Chemical Dependency

I make no secret of the fact that I take Paxil for my anxiety. For the first few years that I was taking it, I was quite outspoken about it. I never really understood why some people felt embarrassed by the fact that they were taking an SSRI or other mental health medication. Far from being embarrassed, I was advocating for the medication. I was encouraging other people struggling with anxiety to take it as well. I was telling anyone who would listen about how wonderful it was, how completely changed my life was now thanks to Paxil. And it was irrevocably changed, in a good way, at first…

Now I’m kind of glad that none of the people I pressured to get a prescription actually did. I would have felt awful if I ended up seeing them struggle in the same way I am now. Don’t get me wrong, I am still grateful for Paxil. If I could go back in time, I honestly don’t know if I would decide not to start taking it knowing what I know now. I suppose the point is, SSRIs aren’t meant to be lifelong medications. They are supposed to be temporary ways to cope with particularly difficult mental health situations while you work on targeting the issue behaviorally through therapy. If I could change anything, it would probably have been to go to a therapist and a psychiatrist before getting a psychiatric medication from my primary doctor. While they are able to prescribe these medicines, they really don’t have the depth of knowledge about them that a psychiatrist would. Perhaps a psychiatrist would have at least warned me of the side effects and potential consequences.

For a few years now, I’ve been contemplating the idea of lowering my dosage. I’ve just been too afraid to take the steps to do that though until now. I’m afraid. I’ve read that Paxil is a particularly hard drug to wean yourself off of. You have to do it extremely slowly otherwise the withdrawal effects can be overwhelming. I’m actually afraid that my doctor won’t understand that well enough to lower my dosage as slowly as it needs to be lowered. I’m also afraid that even taking small steps may result in big emotional issues.

I remember thinking how insane it was that just taking a pill could make me feel and think completely differently. I didn’t understand how it was able to target something as specific as social anxiety. Not surprisingly, I found out later that it doesn’t. No, Paxil has effected many different aspects of my life. I don’t feel as anxious around people anymore, but I do feel more generally anxious about nothing in particular. I also don’t really feel very much at all. I haven’t cried in years. Haven’t felt really happy or excited about anything in years either. We all want to avoid our lows, while keeping our highs, but unfortunately there is nothing that can make that reality happen for us, not even medication.

For years I genuinely thought I didn’t have any side effects from Paxil. It was only recently that I realized a lot of the things I was just attributing to my personality, were because of Paxil. I’ve mentioned before that it has completely obliterated my libido. I actually thought I was just asexual for awhile there. Even more disturbing than that is realizing that it might have something to do with my struggles with relationships in general. Just yesterday, I decided to google the effects of taking an SSRI on love. I wish I had made this connection years ago. There was page after page of results about taking Paxil and having a difficult time falling or even staying in love. No wonder no other love has felt the same as the love I shared with my high school boyfriend. Who I was with, coincidentally, before I began taking Paxil.

This whole time I have been torturing myself, thinking that maybe soul mates do exist, that maybe he really is the one and only person out there I’m capable of loving. I’ve been agonizing over the fact that the love I share with my new boyfriend feels different. I’ve been worried that this discrepancy of emotion was a “sign” or some other such nonsense that I don’t even really believe in. I could never understand why even when I would meet people that seemed perfect, they couldn’t hold my attention and affection for long before I would lose interest, despite desperately wanting things to work. I’ve spent years alone, thinking there was something wrong with me. It was bad enough that this medication damaged my sexual relationships, but my romantic relationships too? How could anything be worth that?

What finally pushed me over the edge and helped me make the decision to call my doctor today and start lowering my dosage was what happened yesterday. As I was refilling my weekly pill capsules, I realized that somehow I had nearly run out of Paxil. I only have enough to last me until this Friday. Immediately I was panic stricken. The withdrawal symptoms of Paxil become debilitating within a few days of not taking it. Never before had it really hit me just how dependent on this medication I actually was. I felt like a junkie who didn’t know when or how they’d be able to get their next fix. It felt so awful knowing how much I needed this little white pill. I don’t ever want to feel that I need anything in that way ever again. It’s time for a change. It’s time to uncover and rediscover who I really am and how much of me has been Paxil this whole time.

Changing Antidepressant Medication: Coping with Side-Effects | HealthyPlace
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