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The Dangers of Going Off Medication without Doctor Supervision

5/20/2016

1 Comment

 
Hello, Papa.
 
I don't know if this counts as much as a question as it does as a desperate cry for help.

Also, this is going to take very long to read, so take as much time as you need to respond, and to anyone who reads this, I hope it's at least helpful for you.

I have written to you before back in the day when I had a different fursona and I had no problem in letting everyone know who I was and what 'my situation' was, back when I was still a manipulative man child desperately looking for excuses to latch onto the carefree nature of my childhood - avoiding the responsibilities that adulthood brings. I've been telling myself for the longest time that it's okay to be childlike (having childlike interests) only to disguise my immaturity. I'm aware it's okay to collect plush toys and keyholders and play games and all that stuff, but I've been using all that scheme as a scapegoat to keep myself from becoming an adult. I have finally turned 24 just today and I'm still as stuck as I was when I was 18 and I spent a whole year doing nothing after high school.

I haven't lost it. I keep being manipulative, I keep getting jealous and envious and angry over petty things, enforcing the idea on myself that I'm worthless and therefore I have the 'right' to be upset over ridiculous things, and I constantly compare my personal value with others so as to keep telling myself that other people are better than me and that that's the reason why I don't make it in life.

In fact I'm getting everything mixed up. So, if you don't mind reading a bit more than usual for a question, here are a few anecdotes that might give you a better idea of my current emotional and mental state.

I had been doing a Fluoxetine treatment for little over six months and I had decided to drop it because I told myself I don't need pills to do well in life and feel better, and for some time it seemed to be true as I was in fact doing better.

I don't know if it's got to do with me having left the pills, but now I get more and more hysterical more easily, getting upset over the smallest remarks, pretty much like my 2nd girlfriend used to do, who was by far the most manipulative person I've ever met - she used physical illnesses to keep people held by the b@lls, that's how far it went.

Last Friday I was in the university's cafeteria and, scrolling through Google+, I found a particular post in a fetish themed community I was following; someone had republished a picture of a furry I really like/d with another fur (a picture that they themselves would have never shown me), and if anyone has known me for a long time they would know I lost my sh!t over it; my face went hot and my hands and legs went cold, and I was so angry I wanted to punch the table and make a hole in it if I could have. I saw myself getting back to the old days of getting upset and angry and full of hatred over something that somebody else would never have (seriously, it's ridiculous). And most importantly, I realized that I was essentially being so overly sensitive over everything so as to get back to my man-child days of trying to manipulate people with my anger or sadness.

I went and told this furry how I felt and things between me and them have been really awkward since then, as I'm not even sure how s/he feels about it and I'm almost certain I left a horrible impression (I know I in their shoes would have been creeped out as hell, or pissed at least). But most importantly, and as far as my own issues are concerned (which are the only thing I can actually make a dent on), seeing them in my contacts list is only a permanent reminder of my current emotional and mental decay. I'm 24 and I keep doing the same things I did when I was 18, which were already immature and harmful in their own accord back then.

The most important thing, and the MAIN reason why I'm writing this letter to you (gee, it took me so long), is because all of this is heavily interfering in my main concern, which are my studies, or lack thereof in my case.

It's the second time I'm going through the same course—I lost a whole year last year, and in doing so I also wasted a great job opportunity to earn a lot of money just looking after my brother's house while his partner and him were on a holiday trip to Europe, also throwing our relationship down the sh!tter with how I evaded that responsibility. So I did nor one thing nor the other.

You would think that being the second time I'm doing the first year of this career, I would have some experience and I would be studying harder. But in fact, I'm as lost as I was last year and everyday I'm about to give up. Sometimes I even feed myself with negative thoughts about jumping off the bridge I cross every Tuesday and Thursday night on my way back home from volleyball lessons.

Basically, I'm constantly falling back into the vices of deceiving myself with "I'll study later" and investing time and emotions into internet stuff, putting so much thought and energy into it that getting upset over internet events can already ruin my day to the point that I no longer have any motivation to do anything else. That day when I saw this picture of this furry crush with someone else, I was so upset I took a bus back home and told my mother that "algebra class had been cancelled" just so I could give myself an excuse to sleep all day. That's how far it goes.

