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Do you guys keep track of symptoms? Discussion of Pros & Cons

Featured Replies

Hi anyone and everyone. I have a question.

I was told I should keep track of my symptoms because it makes it easier to describe to others, track healing, and might be therapeutic? However, I find it really hard to do so.

When I feel like crap, the last thing I want to do is think about how I am feeling. I also hate reading things I write when I am in crisis because it makes me sad. But I can see how helpful it is to see that I did improve.

What are your thoughts? If you keep track of symptoms, how do you do it?

2023: (Citalopram ct, trazodone use, and crosstaper to liquid):

1/31-2/16: 10mg generic citalopram pill @9pm||2/17:CT||2/20-2/26: trazodone 25mg pill @b4 bed and generic sertraline 25mg pill @noon||2/27: reinstated 20 mg citalopram @3pm, 2/28: 10mg @10am||3/1-3/8: trazodone again every 2 days in a row||3/9: citalopram @12:30 noon, 3/15-4/18: 20-40 minute increments weekly to @3pm||4/19-5/12: Crosstaper from pill to liquid citalopram @3pm (one quarter transfer a week)

(Taper of liquid citalopram): 5/13-5/22--5.2ml (10.4mg), 5/23-6/22--9.4mg, 6/23-7/15--8.6 mg, 7/16-8/2--8.4 mg, 8/3-8/27--8mg, 8/28-9/16-- 7.6mg, 9/17-10/7--7.2mg, 10/8-10/31-- 6.8 mg. 11/1-12/1--6.4mg

2024:

12/2-1/4--6mg, 1/5-1/19--5.8mg, 1/20-2/9--5.6mg, 2/10-3/9--5.4mg, 3/10-4/6--5.2mg, 4/7-4/20--5mg, 4/21-5/10--4.8mg, 5/11-5/28--4.6mg, 5/29-6/20--4.4mg, 6/21-7/8--4.2mg, 7/9-8/1--4mg, 8/2-8/23-3.8mg, 8/24-9/21--3.6mg, 9/22-10/5--3.4mg, 10/6-10/26--3.2mg, 10/27-11/10--3mg, 11/11-11/26--2.8mg & on thanksgiving famotidine 10mg twice a day 9am/pm, Nov 27-Dec 16--2.6 mg, Dec 17-Dec 26--2.5 mg

2025:

12/27-1/21--2.4 mg 1/14--stopped famotidine, 1/22-1/28--2.3 mg, 1/30-2/11--2.2 mg, 2/7--started taking famotidine 10mg twice a day

(Diluting 1ml:2mg into 1:1) 2/12-3/1--2.25 mg updose 3/2-3/6--2.3 mg updose, 3/7-7/15--2.35mg updose

(Crossover Taper into different brand)- 80% original (July 16-22), 60% (July 23-29), 40% (July 30-August 9), 20% (August 10-August 16), Full switch (August 17-Present)

Holding at 2.35 until I am healthy weight.

SurvivingAD: yoshi4844 - Page 7 - Introductions and updates - Surviving Antidepressants

Daily: Men's multivitamin, 360mg fish oil, 400mg DGL (usually one quarter a night), ginger chewable 500mg (one quarter 3x a day)

Good topic!

I did for about 12 months, everyday. Just on a wall calendar. I would rate my day AM and PM, I started to add little scribbles and various other notes to record my sleep pattern and key symptoms for that day. I found it quite useful for that period of time, but I have recently decided to stop. I think I just now want to focus on the day and not think too much about symptoms. Just concentrate on stringing enough days together until this is all over. Happy with that decision so far, but don't regret recording everything whilst I was doing it. Perhaps there is no right or wrong, so long as you find it helpful do it!

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

@yoshi4844 I think its good to track things because there's days where the wave makes me forget I've had good times and tricks me into thinking either I've not had a window for ages or I'm not getting better. Then I'll look back and see i did indeed have a window and things were indeed a lot worse back in April and May.

Im not sure if you have the evening calms but if you do I'd write then when its not so overwhelming. I'm also now having to write what I eat because I've lost 2 stone now and need to start tracking calories before I get more issues from not being able to eat much.

