Up until this June, Id been taking an antidepressant called Zoloft for about 8 years and 10 months of the preceding 9 years. The fact that Im no longer taking Zoloft is an accident of history: I had a lot of trouble obtaining The first 3 weeks without Zoloft were difficult. I experienced severe withdrawal symptoms (especially within the first 5 days). After a month went by, something interesting happened: the compulsive shopper in me which for almost a decade had fed my addiction for pro-audio equipment and computer accessories just up and died! It was like, despite the fact that I was more broke than Id ever been, for the first time in as long as I could remember, financial security was on the horizon. You may be wondering how could a drug prescribed to alleviate depression have any impact on your spending habits? This is a good question for someone who (like myself) has been on both sides of Zoloft treatment. Based on my experience, while Zoloft can keep you from getting majorly depressed, it also has the unfortunate tendency of preventing you from feeling genuine happiness or joy. Dear Editor: Discontinuing selective serotonin reuptake inhibitors (SSRIs) may induce a syndrome wherein the main neuropsychiatric symptoms are dizziness, shock-like sensations, anxiety, irritability, agitation, and insomnia. These symptoms usually develop 1 to 7 days after either abrupt or gradual discontinuation (13). Antidepressant discontinuation may also induce mania, mainly reported with tricyclics and monoamine oxidase inhibitors (MAOIs) but also observed with SSRIs (4). Acute psychosis has been reported in previously nonpsychotic patients following abrupt discontinuation of the MAOI phenelzine (5). Biological mechanisms may be cholinergic overdrive activating monoaminenergic systems (6) or a hyposerotonergic state arising from SSRI-induced postsynaptic serotonin receptor desensitization coupled with increased serotonin reuptake after discontinuation (7). I report the case of a patient diagnosed with bipolar disorder II (BD II, depression and hypomania alternating) according to DSM-IV criteria. This patient had a first episode of psychotic mania soon after rapid discontinuation of sertraline.
Bipolar disorder is a mental illness where people experience extreme shifts in mood: episodes of depression followed by manic episodes. Bipolar disorder affects more than 5.7 million American adults, according to the Brain & Behavior Research Foundation. If you have this disorder, you’ll probably need professional medical treatment. Doctors often prescribe medication as a part of the treatment plan for bipolar disorder. One of the most commonly prescribed medications is the antidepressant sertraline (Zoloft). Hypomania is a less severe form of mania that can affect some people. There are no blood tests or brain scans that can be used to diagnose bipolar disorder. You may also have a mixed state of bipolar disorder where you experience mania as well as depression at the same time. You may also have psychotic symptoms such as hallucinations and delusions. Your doctor will look for any symptoms of the disease to make a diagnosis. Some people with bipolar disorder are misdiagnosed with other mental illnesses, such as schizophrenia. Instead, doctors focus on treating the symptoms of the disorder. The underlying psychological cause often influences the type of psychotic episode someone experiences. For example, a person with bipolar disorder is more likely to have grandiose delusions. Someone with depression or schizophrenia is more likely to develop persecutory delusions. Alcohol misuse and drug misuse can trigger a psychotic episode. A person can also experience a psychotic episode if they suddenly stop drinking alcohol or taking drugs after using them for a long time. It's also possible to experience psychosis after drinking large amounts of alcohol or if you're high on drugs. Drugs known to trigger psychotic episodes include: In rare situations, psychosis can also occur as a side effect of some types of medication or as a result of an overdose of that medication. Never stop taking a prescribed medication unless advised to do so by your GP or another qualified healthcare professional responsible for your care.
Bipolar disorder is a mental illness where people experience. Zoloft is effective in treating depression, but it can have some side effects. Medical problems that can cause psychosis include Alcohol and certain illegal drugs, both during use and during withdrawal; Brain diseases, such as Parkinson disease