Submitted by Ashy in MentalWellbeing

i'm so tired of being forced on all these drugs...i'm tired of my mother actively resisting and getting in the way of any effort of mine to stop, and i'm tired of my father's complacency in her madness

actually, funny story: i had a meeting with my psychiatrist actually 2 days ago-she never told me about it ofc (why would i need to know about that right)...she freaking cancelled it lol. been talking about stopping for months now. i've discussed it with her, my therapist, my therapist's discussed it with her and my psychiatrist...she cancels the appointment

my therapist is on board with my stopping. i'm not sure if we have an appointment anytime soon though, but regardless the psychiatrist has a history of ignoring my thoughts and feelings. it would be a full out war with both him and my mother trying to stop everything.

i'm gonna give it to you straight–i haven't taken it in 2 days. i feel fine-better even, i'm just- i'm not sure if it's safe to just stop so abruptly forever, and i fear that i could get involuntarily committed if i continue and get caught

i really just don't know what to do at this point..sorry

will probably delete later, sorry

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CameronNemo wrote (edited )

Fluoxetine's longer half-life makes it less common to develop discontinuation syndrome following cessation of therapy, especially when compared to antidepressants with shorter half-lives such as paroxetine. Although gradual dose reductions are recommended with antidepressants with shorter half-lives, tapering may not be necessary with fluoxetine.

https://en.wikipedia.org/wiki/Fluoxetine#Discontinuation_syndrome

To be extra safe, you can take one pill tomorrow, then another 5 days after that, then 8 days after that, then 13 days, and so on. That might be overkill, though.

https://en.wikipedia.org/wiki/Antidepressant_discontinuation_syndrome

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Ashy OP wrote

ok that makes me hopeful, thanks

can they "hospitalize" me if i'm otherwise totally functioning and happy? i really..don't want to go back. i just want psychiatry out of my life.

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CoryImmediatism wrote

don't be sorry. I'm googling right now to find out if you can stop it abruptly and will share you the most reliable link I find.

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CameronNemo wrote

can they "hospitalize" me if i'm otherwise totally functioning and happy?

No idea. Likely depends on jurisdiction. Might depend on if you had been institutionalized before, and what the terms of your release were. Also I think you are a minor, so your parents might be able to hospitalize you against your will.

Typically you would only get hospitalized if you were determined to be "a danger to yourself or others", from what I understand.

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Ashy OP wrote

i am a minor yeah...new york state

i was institutionalized before. it was undoubtibly the most traumatic experience of my life...irreparable damage to my relationship with my parents. all the people i used to trust and who cared for me, everything they did was now meaningless.

sorry for that tangent,,, i don't know what the terms of my release were. who gets to decide if i'm a danger? could they involuntarily commit me? i don't know if they would, but just the idea of going back is terrifying...

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zephyr wrote

fluoxetine is very slowly cleared from the body (over a week to reduce the body concentration by half) so stopping it quickly isn't a problem. no physiological withdrawal. i've been on and off it several times.

you can only be committed if you say you are thinking about killing yourself or you threaten violence to someone else. even if you are a minor, no one can commit you because you stopped taking a prescribed drug.

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Ashy OP wrote

you can only be committed if you say you are thinking about killing yourself or you threaten violence to someone else. even if you are a minor, no one can commit you because you stopped taking a prescribed drug.

are you 100% sure?

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celebratedrecluse wrote

you can only be committed if you say you are thinking about killing yourself or you threaten violence to someone else. even if you are a minor, no one can commit you because you stopped taking a prescribed drug.

This varies by country! Please clarify which country you mean.

OP: verify the laws for your country!

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zoom_zip wrote

wean yourself off just to be safe

reduce it gradually over like 2 weeks

whether you can be sectioned into hospital is dependent on your country

all we can say is that it’s “unlikely” just for stopping a medication, but i know how these doctors think and they often talk about things like “risk factors”, which is their code word for “i’m scared of this person” and will use that to hospitalise them

also if you are a minor and your parents aren’t supportive, they could collude with and influence the doctor

if your therapist supports it, then speak about it more assertively with them. say “i am stopping” and see what advice they give

take advice from internet weirdos with a grain of salt

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MHC wrote

The meds are meant to be weaned off slowly.