I stopped for about a week when I was feeling lighter and regretted it because when I was bad again I got all jumbled up trying to figure out what was when etc.

As always, sending love ❤️

2016 - Sertraline 50mg

2016 - Sertraline 100mg.

I didnt know better and rarely took it consistently.

June 2024 - went down to 75mg

2025 - Down to 50mg

2026 - down to 25mg

April 2026 - hit by withdrawal and kindling

Reinstated April 2026 - 25mg

May 27th 2026 - Upped to 50mg

@yoshi4844

I avoided it a long time too

Now I’m tracking certain symptoms through rating them at set times of day. I’m just giving them a number.

For US members: Please report med to FDA Med Watch

2017 (May) - Ativan .5 mg (3 x Daily) 

2018 (Feb) - Mirtazapine 7.5 mg 

2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg

2025 (Mar) - Ativan 0mg - CT In detox

2025 (April) Started Depakote 1500mg - In detox

2025 (April) - Depakote 500mg (2 x Daily) once home

2025 (Aug) - Completed taper off Depakote

2025 (Aug) - Akathisia surges throughout the day with calming in between

2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop

2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka

2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka

2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating

2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped

2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

2026 (25 Feb) – Mirtazapine 14.7mg (-2%)

2026 (18 Mar) - propranolol 2.5 mg one time

2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state

2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

I’ve started tracking my symptoms just in a note on my phone. I didn’t for a while because I thought it would be too upsetting, but I eventually started for the same reason as @cherrysquid. I would have little windows here and there, then get dropped back into a wave and be convinced that I wasn’t getting any better. So tracking symptoms helps me to see that I am making (very slow) progress. It also confirms to me that I’m not just crazy because I can see all the physical symptoms I’m struggling with 😅

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

9 hours ago, yoshi4844 said:

Hi anyone and everyone. I have a question.

I was told I should keep track of my symptoms because it makes it easier to describe to others, track healing, and might be therapeutic? However, I find it really hard to do so.

When I feel like crap, the last thing I want to do is think about how I am feeling. I also hate reading things I write when I am in crisis because it makes me sad. But I can see how helpful it is to see that I did improve.

What are your thoughts? If you keep track of symptoms, how do you do it?

I hate giving voice to symptoms by writing them down and reaffirming them but at the beginning it is good to see if there are patterns. I think this is really important for women with their cycles because hormones play a big role.

But for me, I prefer a spreadsheet that lists the symptoms and then just writing a number 1-10 beside. If anything extra happens I add a side note. For example started B12, had a reaction or stressful day, fire in the building. Lol, my life.....🙏❤️

Edited by LostinCanada

I am not a medical professional. My comments are based on my personal experience and information on SA.

 

Paroxetine-2002 onward-20mg/ Citalopram-2007-20 mg-straight switch from paroxetine-back to paroxetine after a month/ Sertraline -25 mg-Dec 2016- given for a month instead of paroxetine (doctor mistake) Oxazepam -10 mg-2016-twice weekly for a couple months for sleep/ Zopiclone -3.75-7.5mg-2020-2022-once a week for sleep/Paroxetine -20 yr+/ Dec2018-May 2022 20 mg/ May 2022 30mg/2022.07.28-2022.08.24 30mg to 0mg/ Prozac-10mg August 24-29 2022/Paroxetine -5mg-2022.11.28-2022.12.04/10mg-Dec 5&6/22/ Prozac-10mg-Dec 8&9/22/Paroxetine -5mg-2022.12.07 to 2023.07.01

 

TAPER-Paroxetine-2023-Jul 2-4.9mg/ Jul 21-4.8mg/Jul 28-4.73mg/Aug 4-4.65mg /Sep 21-4.58 mg/Oct 27-4.56 mg/Dec 5-4.54 mg/2024-Jan 2-4.52 mg/Jan 9-4.51 mg/Jan 17-4.49 mg/Jan 26-4.47mg/Feb 6-4.46mg/Feb 19-4.44mg /Apr 4-4.43mg/Apr 28-4.4 mg/May 5-4.39 mg/May 19-4.36 mg/Jul 2-4.34 mg/Jul 9-4.32mg/Jul 31-4.3 mg/Oct 1-4.29mg/Nov 27-4.25 mg/Dec 5-4.22mg/2025-Jan 5-4.17mg/Feb 2-4.1mg/Mar 7-4.07mg/Apr 23-4.04mg/May 23-4mg/Jun 22-3.99mg/Jun 30-3.95mg/Jul 18-3.92mg/Sep 25-3.9mg/2026-Mar 25-3.85mg/Sep 18-3.8mg

