@Saar8srl I would consider trying a lower dose still to start with. Just be a little more cautious than 1mg. Try 0.5mg and hold that (unless you get signifcantly worse) for 7-10 days. Then come back and let us know how you feel. You can always increase this after that period gently if needed.

Thanks you . I don’t have it yet . Did you see any result who suffer bij depression and RI and then did get a little better?

21 hours ago, Saar8srl said:

Thanks you . I don’t have it yet . Did you see any result who suffer bij depression and RI and then did get a little better?

We have seen many RI a low dose and it help them. It can be very effective, but unfortunately there are no guarantees as it can worsen you. You have to decide for yourself if you want to try.

this is day two of the ri 1mg. Didn’t notice anything yet but I continue. Somehow I think the dose is too low but I don’t know

2 hours ago, Saar8srl said:

this is day two of the ri 1mg. Didn’t notice anything yet but I continue. Somehow I think the dose is too low but I don’t know

Our bodies can take a little while to adjust to changes, so I think it's unlikely you would notice any significant difference on day 2. Best to wait the full 14 days and then if you still think it's too low go a bit higher very, very slowly. Patience is key in this whole process.

4 minutes ago, SarahMc said:

Our bodies can take a little while to adjust to changes, so I think it's unlikely you would notice any significant difference on day 2. Best to wait the full 14 days and then if you still think it's too low go a bit higher very, very slowly. Patience is key in this whole process.

Should I go to 2mg? Or more?

1 hour ago, Saar8srl said:

Should I go to 2mg? Or more?

I am not an expert on reinstatement, but from what I've read it's best to be very cautious. So again, I would wait for the full 14 days at 1 mg to see if you notice any improvements. If you still feel like it's necessary to go up it's best to do so extremely slowly and wait 7-14 days between each increase. So I would probably go to 1.1 mg and see how you feel.

Reinstatement is not meant to fully resolve your symptoms, just to cushion things so they are a little more tolerable while you stabilize. Sometimes a very long hold (many months) is still needed before you feel truly stable.

I won't say anything against going slowly when it comes to increasing the dose, but i will say you don't need to say "I need to wait to see what can happen". I will say Pay attention to what happens right at the beginning and later of course. dr. David Healy said that 95% of people feels some genital nubness 20 minutes after their first pill. And also that some random and regular dose of the pill (let's say 20 mg) is that high just to makes the things easier and more simple for doctors, not because a dose must be that high to see some real effects.

Please share your observations for you and for us.

I don’t want to nag but I just want to understand the process. How long are people who are dealing with strong depression deal with this in wd? Are we taking about month or years ?

As I understand there is no ******* rules when it comes to depression or anything else. You can also find in the middle of this page of this topic, when we did speculate about some "objective" data.

1 hour ago, Saar8srl said:

I don’t want to nag but I just want to understand the process. How long are people who are dealing with strong depression deal with this in wd? Are we taking about month or years ?

It's totally natural to want a timeline, but unfortunately there's really no way to say how long it will take you to recover. Everyone is different, and imposing artificial timelines on your recovery can actually cause more suffering if you end up taking longer than you initially expect, for example. The only thing we can really say is that the vast majority of people do recover given enough time.

In the meantime, I think it's important to work on coping skills like patience, distraction and acceptance: Acceptance is key - Why does acceptance feel impossible? I know it's really tough, but I genuinely think these skills are key to getting through all this.

Day 3 of Ri . Everyday at 8 o’clock 1 mg Sertraline .

I have heard that 1 mg could be ignored by the brain. Is the true that the 1 mg always does something to the brain or could it be ignored easily ? It’s a very low dose though …

41 minutes ago, Saar8srl said:

I have heard that 1 mg could be ignored by the brain. Is the true that the 1 mg always does something to the brain or could it be ignored easily ? It’s a very low dose though …

Im not sure where you heard this, 1mg has an outsized effect on the brain than higher doses. 1 is a low number not a low dose.

As Sarah suggests hold for 7-14 days, note any worsening or improvements, let us know how things are each day and we can help you reassess. I would wait until at least day 10 and then perhaps we can look to increase the dose slightly and see how you go from there. Don't assume you need more drug or hyper focus on the dose. Also don't expect to feel perfect, we are only looking to cushion things for you and the improvements from RI can happen over a number of weeks whilst holding the dose. It is good you don't see a worsening, feel happy about this, its great news.

7 minutes ago, Chippy said:

Im not sure where you heard this, 1mg has an outsized effect on the brain than higher doses. 1 is a low number not a low dose.

As Sarah suggests hold for 7-14 days, note any worsening or improvements, let us know how things are each day and we can help you reassess. I would wait until at least day 10 and then perhaps we can look to increase the dose slightly and see how you go from there. Don't assume you need more drug or hyper focus on the dose. Also don't expect to feel perfect, we are only looking to cushion things for you and the improvements from RI can happen over a number of weeks whilst holding the dose. It is good you don't see a worsening, feel happy about this, its great news.