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Ashy OP wrote (edited )

tysm for the long reply

Unfortunately you are correct that according to the NY State Health Dept, "An individual who is legally a minor (under 18 years old) cannot give effective legal/informed consent to treatment and therefore, conversely, cannot legally refuse treatment." It's true that you mother can have you committed if you are under 18 years of age. This is considered "voluntary" commitment legally. If you suspect she may do so if you stop your medication, I think you have a valid reason to be worried.

that's awful...

maybe i could hide it for like a month or so and then talk about it? like at that point if don't have any symptoms?

This is all from my experience with people coming off of fluoxetine, so please take it with a grain of salt: I do believe coming off of it can have some negative effects depending on the duration of your treatment. Because of such a long half-life, the withdrawal will come later than with others. Brain zaps, mood swings, lethargy, other problems you had from before antidepressants and more. You may inadvertently turn against your parents or snap, without being able to easily control your anger. This danger lasts for months, up to a year. I implore you, if you want to come off the drugs, make sure sure sure you can mask your emotions and not snap whatever you do. Be prepared to know how to play cool, and do it for a long time. (Hopefully until you graduate and can leave home)

i've been on 40mg for like 2 years now...is that bad? i haven't felt any withdrawal as of yet 3 days in. does everyone feel them? when can i expect to start? how bad will mine be...?

edit: could weaning myself off help withdrawal or help me appear more sane maybe?

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SJWarCleric wrote

I was also prescribed meds around that age and honestly I wish I hadn't been because I was still developing and was given an incorrect diagnosis. They also never tried other meds and I developed a physical tremor. Most people aren't done with developing until their mid 20s and psychs aren't supposed to give most psych meds to kids because there's a lack of data. I'm sorry you are going through this.

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Ashy OP wrote

I was also prescribed meds around that age and honestly I wish I hadn't been because I was still developing and was given an incorrect diagnosis.

exactly

thanks for your concern, i think i'll be fine. plus, now i know about it and can help advocate for others. i think with a person like me, it was bound to happen. nothing i can do to change the past, only the future.

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Ashy OP wrote

i didn't consider that, that's actually quite promising, thanks

would not taking my meds not be considered a medical/psychiatric reason though? what about previous diagnoses or hospitalizations?

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zephyr wrote

'Unfortunately you are correct that according to the NY State Health Dept, "An individual who is legally a minor (under 18 years old) cannot give effective legal/informed consent to treatment and therefore, conversely, cannot legally refuse treatment." '

this quote refers to the medical treatment of minors by emergency medical people (first responders, etc) in emergency medical situations. it has nothing to do with mental health situations. (https://www.health.ny.gov/professionals/ems/policy/99-09.htm)

"Because of such a long half-life, the withdrawal will come later than with others. Brain zaps, mood swings, lethargy, other problems you had from before antidepressants and more. You may inadvertently turn against your parents or snap, without being able to easily control your anger. This danger lasts for months, up to a year. I implore you, if you want to come off the drugs, make sure sure sure you can mask your emotions and not snap whatever you do."

i have never read or experienced any effects like this from fluoxatine. it sounds like nonsense.

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zephyr wrote

that's my understanding which unfortunately doesn't qualify for 100% sure. i just spent over an hour searching for some documentation for new york state laws/regulations without success. but i can't imagine any hospital that would admit a minor whose parent was committing them because they stopped taking an antidepressant.

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CoryImmediatism wrote

No. for the same reason the hospital doesn't want you for a broken leg when the broken leg happened in your past. Remember that hospital beds are limited and there is competition for them, often. But, you seem very keen to engage in convo about this. Maybe you should just phone your prescribing physician's office and talk with them about stopping your medication. They can change the dose or offer alternative medications if you didn't like that one. And of course, they can answer your questions that you are asking me.

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Ashy OP wrote

this makes sense i guess ty

but don't i have to talk with him to get him to stop prescribing it? also i'm a minor so there's probably other hurdles too

sorry for asking too many questions

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Ashy OP wrote

Hey, I hope you're doing okay?

aw thank you! i'm doing well c:

i haven't taken it since i made this post and honestly i feel just more alive and healthier

maybe that would be a good idea though, i'll continue to talk to my therapist about stopping and potentially finding a new psychiatrist...i really just, don't want one at all, but just for the 'piece of paper' that says i don't need em anymore, and so they stop prescribing it. maybe it can just be a thing where i go one time, idk

thanks for the hugs :) sending hugs back

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