Thread 82897840

should I get on SSRIs SNRIs or NDRIs

>>82897840 (OP)
Go ahead you dumb faggot

>>82897840 (OP)
>should I get on SSRIs SNRIs or NDRIs
you should KYS

idk just do ket

Don't know. Ask your psychiatrist

45ACPs

>>82897840 (OP)
you should get on reality

>>82897840 (OP)
You shouuld get on my bbc (big brown cock)

>>82897840 (OP)
only SNRI I've ever had was effexor, it has such a short half life if you miss a dose you will definitely be feeling it. and if you try to taper off, it won't be fun.
ssris are (usually) better when it comes to bad side effects, which is why psychs usually start you on lexapro or zoloft first. lexapro is the most "pure" ssri, effecting only serotonin, while zoloft is more activating (you might have more energy than on lexapro) and it also weakly effects dopamine too. don't know about other ssris, those are the "big two"
NDRIs, no clue for those, never been on one.

>>82897879
Retarded answer. Psychs will put you on them by default. Actual answer: Only if you literally cannot function without them. Cannot go to school, cannot work, cannot even get a haircut. I regret getting on them bad. You will lose your ability to cum correctly, you will get brain zaps and you will literally not feel better with them anyways. I wouldn't if I could go back in time.

>>82897944
why the fuck do you have this saved my nigga

>>82897944
>and you will literally not feel better with them anyways
this is the biggest thing, all of these awful sides and they don't even fucking help, it's just apathy on an average day at best, and the misery still breaks through frequently enough so it's not even good for that, just do drugs recreationally instead

>>82897976
SSRI brain damage

>>82897879
he told me idk bro just choose one, so i'm asking r9k, my only friends

>>82897840 (OP)
SNDRIs

>>82898009
Thank the good lord Jesus they got before photos

>>82898370
Right? RIP to a great pair of naturals, you will be missed.

microdose acid

>>82897840 (OP)
I've had to crawl into the river severn and drag someone out after they started SSRI's. It's a deep river. I wouldn't recommend them. Another person I know drowned in the river whilst I was in hospital, so I couldn't rescue him, but he was also on SSRI's. Do not. If you care about keeping yourself, use alcohol or benzodiazepine, never at the the same time, instead. Fucking modern day lobotomy, devils drug, Fuck, FUCK SSRi's

>>82897840 (OP)
Start with the SSRIs, take them for at least 2 or 3 months. If they don't work try different SSRIs at least once or twice. After that ask for wellbutrin.
>>82899326
SSRIs work fine and they save more lives than they cost, if they even actually cost any. Depressed people kill themselves, it's not that shocking. It's not a lobotomy and their effects are very slight. You have zero idea what you're talking about. Alcohol and benzos aren't even the right drug class for treating depression and both cause depression you fucking idiot. Those are significantly more dangerous than SSRIs will ever be. Holy fuck, please never talk again.

>>82899355
Depressants don't cause depression and SSRIs don't cure it. They're mostly safe, but don't inherently change anything. They numb things or get a person unstuck to grow out of their fake temporary problems.

>>82899355
They're called depressants because they depress the central nervous system you spaz, not because they cause depression. SSRi's are unpredictable, I've lost 2 people to them now and I would hate for another to be lost.

>>82899355
You're actually so fucking dumb it's unreal.

>>82899413
>Depressants don't cause depression
Benzo use is linked to depression and alcohol is causative in depression through a variety of pathways.
>SSRIs don't cure it
They don't "cure" it but they can help in the recovery process by reducing neural inflammation. They stimulate the release of neurosteroids which is extremely helpful for unfucking the HPA axis dysfunction that causes a good chunk of depressions.
>They numb things or get a person unstuck to grow out of their fake temporary problems
That is not how they work. You're just making shit up.

>>82899433
>depressants
That is not why they're bad fucktard
>SSRi's are unpredictable
No, they aren't. Depression unpredictable. Depressed people kill themselves. Not shocking.
>I've lost 2 people
Maybe they were trying to get away from your stupidity?
>>82899445
Nice argument

>>82899460
I didn't make an argument.

>>82899473
You argued I was dumb, you supplied no supporting evidence. I dismiss you out of hand. God Raven is hot. I'm getting hard just thinking about those thighs. That stupid Starfire bitch needs to get out of the way she's dragging the atmosphere down.

>>82899460
I'd have your fucking skull shattered over the concrete If I could, I'm fucking worked up now. Should I take an SSRI? I've been recommended them enough. Tell me how much you know about medicine. Are you a doctor? A nurse? Did you almost die in hospital like I did? Have you seen 2 people attempt suicide after taking the fucking mem e pills like I have, one of whom succeeded? I actually know about medicine, and I know these drugs are a scam. Benzodiazepine class medication, specifically, chlordiazepoxide, is far better for treating depression.