Thank you so much . This gives hope . I red it from the chatgp.. I know this sounds lame.

Until now I don’t feel any changes or side effects(some very very light brain zaps but I had this before too). but then again when I reinstatement 50 mg the first time in April it took 4 days before the chemical depression started. So let’s not be happy too fast. I just hold this dose and keep you guys updated. Thank you so much @Chippy ❤️.

Edited August 11Aug 11 by Saar8srl

11 minutes ago, Saar8srl said:

Thank you so much . This gives hope .

Pleasure

12 minutes ago, Saar8srl said:

I red it from the chatgp.. I know this sounds lame.

Yeah I would not listen to that!

12 minutes ago, Saar8srl said:

Until now I don’t feel any changes or side effects(some very very light brain zaps but I had this before too).

This is good!

13 minutes ago, Saar8srl said:

but then again when I reinstatement 50 mg the first time in April it took 4 days before the chemical depression started. So let’s not be happy too fast.

And why we say wait.....:)

13 minutes ago, Saar8srl said:

I just hold this dose and keep you guys updated.

Good plan. :)

Maybe a weird question, but since 29 of Juli I haven’t had a real good window . I start to think this is the new me . Numb, no emotional, no motivation and depressed. How do you know when you are you own self . This is such a weird question and I never thought I would ask this but unfortunately this is what keep me busy a lot . I don’t know who the real me is although I never had this kind of lack of motivation and depression I start to think maybe underneath the depression this is is me now … I hope you understand what I mean and please feel feel to react if you feel the samen of have experience this ….

Edited August 11Aug 11 by Saar8srl

46 minutes ago, Saar8srl said:

Maybe a weird question, but since 29 of Juli I haven’t had a real good window . I start to think this is the new me . Numb, no emotional, no motivation and depressed. How do you know when you are you own self . This is such a weird question and I never thought I would ask this but unfortunately this is what keep me busy a lot . I don’t know who the real me is although I never had this kind of lack of motivation and depression I start to think maybe underneath the depression this is is me now … I hope you understand what I mean and please feel feel to react if you feel the samen of have experience this ….

It's not a weird question. In WD you can't judge your current state to be you, there is too much going on. It is common to worry this is 'you' and not WD, but I assure you this is all very much drug harm. You know who you are. These drugs cause us to doubt our true selfs. Don't go there.

A lot of people say, they don't have any windows, nothing unusual.

I think that the real you will be known if you find the way out. Until that moment you/we have to see that we are leaving in some kind of matrix or parallel and interrupted reality of self (matrix). Real you has been "covered" somehow by something, but it don't need to be like this forever... See the things this way.

Today is a bad wave that hits me . I’m so much in pain because this depression and anhedonia . The fact I can’t work can’t go out of the house makes me crazy . I don’t know what this is what kind of depression cause so much pain ?

31 minutes ago, Saar8srl said:

Today is a bad wave that hits me . I’m so much in pain because this depression and anhedonia . The fact I can’t work can’t go out of the house makes me crazy . I don’t know what this is what kind of depression cause so much pain ?

Im so sorry to hear that.. this whole journey is incredibly tough and it can take some time before you get some relief but believe me when i say that you will make it out to the other side! Sending support and well wishes!

1 hour ago, Some0n3 said:

Im so sorry to hear that.. this whole journey is incredibly tough and it can take some time before you get some relief but believe me when i say that you will make it out to the other side! Sending support and well wishes!

Thank you. I just try to find out how it can happen than suddenly since April I’m so freaking depressed and have no motivating and that it is very hearting me also in the hart.

3 hours ago, Saar8srl said:

Thank you. I just try to find out how it can happen than suddenly since April I’m so freaking depressed and have no motivating and that it is very hearting me also in the hart.

I cant say for sure but if id take a guess. It might just be due to all the drug changes and simply the fact that WD is incredibly scary and that exhaustion you get from having to deal with these symptoms probably also contributes to feeling depressed. When my WD started. I was also very much depressed and a part of why was because i was having to deal with all of the awful symptoms along with the feeling like my life was over but when i started trying to accept my situation, it eventually got a bit better little by little to the point that i can be positive at times even with all the nasty symptoms. For me i suspect that a part of the depression was triggered by the WD itself and another part was due to the exhaustion and horror from having to deal with all of the nasty symptoms.

Edited August 11Aug 11 by Some0n3

My worst kind of depression started after the 50 mg in April after the fourth day. The shape has changed but the depression is there with some windows in between now and then .

@Some0n3 are you in wd since January ? Has your depression ( if you have a bad kind of depression) ? Changed its shape? How are you doing in general?