3/12: what I learned this week: ALWAYS taper your SSRI

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Ugh the last two weeks have been CRAP!!! But, some good has come of it. I'll share some good, bad, and ugly.

This week, I have learned:

1. Lexapro is a hell of a drug.

2. My body will crash my brain after 7 days of insomnia, and I will hallucinate by day 10.

3. My spouse has the patience of a saint.

4. The kickback of a gun is nowhere near as forceful as it looks.

5. I'm good at shooting!

6. I may or may not have a job right now.

7. I never expected to feel so indifferent regarding my employment status. It feels revealing to me to realize how unattached I feel to it. Maybe my dislike for it has really grown that much.

8. I feel like the Boy Child has suddenly grown more mature and its freaking me out a little. I know he's in the pre-teen zone, but I'm not ready for this. I find myself checking in on him often and smothering him with mama love just to make sure my boy is still my boy. *sigh* This poor child is stuck with me.

9. If you tell them to stop building....

They will.

(I find this hilarious to an inappropriate degree.)

10. The A-Hole Dog only likes the dog park if she's on her leash. She also acts like she feels incredibly violated when another dog sniffs her butt.

11. Go to the following thread. Go to top comments, find on page, type "Robb Stark". Only do this if you are caught up on GOT. Also, only do this if you are not offended by politics, and if you do not plan in any way to come back here and blast me for sharing a comment that compares Trump to Joffrey and Balon Greyjoy.

Link: Bernie opposing Auto Bailout, delaying Clean Power Plan, supporting Minutemen militia, Koch brothers endorsement, Reagan HIV/AIDS "activism" and today's Sanders healthcare support in the 9s are 6 things Hillary Clinton blatantly lied about in a single freaking week. : politics (Mid-way through comment begins with "The way I see it, Bernie is...")

12. I like my ellipses with 4 dots, just like I like my lights (THERE ARE FOUR LIGHTS!!!!). Farawyn, we can take this outside if you want....

13. The spouse and I owe so much money in taxes that I can't even. We changed exemptions when we got blasted by state last year. Didn't matter. We owe thousands to federal and the state we live in. As in, we owe thousands to federal and thousands more to state. Can't wait to see how much the state I work in swindled. I swear to the Bearded Commander Riker that we had more money on one crappy income than we have now, with me working, too. Maybe I need to not work during grad school. :\

14. I am so excited for grad school!!!

I know I'm forgetting stuff. Boo! I'll remember right after the edit window closes, I'm sure!

What have you learned?

Specializes in ICU.

You know, I hate taking this in a political direction, but reading about the thousands you owe in taxes, ixchel...

I only squeaked through by the skin of my teeth this year - got $20 back after you take both federal and state into account, and that's only because I had mortgage interest and some charitable donations to deduct - would have paid about $1500 otherwise. I already claim zero exemptions.

I am scared of what's going to happen around tax time for me if Bernie Sanders gets elected. He's my favorite otherwise, but he's got to get money from his plans from somewhere, and as I am a lot "wealthier" than the average American, it's probably going to be from me and people like me. IMO, everybody sucks this year, and I have no idea who to vote for.

The SSRI thing... depressed people are the people I feel sorriest for in my unit. They really do go bat guano crazy after being NPO for a while. None of that stuff comes IV, so if they're NPO, there's no taper, and the level of crazy and discomfort I get to see can be pretty intense. Someone has got to find a way to give SSRIs IV.

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.
Yeah, it's hard & people who don't have a mental health disorder don't understand. I really like coming here because everyone here understands.

Yes we do understand. And it's so helpful for us with these challenges to know we're not alone! (((HUGS)))

Specializes in LTC, assisted living, med-surg, psych.
Yes we do understand. And it's so helpful for us with these challenges to know we're not alone! (((HUGS)))

It helps me too. When I disclosed my diagnosis here four years ago, I was honestly afraid of what people would say, but my posting behavior had been so erratic for so long that other members noticed it long before I did. Not once has anyone said anything hateful or hurtful to me in all that time, even though I've written several articles on mental health issues and talked a lot about my own MI. Yes, many members do understand, and even those who can't are usually supportive. :yes:

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.

Viva.... I haven't noticed that your posting is erratic. I often wonder if my posts are, though!

Then I wonder if my dx is wrong and I'm actually paranoid with schizophrenia.

