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Does this sound like antidepressant induced mania?

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spacingspaces

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Mar 13, 2018
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242
When i was a teenager i started to suffer with social anxiety and i had a lot of physical symptoms too like fatigue, insomnia,feeling really run down, sleeping for 12-14 hours when i did sleep etc. This went on for years, from around 13-18. At 18 years old i went on prozac and after a few months on that i felt absolutely amazing. I was so energized and all i wanted to do was party and live my life. I still had social anxiety but i was able to easily push passed the uncomfortable feelings of anxiety and do things i wanted to do. This lasted for about 8 months and because i was drinking alcohol that seemed to dull the affects of the antidepressant so i started feeling really crappy again for another few months so i'd stop drinking alcohol and the antidepressants would start working again and i'd feel on top of the world again and then the cycle continued. I'd go out drinking again over the course of a couple of months and then id feel bad for a couple of months so id stop drinking and id eventually feel better again. When i came off of prozac after 5 years of being on it i was consistently feeling crappy but not as crappy as when i would crash while i was on it but far from how good i felt when prozac was working for me. So anyways last christmas i went on sertraline and a similar pattern is happening now although i'm not really drinking now and its still happening. I recently went up from 50mg sertraline to 75mg and my body couldnt tolerate it so i went back down to 50mg and im feeling crappy again. Im seeing a psychiatrist but ive only had one visit with her so far. I called them up yesterday to explain things and the nurse at the clinic said he will talk with the psychiatrist. My next appointment is the first of july but im hoping they wil see me sooner or call me or something.
 
Luci

Luci

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501
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England
Do you still drink alcohol? I stopped 4 years ago (other than the odd few once or twice a year) and whenever I do, even if it is only a small amount, the anxiety and depression I suffer afterwards is never worth it. So now I stick to low alcohol or alcohol free. How long has there been between your change of meds? Have you drank any alcohol between the change? It could just be that you haven't found a medication that suits you yet. You have been on 2 pretty common anti depressants, ask your GP to try something else?
 
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spacingspaces

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Mar 13, 2018
Messages
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Do you still drink alcohol? I stopped 4 years ago (other than the odd few once or twice a year) and whenever I do, even if it is only a small amount, the anxiety and depression I suffer afterwards is never worth it. So now I stick to low alcohol or alcohol free. How long has there been between your change of meds? Have you drank any alcohol between the change? It could just be that you haven't found a medication that suits you yet. You have been on 2 pretty common anti depressants, ask your GP to try something else?
My psychiatrist called me today and is taking me off sertraline. I'm also on mirtazapine which she is going to up the dosage on. I'd say it was like a year and a half between my change in meds. It's so frustrating trying to find out whats wrong with me. The only thing i know thats wrong with me for sure is anxiety. The fact that i be down for months at a time seems like bipolar but at the same time it's probably the meds causing that so it's just confusing.
 
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spacingspaces

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Mar 13, 2018
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My psychiatrist called me today and is taking me off sertraline. I'm also on mirtazapine which she is going to up the dosage on. I'd say it was like a year and a half between my change in meds. It's so frustrating trying to find out whats wrong with me. The only thing i know thats wrong with me for sure is anxiety. The fact that i be down for months at a time seems like bipolar but at the same time it's probably the meds causing that so it's just confusing.
and i have to wait 2 more weeks until my next psychiatrist appointment. I cant even leave my house at the moment with the way im feeling and the depressing thing is is that i feel like this about 70% of the time so no wonder i cant live my life. It's such a miserable existence i have. I dont know why im still here.
 
Luci

Luci

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England
I know the feeling in terms of 'what's wrong with me' and the frustration. I was involved with mental health services for 15 years before I got my diagnosis, and that was only because I was lucky enough to have specialist services in my area when I gave birth. I realise a lot of people are in the system a lot longer.

Finding a medication/therapy combi that works for you can take a long time and a lot of trial and error. I have been on medication for 12 years, mirtazapine never worked for me personally but I had success for many years on fluoxetine, citalopram and most recently venlafaxine. I've only evenly changed dose and type after a few years when a dose change isn't effective. I find that if a new med or dose still doesn't agree with me after 2 months of adjustment it's not for me and I want to change. I have friends who will only wait 1 month. It's all down to you, your tolerance and how your symptoms effect you and your routine. Finding the best meds to manage your mood and symptoms is a great start on your journey understanding yourself and how to cope with day to day life.

You have a psychiatrist which is great, and your appointment is in 2 weeks. What services/support/people/activities can you use to get you through the next 2 weeks? Can you plan something that you can look forward to? A friend coming over? Visiting your favourite place? Music? Any hobbies or interests? Are there any support groups or drop ins local to you?

Most importantly on this forum you have people who understand and can give you support and advide in the interim. I have to ask to see my psychiatrist and then wait according to need. It could take me 6 weeks to be considered. In the meantime I have a CPN. Again when she is on shift I am triaged according to need/risk. If that is the case or it is the weekend I have 3 friends and 2 neighbours I can trust completely. So I would work through them depending on who was at work, what my problem was. If they weren't available for any reason I would use the crisis team if it was 100% necessary.