>>82899490
Didn't argue you were dumb, just stated it. However, I am arguing that now and am willing to defend my position.

>>82899450
Anything can be linked to anything depending on the case. After years of therapy I realized my depression is a symptom of my generalized anxiety (which in turn is a symptom of trauma) so benzos help my depression. If I were to extrapolate my case then I could say benzos cure depression, but I know that they don't if the cause of your depression doesn't have its roots in anxiety. Vice versa also applies.

>>82899504
>I'd have your fucking skull shattered over the concrete If I could
Aww poor babby did your friends die? So shad I cryig. Get over it retard, it's 4chan.
>Should I take an SSRI?
You? No. Stick to alcohol. Please.
>Did you almost die in hospital like I did?
What does this have to do with anything?
>I actually know about medicine
Great, how do SSRIs work then?
>Benzodiazepine class medication, specifically, chlordiazepoxide, is far better for treating depression
Benzos are never used to treat depression mongoloid. What fucking school is your "degree" from? If you want SSRI alternatives go with MAOIs jesus fuck man. That is actually one of the dumbest things I've heard here today. Explain the mechanism of action to me, I'm all ears.
>>82899526
Then the benzos were treating your anxiety are you stupid? Routine benzo use can cause depressed mood. This is not controversial. Benzos as a long term strategy for managing anxiety is retarded though, you need to find a better solution.
>>82899513
Getting me hard guy, keep them coming

>>82899552
I'm just curious, do you have any actual experience taking this shit yourself or are you just trusting the (((science)))?

>>82899460
I'm sorry, I'm on an alcohol withdrawal program. I get angry and tense before I've had my 150ml. But, it ain't ssris they're using to fix me. Depressants. Causes some wild mood swings when the DT's kick in though, damn. Hands up, I was angry, I've calmed now, my apologies. I've had withdrawal issues.

>>82899575
I've taken several SSRIs though I no longer need them so I quit. Their effects are very small and are best used while pursuing lifestyle change (diet, exercise, not bedrotting). People take them expecting to get magically better and that's not how they work.

>>82897840 (OP)
consult a fucking physician

>>82899583
I apologize too. I am sorry you lost people, it's never good when that happens. DTs would be treated with alcohol, that makes sense. I don't think SSRIs would be useful there at all. Keep with that program, you'll get past the worst of it soon enough.

>>82899552
>Then the benzos were treating your anxiety
Yes, and since my anxiety is the biggest cause of my depression, they treated my depression by extension.

>Routine benzo use can cause depressed mood
Keyword being can. Benzos lifted my mood every single time I took them because they took away what was making me mentally exhausted and depressed in the first place.

I don't take them anymore though, except for very rough moments which is a few times a year. But they were the first light in my treatment of depression; psychotherapy would've been much harder if not impossible without them.

I'm just talking about my case though. Depression can take many forms.

>>82897840 (OP)
SSRIs should only be used to improve daily functioning in my opinion. Don't use them to actually cute your own or to make you feel less miserable but instead to make you more productive if your depression is making so you are stagnated in life
You will keep feeling like shit but at least you can get out of bed cook meals and have a modicum of motivation to do shit

>>82899589
And you couldn't have gotten better without them?

>>82899603
appreciated anon, you take care

>>82899605
>they treated my depression by extension
Fine, sure. Depression as a disorder is not going to be treated by benzos though. Benzos can't do anything to fix the parts of the brain that cause depression. You're talking about a different thing than me. It's like if you had cancer and you said taking carboplatin cured your depression. It might be true but it's not really relevant.
>Depression can take many forms
It can, but the main long lasting type depression is caused by HPA axis dysfunction. Benzos do very little to nothing about that. SSRIs do a lot more there. Taking benzos daily is significantly riskier than taking SSRIs daily too, so the frontline treatment is SSRIs. There's an argument to be had over whether it should be SSRIs or MAOIs or some other class of antidepressant, but there are no real people arguing that benzos should be used to treat depression.
>>82899607
Maybe I could have, but it was easier with them. The risk benefit ratio is good with SSRIs. If you don't want to take them, don't. No one is forcing you.
>>82899613
You too

>>82899661
My withdrawal symptoms are actually forcing me desu. I'd rather have the hundreds I've spent on prescriptions back than to have never started them. I realize I sound bitter but that's because I am.

>>82899683
"t b h" not desu fuck this fucking site.

>>82899450
You're not saying anything different and it's not how a lot of clinicians think. SSRIs help some people by getting them over the hump to recover from temporary minor issues. Ascribe that to inflammation if you want. Depression is a symptom not a disease and neither drugs nor therapy are effective if the underlying problem can't be identified and addressed. Often it can't be, sometimes maybe it could be but not by 90% of feminized, corporate, bluepilled clinicians with room temperature IQ.