Then I remember all of us nurses tend to over diagnose ourselves.

I have nothing but love for AN and the online characters!! [emoji3]

Specializes in LTC, assisted living, med-surg, psych.
Viva.... I haven't noticed that your posting is erratic. I often wonder if my posts are, though!

[emoji3]

I wasn't talking about now, but the months and years prior to my bipolar diagnosis in 2012 and for some time after. I haven't had any trouble since I've been properly medicated, though. And your posts are just fine. :up:

Specializes in OR.

Let's see...

I've learned that ixchel is correct...grad school is hell and I am not even there yet. I am in the god forsaken statistics class that precedes my "hopeful, please, please, please, I'll sacrifice to any deity i can find that will let me pull this off" admission to a really awesome program.

I've learned that a graphing calculator will put a nice chink in my wall and still work afterward (see opinion on statistics above.)

I also need to put in a chime on a few things raised by others here...

Yes, bipolar is hell

Yes, Lexapro is nasty

and yes, the IRS is (insert several naughty words here). I fear with the grad school endeavor, it will get worse.

Le sigh......

I've learned there are 2 tattoo active threads on Gen at this time.

I feel if you are "badass" enough to get a tat, you should be badass enough not to worry about it.

Specializes in Emergency Department, ICU.

I've been reading these for a while but haven't been a poster, but I am going to try to join in :)

1. I learned my schedule for my orientation as a brand new RN in the ED.

2. I re-learned that I am not a morning person, so this is going to be an interesting first half of my orientation starting tomorrow.

3. I am so looking forward to the rest of my orientation that will happen on NOC shift which is what I will be working.

4. I've learned that even with the best intentions, sometimes I do not get ahead on coursework like I planned.

5. I need to get back to the gym.

I'm sure I will have a TON more next week :woot:

Specializes in Emergency Department, ICU.
Let's see...

I've learned that ixchel is correct...grad school is hell and I am not even there yet. I am in the god forsaken statistics class that precedes my "hopeful, please, please, please, I'll sacrifice to any deity i can find that will let me pull this off" admission to a really awesome program.

I've learned that a graphing calculator will put a nice chink in my wall and still work afterward (see opinion on statistics above.)

I also need to put in a chime on a few things raised by others here...

Yes, bipolar is hell

Yes, Lexapro is nasty

and yes, the IRS is (insert several naughty words here). I fear with the grad school endeavor, it will get worse.

Le sigh......

ah yes, this would make my #6: The IRS will screw you even if you made way less money than last year because you were out of work for 3 months due to major surgery. Hence the old observation that The IRS may not stand for anything, it's simply already "theirs" but they added a space, just like they add space between me and my money.

Specializes in CVICU CCRN.
That sounds terrifying, for both of you. I hope things are better for you guys now.

She is, definitely. She was dx type I bipolar when she was very young. I don't blame the doc or the meds per se; med management in child and adolescent mental health is definitely more of an art than a science.

She's a young adult now. She went off her meds about a year ago after several years of good management and stability. So begins the roller coaster. However, as an adult in her 20s, she is going to have to make some decisions for herself. Removing myself (to a degree) from that situation was the scariest and hardest thing I have ever done. I hope every day that years of therapy and coping mechanisms and education will help her when the times get dark.

Also, I did the dating with pre-existing kids things prior to meeting my current spouse. It can be tough. Always easier when the new person and the kiddo like each other! :)

Before I add to the discussion, hugs (and cupcakes) to everyone here having a rough spell. I've been living with depression, anxiety and ADHD my entire life. It's only now (in my 30's) that I finally have a handle on it and how to care for myself.

Now things I've learned this week:

Neurogenic shock is harder to detect in a sedated patient on paralytics.

Diabetes plus tib/fib fracture plus hypoxia in a patient on fistfuls of psych meds equals a very strange assessment conversation.

The staff I have been working with during my senior preceptorship let me know that they really want me to come back to work with them after I graduate. Hearing that made me so happy!

It's spring break for me which means hiking, Netflix binges and finishing up projects I started last spring break. Maybe I will finally learn all the moves to the Thriller dance?

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Yes we do understand. And it's so helpful for us with these challenges to know we're not alone! (((HUGS)))

*hugs* I'm so glad I can come here & talk to everyone. I only have my husband to talk to & after awhile that gets old.

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