neitherherenorthere
Experienced
- Apr 22, 2020
- 223
I go through these periods where I desperately want to stop taking medication. I've tried so many different things for so many years and I'm just sick of it. Most of the time I can't tell if what I'm experiencing is a side effect of a medication or if it's just the depression. There are no studies looking at the long-term effects of psychotropic medication use, or looking at the combined effects of the various medication cocktails that so many of us are on. I don't want to make my brain more fucked up than it already is.
There's also a growing amount of research suggesting that antidepressants (and presumably other meds) become depressogenic after a certain amount of time. Something about your neuroreceptors becoming desensitized to various neurotransmitters because there's just so much of them floating around due to the effects of antidepressants, etc.
So what I'm wondering is: am I still truly depressed, or are the long term effects of the medications I'm on keeping me depressed? When you start tapering off a medication and it seems as though your depression or other symptoms are returning, is it that the mental illness is still there, or is it that your brain just needs time to readjust back to equilibrium in the absence of medication? Brain plasticity continues throughout your life, but is there a limit to how much your brain can heal itself? After a certain point, can there be permanent damage from medications?
There are plenty of people who have been helped by medication, so I'm not calling medications evil or advocating for anyone to make any changes without talking to your psych. I also freely admit that right now my meds are probably the only thing keeping me from killing myself, and as such I'll probably keep taking them, or at least some of them. I'm not anti-psychiatry, I'm just circumspect about it.
Still, I can't help but wonder if the depression and suicidality I feel are caused, or at least worsened, by the meds I'm taking. Each time I decompensate has been worse and longer-lasting than the previous time. I think the term for this is kindling. What if it's not the continuous presence of mental illness that's doing the kindling, but rather the long-term use of medication? Research indicates that the more depressive/whatever episodes you have, the more likely you are to have another episode. After 3 or 4 episodes you're pretty much guaranteed to continue having episodes forever. But again, what if the recurrence of these episodes is caused or worsened by medication rather than just being some sort of natural neurological process?
I realize that no one really knows the answers to these questions at this point, but I think about this a lot and I'm curious to see other people's opinions.
There's also a growing amount of research suggesting that antidepressants (and presumably other meds) become depressogenic after a certain amount of time. Something about your neuroreceptors becoming desensitized to various neurotransmitters because there's just so much of them floating around due to the effects of antidepressants, etc.
So what I'm wondering is: am I still truly depressed, or are the long term effects of the medications I'm on keeping me depressed? When you start tapering off a medication and it seems as though your depression or other symptoms are returning, is it that the mental illness is still there, or is it that your brain just needs time to readjust back to equilibrium in the absence of medication? Brain plasticity continues throughout your life, but is there a limit to how much your brain can heal itself? After a certain point, can there be permanent damage from medications?
There are plenty of people who have been helped by medication, so I'm not calling medications evil or advocating for anyone to make any changes without talking to your psych. I also freely admit that right now my meds are probably the only thing keeping me from killing myself, and as such I'll probably keep taking them, or at least some of them. I'm not anti-psychiatry, I'm just circumspect about it.
Still, I can't help but wonder if the depression and suicidality I feel are caused, or at least worsened, by the meds I'm taking. Each time I decompensate has been worse and longer-lasting than the previous time. I think the term for this is kindling. What if it's not the continuous presence of mental illness that's doing the kindling, but rather the long-term use of medication? Research indicates that the more depressive/whatever episodes you have, the more likely you are to have another episode. After 3 or 4 episodes you're pretty much guaranteed to continue having episodes forever. But again, what if the recurrence of these episodes is caused or worsened by medication rather than just being some sort of natural neurological process?
I realize that no one really knows the answers to these questions at this point, but I think about this a lot and I'm curious to see other people's opinions.
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