Almost nothing works the way most people think it does and a lot of clinicians are barely ahead of average people's understanding. They think drugs are addictive and the cause of people's problems rather than self-medication for problems that existed before the drug use. They prescribe NA instead of naltrexone. They blame patients when their models are wrong and hate being contradicted.

>>82899683
>My withdrawal symptoms are actually forcing me desu
From SSRIs? Did you taper? I quit mine without tapering and was fine but everyone reacts differently. I really don't think SSRIs are a magic bullet or anything. The fastest and strongest acting antidepressants are MAOIs. Even RIMAs are pretty strong and anecdotally start working within hours. Much more risk of drug-drug interaction from MAOIs/RIMAs though of course. Ultimately the best path to combating depression is something like meds, therapy, lifestyle change but one of those is easier to stick with than the rest so most people just do meds and ignore the rest.
>>82899706
Depression is a group of diseases that all have similar symptoms and get called the same thing, sort of like how we call a bunch of different viruses a cold. Some subset of depressions are caused by brain issues and can be treated through drugs alone, the underlying issue is just the brain issue and nothing else. Most depressions will respond to meds to some extent though because the pathways are all shared.
>drugs are addictive
They are though. Have you never had withdrawals? Even if it's self medication it's still addictive. Most things can be addictive even: gambling, games, sex.

>>82899731
Haven't tapered correctly I suppose, probably need to literally start breaking my pills in halves and quarters to do it more effectively. That said, I haven't gained any benefit at all from them just withdrawal effects when I miss doses. In reality I should have just went for hike and would have been a thousand times better off. (this is after a decade of use btw)

>>82899755
>start breaking my pills in halves and quarters to do it more effectively
Yeah get a pill cutter if you want to be really precise with it but that's the way to go. Look up the half life of whatever you're on and try to plan your taper around that.
>went for hike
Unironically yes, being in nature is known to decrease depressive symptoms. Plus the physical activity is good too.
>decade of use
That's basically malpractice what the fuck? If you aren't improving after a few months they should be switching meds or suggesting alternatives at the very least.

>>82899661
Anon who I argued with, do you think I should just follow the doctors advice and take the SSRi's? I'm a large, well built man, but, I'm becoming increasingly paranoid and afraid as the withdrawal hits, and that turns to anger, and then I do stupid shit like attack people in public with a wrench. Should I just accept defeat here? They won't lobotomise me like they did to my foodrunner?

>>82899787
I know the flaws of psychiatry like the back of my hand lol in my opinion pills should only be prescribed as a last resort, not during your first visit like the last 3 psychs I've seen (I move a lot).

>>82899731
NTA but a friend stopped Venlafaxine cold turkey after many years of daily usage and had a 2 day long psychotic episode. Altering brain chemistry isn't kids play I guess.

>>82899804
If your doctor is suggesting SSRIs you could just try them for a bit and see. If you don't like them you can stop taking them. If you're attacking people with a wrench I would almost think you should be on mood stabilizers instead but those will lobotomize you while you're on them.

>>82899825
You can easily fuck up your sexuality taking SSRIs even for short periods, it's really not worth the risk unless you literally cannot function.

>>82899661
>>82899731
Man idk you know just enough to be dangerous. You spout technical details and argue semantics. First of all, if you want to do that, know the difference between addiction and dependency. Withdrawals point to dependency, not addiction. SSRIs cause dependency too. In the same post you're talking about tapering.

You use terms like "brain issues" and "fix" talking about depression as if it's a simple biological defect like diabetes, we identified the exact pathway, and serotonin is the insulin of depression. If that were true we'd have way more success treating it than we do. We're actually pretty abysmal at it, and there's a bad tendency to blame refractory patients when the model is wrong.

It makes no sense that such a large portion of the population would suddenly start developing biological deficiencies we didn't have before. SSRIs may provide some relief from depression symptoms, for maybe half of patients. It's like saying we understand arthritis because we have NSAIDs.

>>82899823
I think it's fine for them to be prescribed first but I do think there needs to be more emphasis on doing all the rest of the stuff. I've never had a shrink suggest eating better or exercising which is just ridiculous, but I guess most people would ignore that advice anyway. There is a weird culture of over prescribing things and getting people on a huge number of unnecessary meds though so it's not like I'm a psychiatry shill or anything.
nice nips damn
>>82899824
Yeah after years of taking anything you gotta taper. Withdrawals suck, psychotic episodes suck too.
>>82899833
I don't know how common that is, I see a lot of conflicting evidence on the post-SSRI sexual dysfunction. My dick didn't work on prozac but it immediately came back when I quit. Anecdotal of course

>>82899825
The conflicting idea in my head, I suppose, Is that if people like me didn't exist, the man would've remained unnattacked by a a wrench, and he deserved it. He beat the holy living hell out of his girlfriend, and because I saw red, he's now afraid. I like having a bit of anger in me, even if I take it out on undeserved people on the internet like yourself. Rock and a hard place, so to speak. Do I just stop it all now? before I go too far? Will SSRI's do that? or make me attempt suicide like my friends and family?