 

9am-paroxetine, 200mg mag bisglycinate/75 mg DGL if needed for reflux/150 mg calcium citrate/algae oil for omega 3/ginger as needed for nausea/500 mg of Vitamin C for cortisol

 

"... your strength will be in keeping calm..."-Isaiah 30:15

I've been tracking diligently many metrics including symptoms for over 630 days in a spreadsheet. This has enabled me to run different kinds of data analysis - for example do certain symptoms get worse shortly after I decrease my dose. And this in turn has made me feel much more confident about my taper.

I run a Discord server for tapering Abilify come chat! (Not affiliated with Antidepressant Recovery)

 

Medication and drug history:

  • 2001 - 2013 - various ADs, changed every few years

  • Early 2013 - psychotic episode following heavy abuse of Ketamine, Psilocybin and many others...

  • 2013 - Early 2015: Clozapine, various doses

  • Early 2015 - Mid 2015: Venlafaxine 150 mg + Olanzapine 20 mg

  • Mid 2015 - Sep 2022: Venlafaxine 225 mg + Aripiprazole 20 mg

  • Sep 2022 - 8 Jan 2024: nothing, but relapsed and had a psychotic episode

  • Aripiprazole/Abilify: 8 Jan 2024: 15 mg | 16 Apr 2024: 7.5 mg | 15 Aug 2024: 3.75 mg | 1 Dec 2024: 1.88 mg | 30 Jan 2025: 1.5 mg | 26 Mar 2025: 1.25 mg | 30 May 2025: 1.07 mg | 11 July 2025: 0.94 mg | 24 Aug 2025: 0.83 mg | 7 Oct 2025: 0.75 mg | 16 Nov 2025: 0.68 mg | 26 Dec 2025: 0.62 mg | 31 Jan 2026: 0.54 mg | 14 Mar 2026: 0.47mg | 18 Apr 2026: 0.38 mg | 30 May 2026: 0.31 mg | 11 Jul 2026: 0.25 mg | 15 Aug 2026: 0.19 mg | 19 Sep 2026: 0.15 mg | 17 Oct 2026: 0.11 mg

 

Supplements and biohacks: Fish oil and multivitamins, intermittent and extended fasting, ketogenic diet, deliberate cold exposure

Sobriety: cannabis: 26 Oct 2024, caffeine: 25 May 2025, nicotine: 6 June 2025, everything else: too long ago to remember

  • 1 month later...

I read a post last year on SA about taking lots of photos in WD. Especially of loved ones, days out etc because once this is all over you’ll look back at the photos and just remember the good times.

For me personally I can look back at any photo over the last few years and I’ll know exactly how I felt that day. I don’t know if anyone can relate to this but that acts as my mood tracker

Lexapro:

Aug 2023 – Lexapro 5mg

Jan 2024 – Lexapro 20mg

Jun 2024 – Lexapro 17.5mg (Kept tapering down in 2.5mg increments till Aug)

Aug 2024 – Lexapro 2.5mg (Withdrawal hit after stopping 2.5mg)

Oct 2024 – Lexapro 5mg

Jan 2025 – Lexapro 1mg, 1.25mg, 1.5mg, 2mg (Drs orders back reaction)

Feb 2025 – Lexapro 1.5mg 

Sept 2025 – Stabilized

Dec 2025 – Back in WD

 

Omeprazole:

?? June 2024 – 20mg

08 Mar 2025 – Stopped

14 Mar 2025 – 20mg

05 April 2025 – Brand swap

Start Sept - 15mg (2 week taper)

End Sept 2025 - 10mg (By end of Sept)

05 Feb 2026 – Brand swap 

 

Supplements:

Fish Oil - AM High DHA & EPA

Loratadine Am 

Magnesium Glycinate pm 1,000mg

 

 

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