So here's the question: What do I do?

Anonymous (age 24; Argentina)
 
* * *
 
Hi Furiend
 
Question: did all this bad stuff happen after you stopped taking Fluoxetine?  Are you still not taking it?
 
[Note to readers: Fluoxetine is an antidepressant designed to also lessen anxiety, obsessive-compulsive disorder, and panic attacks. It should be dispensed only under a doctor’s supervision.]
 
Papabear
 
* * *
 
It wasn't immediately after I stopped taking it, but I'm still not taking it, and in all honesty I don't want to keep on taking it because I don't want to rely on pills to grow up as a person.
 
* * *
 
Hello, again,
 
Okay, well, there is a clear correlation between your not taking your medication and things getting much worse for you. I understand and sympathize with the fact that you don't want to be on medication, but sometimes people need medicine. There is no shame in that, and there is no shame in your taking Fluoxetine any more than there is shame in someone with a heart condition taking medicine so that they can live.
 
It is very common for people such as yourself to suddenly decide--usually against doctors' orders--to stop their medication. This is unwise and often leads to a lot of pain and suffering. Just because you are on medication doesn't mean that it is the thing responsible for your personal growth. That's all you. Indeed, NOT taking it is making it MORE difficult for you to become the kind of person you wish to be.
 
I am not a doctor, so I am not comfortable stating for certain this is what needs to be done, but I would very strongly recommend you go back to your physician and talk to him or her about this. My prediction is that the doctor will prescribe the Fluoxetine again (it seemed to be working) or possibly change the dosage or try a different medicine if it makes you feel better. Also, talk to your doctor to see if there might be things you can do to, over time, lessen the dosage or even, eventually, get off of it, but stopping it abruptly on your own without medical advice was not the thing you should have done.
 
Some people think it shows weakness taking medicine. Actually, it takes great strength to admit you have a problem and follow your doctor's orders. Keep working on your condition and perhaps it will improve in the future, but for now, I'm fairly certain you need to get back on Fluoxetine, hon.
 
Good Luck,
Papabear
 ​
1 Comment
Troj
6/10/2016 05:44:40 am

Here's how I like to explain it---and note, this is just my semi-professional opinion, and other professionals' and layfolks' opinions may differ:

If you or someone needed an insulin pump for diabetes, or needed a cane to get around, or required a sling for a sprain, would you or that person be "weak" or "stupid" for relying on that device in order to function and live their life? Of course not!

Mental illness is just as real as any other illness or injury. Just because we can't see it under a microscope, CAT scan, or X-ray doesn't make it any less real.

Some people will likely need to take medication for their entire lives, just as some people will have to use a wheelchair or wear leg braces for the rest of their lives. Some people may benefit from medication for a shorter period of time, like someone who needs the sling or a crutch following an injury.

In this latter case especially, the right medication can help you to reach a state of relative equilibrium, so that you can focus on learning mental, emotional, and practical skills for managing your feelings and making sense of your thoughts. It's harder to learn and implement these skills when you're swimming against the current of your own brain, so to speak. A good therapist can help you to learn and practice these vital skills, and can be another vital resource and source of support for you in your times of trial and trouble.

Finding the right medication regimen can take some trial and error, because people respond differently to different meds, and because the initial diagnosis of a mental illness can sometimes be tricky. This is why you as the client have to be patient and proactive.

Much like you said, Papa, people need to stay in touch with and communicate openly their health professionals, should generally take medication as directed, and need to let their health professionals know ASAP!!! if a medication isn't working, or even more, is having an adverse affect. If you don't like or trust one of the professionals on your "team," you need to get a referral to another professional, or you need to lean on a member of your "team" that you do trust, so that they can advocate for you.

As always, you should also reach out to and stay in touch with friends, family members, and other people you trust. These trusted people represent another wing of your "team," with you at the helm!

OP might benefit from seeing a therapist to help them unpack and manage these strong emotions, too. When life gets complicated or tough, it helps to have diverse tools at your disposal.

My thoughts will be with the OP, and I hope they stay in touch with you, Papa Bear. Good luck, OP!

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