>>82899841
>addiction and dependency
Drugs are addictive. People who take heroin and quit and get past the dependency are still addicted, they still get cravings and relapses. Same for alcohol and all the rest.
>serotonin is the insulin of depression
Have I mentioned serotonin even once? Please point to where I did.
>we'd have way more success treating it than we do
As I said, there are many different disorders that all get lumped together as what we call depression. I never said anything about blaming patients.
>would suddenly start developing biological deficiencies
Depression is not a deficiency
>SSRIs may provide some relief from depression symptoms
They work to actually correct the cause of certain depressions. If you were just interested in masking the symptoms you would take heroin and be done with it.
> It's like saying we understand arthritis because we have NSAIDs
I never said we understood depression. I said most depressions come from HPA axis dysfunction and to my knowledge that is true. Treating that dysfunction is difficult and there are no drugs which directly target it, but SSRIs help with it through known pathways. Incidentally, you can take aspirin if you prefer and get some of the same benefits.

>>82899849
We're close to the same page. I think they should suggest eating well, staying sober and exercising first then after, say month 3, be like "okay you're not improving? Let's try a small dose of zoloft in addition." But then again how would Pfizer make millions of dollars off that?

>>82899856
Maybe he deserved it and maybe it was good that you did it. But what happens if you do it again to someone who doesn't deserve it? You could misinterpret something or be misled and hurt an innocent person. I don't think SSRIs are going to help you with that, I think you're having a hard time with your withdrawals and you just need to get through them and see how you feel after. You could try them anyway and maybe it'll do something good for you, if that's what your doctor thinks then I'd defer to his opinion. If you're not suicidal now then I don't think SSRIs are going to make you try to kill yourself. As an alternative suggestion, maybe try boxing or weight lifting? That might be a good outlet for you.
>>82899884
We are mostly on the same page. I think there's some value in giving a pill right off just in that it primes the patient to start expecting to feel better which might give them the energy to start working on their diet or whatever. I actually think the doses should be much lower than what currently gets prescribed though. Those doses were made with the serotonin effects in mind and those are not that helpful as far as I can tell.

>>82899882
Oh I get it, you have autism

>>82899931
I don't really see how that follows but ok

>>82899917
You make for a good therapist, anon. The anger has just shot down my spine again, but it's not misguided, not directed at you. I already do both boxing and weight lifting, I don't inject test, I got an audio recording about 2 months ago that changed my life. I became furious, I always have this instinctive desire to protect women and children, so I heard it and went hunting, found my quarry, implied a socket wrench in my pocket was a knife, and said I would gut him like a fish.

>>82899917
If the pill had no side effects I'd agree. Fair to say that's the closest we'll come to agreeing, however I no longer think you're dumb. Have some tits as a farewell.

>>82899964
oh fuck didn't noticed they were censored, that's my bad.

>>82899949
I think some amount of anger is healthy, it's really just a problem when you lose control. Protecting women and children is a good thing, the world could use more of that. Controlling the anger instead of letting it control you would be helpful though. If you get too angry you can make mistakes and be less able to protect the people you care about. How about meditation? It's a little meme-y but it's helped me in the past with anger. You don't have to get into the weird mystical stuff, really all it is is sitting and concentrating on your breathing. Once you get good at it you can enter into that feeling pretty easily even if you're angry.
>>82899964
No side effects would be great of course. I do understand your position and I don't really disagree with it.
>censored
ugh. Farewell anon
>>82899968
There we go that's the stuff, thanks anon and farewell

>>82899985
Are you really the same anon I was arguing about over medications and SSRI's? I appreciate your kindness.
I cannot let go of the anger without medication, I think, despite my hang-ups, I might try the SSRI's, before I get killed or imprisoned. I hope I don't lose myself.

>>82900009
Yup same person, and thank you. You've been very nice too.
I hope they work for you and I hope you don't lose yourself. Best of luck Mars.

>>82900036
Some other tripfag called neptune taught me how to make a tripcode so I chose this lol

>>82900060
I saw that happen, it was very cute. I think you posted a picture of your wrench in that thread too. It's a good name, Mars is my favorite planet.

>>82900077
Roman pagan god of war. Seemed fitting. Yep, that's, me with the hand tattoo I share with a girl who saved my life, dragged me out of the bed I'm currently in to do so.

>>82897840 (OP)
Opiod painkillers
MDMA
Meth
Or yknow, ketamine

those are better options all things considered