When I feel that down and low I just be kind to myself. I try not to beat myself up. I make small goals, have a cup of tea, have a shower, put on clean pjs if I dont have to go out, watch my fave TV show, play my fave game, colour in, come on the forum and check the unanswered threads...

I hope this isn't too long and boring for you and helps in some way? You are here because you are loved and you are important ♡ We all have a purpose and a role to play :hug:
 
calypso

calypso

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If you were on Sertaline and Mirtazepine that is a double dose of anti depressants so could have caused the "up" feeling you had. I am on Mirtazepine amongst other meds for bipolar and find it suits me but finding the right one takes time I'm afraid. Each of us is different in chemistry so what suits one won't necessarily suit another.

No-one can diagnose on a forum so I have no idea if its bipolar or not, there is a lot more to that diagnosis. If you are struggling to get through the days before seeing the pdoc then ask your GP to refer you to the MH community team and see if they can reach out to you in the mean time.
 
S

spacingspaces

Well-known member
Joined
Mar 13, 2018
Messages
242
I know the feeling in terms of 'what's wrong with me' and the frustration. I was involved with mental health services for 15 years before I got my diagnosis, and that was only because I was lucky enough to have specialist services in my area when I gave birth. I realise a lot of people are in the system a lot longer.

Finding a medication/therapy combi that works for you can take a long time and a lot of trial and error. I have been on medication for 12 years, mirtazapine never worked for me personally but I had success for many years on fluoxetine, citalopram and most recently venlafaxine. I've only evenly changed dose and type after a few years when a dose change isn't effective. I find that if a new med or dose still doesn't agree with me after 2 months of adjustment it's not for me and I want to change. I have friends who will only wait 1 month. It's all down to you, your tolerance and how your symptoms effect you and your routine. Finding the best meds to manage your mood and symptoms is a great start on your journey understanding yourself and how to cope with day to day life.

You have a psychiatrist which is great, and your appointment is in 2 weeks. What services/support/people/activities can you use to get you through the next 2 weeks? Can you plan something that you can look forward to? A friend coming over? Visiting your favourite place? Music? Any hobbies or interests? Are there any support groups or drop ins local to you?

Most importantly on this forum you have people who understand and can give you support and advide in the interim. I have to ask to see my psychiatrist and then wait according to need. It could take me 6 weeks to be considered. In the meantime I have a CPN. Again when she is on shift I am triaged according to need/risk. If that is the case or it is the weekend I have 3 friends and 2 neighbours I can trust completely. So I would work through them depending on who was at work, what my problem was. If they weren't available for any reason I would use the crisis team if it was 100% necessary.

When I feel that down and low I just be kind to myself. I try not to beat myself up. I make small goals, have a cup of tea, have a shower, put on clean pjs if I dont have to go out, watch my fave TV show, play my fave game, colour in, come on the forum and check the unanswered threads...

I hope this isn't too long and boring for you and helps in some way? You are here because you are loved and you are important ♡ We all have a purpose and a role to play :hug:
This forum is very helpful for me and i use it also when i'm down. Yeah it usually takes around a month for an appointment here for a psychiatrist. My last visit was a few weeks ago (which was my first visit with this psychiatrist). I've been to psychiatrists before when i was a teenager (22 now) and i didn't find them helpful at all but i guess that was my fault for not opening up to them. I was in a psychiatric hospital for a month too but got sent home early because they thought i wasn't ill enough. Again, i was very good at hiding what was going on because i was so scared of opening up back then and i was also very confused as to what i was feeling so it was hard to talk about it. I've been in and out of the mental health services for nearly 10 years now. i stopped going to the psychiatrists when i was around 18 when things started to get better for me for a while and only recently have i started seeing the new psychiatrist. What are you diagnosed with if you don't mind me asking? When im feeling this down i dont even want to leave my room, let alone the house so all i can really do is just go on the laptop. Going outside would be torture for me when im feeling this low.
 
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spacingspaces

Well-known member
Joined
Mar 13, 2018
Messages
242
If you were on Sertaline and Mirtazepine that is a double dose of anti depressants so could have caused the "up" feeling you had. I am on Mirtazepine amongst other meds for bipolar and find it suits me but finding the right one takes time I'm afraid. Each of us is different in chemistry so what suits one won't necessarily suit another.

No-one can diagnose on a forum so I have no idea if its bipolar or not, there is a lot more to that diagnosis. If you are struggling to get through the days before seeing the pdoc then ask your GP to refer you to the MH community team and see if they can reach out to you in the mean time.
Thanks for the reply. Yeah i understand no one can diagnose on the forum i guess i'm just feeling very impatient right now and my next psych app isnt until another two weeks and i cant even leave the house right now. I am going down to 25mg on the sertraline for a week and then coming off of it and i will be upping the dosage on the mirtazapine. I think you're right that i could be on too much antidepressants because when i tried going up to 75mg on sertraline two weeks ago my body couldn't tolerate it and i felt really ill and run down.
 
