I have struggled with depression my entire life but especially so since my spinal cord injury nearly thirteen years ago. I have been treated (mildly successfully) during that time with Zoloft and I have been on it for more than ten years.
Well over the past few years there have been isolated incidences where I have found myself without any medication left and been forced to go “cold turkey” off the Zoloft until the time where I could refill my prescription or get a new 'script written/phoned in. Now, of course, sudden discontinuation syndrome is an absolute nightmare and it was terrible to experience such times; however, during those brutal periods of “cold turkey” abstaining from my SSRI I also experienced some “silver lining” effects.
This “silver lining” consisted of me being able to think and feel in a way that I had not in many, many years. I felt like my old “self”. I felt sharp, lucid and excited to think! I didn’t realize it until I felt this way that I had been missing this aspect of my character for a long time. Soon, however, the blackness of the discontinuation syndrome depression eclipsed any benefit I was feeling from being off the drug and I HAD to resume treatment.
Well after this last, most recent time of being forced to go without my Zoloft for a period of time and experiencing the range of effects from the discontinuation syndrome, I realized that I wanted myself back. I realized that I needed to get off this drug but I needed to do it in the correct way, namely via slow titration. But I knew it was something I needed to do; my mind was clear and sharp and that “fog” that always seemed to be trapped in my head was gone.
So, about 4 months ago, I began the very gradual tapering of my dosage. I bought a pill cutter and reduced my dosage (which was 100mg) by 50% every two weeks; until I was taking just 12.5 mg/day. I took that dose for a week, then nothing. I have been completely off the Zoloft since. And I don’t regret it.
However, it has been MUCH harder than I even anticipated (and I knew it wasn’t going to be easy). The depression that has always been a part of my life has come raging back, full force. It’s not of the nature that a sudden discontinuation will bring about but it is severe and it is something that needs more than just me and my determination.
I feel like I am between a rock and a hard place. I could go back on the SSRI and my depression would become manageable again but I feel like I would just be going back to the place I had been languishing in for years without ever moving ahead. I feel like I am in full control of my faculties now, something I didn’t even realize wasn’t in place when I was on the SSRI. But I also feel trapped and paralyzed (haha) by my depression.
So I feel that counseling/therapy is my only option. But I have a terrible history with therapy. I have never really responded to it or gotten much out of it. I have never really had a therapist I have really connected with either, so these things color my opinion of the field as a whole. But I am willing to give it a real try this time. Because I feel like my life, or at least the quality of it, depends on it.