toxicity.  Common themes concerned the abrupt onset of new symptoms 3 to 12 months after stopping the drug, reinstatement of the drug failing to help withdrawal related symptoms, the possibility that withdrawal-related symptoms can persist indefinitely and concerns about using benzodiazepines to help with tardive akathisia.

A psychiatrist has testified to an Irish court that Ian Harman cannot be held criminally responsible because he was suffering withdrawal from an antipsychotic...

My mother was once a bright, creative, beautiful young woman, a promising artist and a poet, who was captivated by the hippie movement. She was a creative bohemian artist, defying the conventions of our middle-class Jewish Midwestern family, which had carried a tradition of holding emotions inside and acting stoic. One day, soon after my grandparents’ divorce, she left. She hitched a ride to California, and from that point on, was never the same. The police picked her up on a park bench in Arizona, and she was committed for the first time at age 18. She rotated in and out of mental hospitals, the streets, and jail until her death.

Sometimes I get so sick of the lies of biological psychiatry that I must speak out. At these moments I find silence to be a kind of emotional death: a death of my spirit, a death of my critical faculties, a death of my courage. I speak out because I am alive and I wish to align with life.

My name is Leah Harris and I'm a survivor. I am a survivor of psychiatric abuse and trauma. My parents died largely as a result of terrible psychiatric practice. Psychiatric practice that took them when they were young adults and struggling with experiences they didn’t understand. Experiences that were labeled as schizophrenia. Bipolar disorder. My parents were turned from people into permanent patients. They suffered the indignities of forced treatment. Seclusion and restraint. Forced electroshock. Involuntary outpatient commitment. And a shocking amount of disabling heavy-duty psychiatric drugs. And they died young, from a combination of the toxic effects of overmedication, and broken spirits.

There's a growing (and soon to be quickly growing) group of us who are not therapists or psychiatrists but who offer “coaching,” connection and support. We offer this support to those coming off psychiatric drugs, or who would like to, or are opting to not go on in the first place but are facing pressure to. Most of us are psychiatric survivors so a lot of our knowledge and information is from firsthand experience. Others may have never been on psychiatric drugs but know a lot about the ins and outs of withdrawal through close association with those who have.

Those of us who question psychiatry’s relationship with medication may be be dismissed as ‘Pill Shamers’ or branded as irresponsible and dangerous voices by those who are convinced medication is the only way of treating someone’s ‘illness’. The debate can feel like a fight between two intractably opposed sides, giving the impression that we must either be ‘for’ or ‘against’ medication. Unfortunately the information and space needed to explore our complex relationship with medication – as practitioners and people – is in short supply, making the concept of informed choice a bad joke. Over the next two years, we will bring together a book made of contributions from people who have successfully taken control of their use of medication.

The ocean’s waves are constant and unchangeable, bound by earth and gravity; for a long time I believed life was this way, too—that who I was and how I felt and what I believed about myself were all bound by some invisible force that would always keep me trapped in a perpetual state of agonizing being. What a beautiful thing to know that after so many years of believing this, I’ve proven myself wrong.

If I had remained med compliant I wouldn’t understand the simple joys of caring about my hygiene and my surroundings. I’ve wanted to write about this for a long time but I’ve not done it and I think it’s because I still have shame around how slovenly I became. I hid it from others fairly well most of the time, but I couldn’t hide it from myself. The fact is the drugs stripped me of some very basic elements of human care. When one doesn’t care about their immediate environment and their bodies, they really just don’t care about themselves. It’s a very painful place to be and yet when it’s caused by drugs it’s all muted and weird and not really who we are at all and so really all that is left is horrible shame.

Part of what has scared me straight about ever starting a patient on an antidepressant (or antipsychotic or mood stabilizer) again is bearing witness to the incredible havoc that medication discontinuation can wreak. I am half way through the first e-course of its kind (on withdrawing from psych meds), and it has been incredibly well-received. There are so many people out there, disenfranchised by psychiatry, skeptical of its promises, and who want a better way, a more thoughtful assessment of them as whole persons. We seem to be onto something here, so let’s keep the dialogue flowing, keep our eyes wide open, and reform what psychiatry means, one patient at a time.

David Cohen's work begins to address a paradox: medication effects are not simply chemical impacts on a biological brain, but rather the complex interactions of social factors, expectation, placebo, "nocebo," and learning. As a harm reduction approach to withdrawal emphasizes, empowerment may be the most important consideration for supporting people's wellness.

A 28-week randomized controlled study by researchers in Japan, Canada and the United States finds that a 50% reduction of risperidone or olanzapine significantly...