Luci

Luci

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Joined
Mar 15, 2019
Messages
501
Location
England
I feel you there. I became a parent so young that I engaged with mental health services, (because I was scared they would take him away if I didn't) but I didnt start properly utilising them until I became confident in myself and my parenting, who I am as a person, and that was when my son was about 4 or 5 so I will have been 24. It was harder to diagnose me because over the years I have functioned well, I have raised an amazing son, I have always worked in social care.... my downfall was entering a new relationship. He was my everything, no matter how badly he disrespected me, I made excuses, he was unwell, I'm stronger than he is he needs me... I continued to work full time and support him, his daughter and my son. Then I fell pregnant. We decided to live separately, I thought he didn't want to be with me but felt too guilty to say because of the pregnancy. I continued to support him and his daughter in their new home, myself and my son in my home and worked part time until my 6th month of pregnancy (I had to drop hours as it was a new job in residential childcare, my pregnancy put me at risk). I asked for help. Luckily in my area we have perinatal services. The CPN saw me once, I saw their consultant psychiatrist (only the second time in my history I had seen a psychiatrist) she diagnosed 'probable emotionally unstable personality disorder'. I didn't receive that letter until 2 weeks after my children were taken from my care. The CPN had came to my home to discharge me and I told her I felt like 'I might aswell top myself'. She made a referral to social services. I was open to them (child in need assessment) they decided I wasn't 'capable of cooperating with their safety plan' and even ordered that my cognitive functioning be assessed! Ibwas seen by a private independent psychologist in April. She diagnosed 'traits of Borderline Personality Disorder'.

My mental health is without a doubt at the worst it has ever been in the last year. My entire life was pulled from beneath me 16 weeks ago. But on Monday I will go into court with evidence there is nothing 'wrong' with me and the judge will decide if they can come home. I made it this far. If they dont come home on Monday they will next time.... it's just about making it through each day. I let myself be down and lazy on the weekend but I haven't had the luxury during the week. I have contact with my beautiful boys and I manage my time and energy around that. Whatever your label you are you and this period in your life is no marker of who you are as a person ♡ we do the best we can with what we've got :)
 
S

spacingspaces

Well-known member
Joined
Mar 13, 2018
Messages
242
I feel you there. I became a parent so young that I engaged with mental health services, (because I was scared they would take him away if I didn't) but I didnt start properly utilising them until I became confident in myself and my parenting, who I am as a person, and that was when my son was about 4 or 5 so I will have been 24. It was harder to diagnose me because over the years I have functioned well, I have raised an amazing son, I have always worked in social care.... my downfall was entering a new relationship. He was my everything, no matter how badly he disrespected me, I made excuses, he was unwell, I'm stronger than he is he needs me... I continued to work full time and support him, his daughter and my son. Then I fell pregnant. We decided to live separately, I thought he didn't want to be with me but felt too guilty to say because of the pregnancy. I continued to support him and his daughter in their new home, myself and my son in my home and worked part time until my 6th month of pregnancy (I had to drop hours as it was a new job in residential childcare, my pregnancy put me at risk). I asked for help. Luckily in my area we have perinatal services. The CPN saw me once, I saw their consultant psychiatrist (only the second time in my history I had seen a psychiatrist) she diagnosed 'probable emotionally unstable personality disorder'. I didn't receive that letter until 2 weeks after my children were taken from my care. The CPN had came to my home to discharge me and I told her I felt like 'I might aswell top myself'. She made a referral to social services. I was open to them (child in need assessment) they decided I wasn't 'capable of cooperating with their safety plan' and even ordered that my cognitive functioning be assessed! Ibwas seen by a private independent psychologist in April. She diagnosed 'traits of Borderline Personality Disorder'.

My mental health is without a doubt at the worst it has ever been in the last year. My entire life was pulled from beneath me 16 weeks ago. But on Monday I will go into court with evidence there is nothing 'wrong' with me and the judge will decide if they can come home. I made it this far. If they dont come home on Monday they will next time.... it's just about making it through each day. I let myself be down and lazy on the weekend but I haven't had the luxury during the week. I have contact with my beautiful boys and I manage my time and energy around that. Whatever your label you are you and this period in your life is no marker of who you are as a person ♡ we do the best we can with what we've got :)
I'm so sorry you have to go through all of this. You seem more than competent enough to care for you children. I didn't think social services would take peoples children from their care for having traits of borderline personality disorder. That makes me scared to continue seeing my psychiatrist.
 
Luci

Luci

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Mar 15, 2019
Messages
501
Location
England
My case is definitely an anomaly. Childrens services in my city have been in special measures since 2012. Its lack of communication and one social worker who doesn't take his professional role seriously. I've been failed. It is rare. I know other parents with mental health issues and even drug and alcohol issues who have their children in their custody. I have a malicious ex partner in the mix also. I have done nothing 'wrong' I have been discriminated against because of my condition. I have my mental health team behind me. If I didn't have an open relationship with mental health services I wouldn't have had evidence social services were wrong. Don't let my experience put you off getting the support you need. Just keep good records! And dont let someone who doesn't know you and couldn't begin to understand you judge you as a person or a parent ♡
 
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