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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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tsva

Remeron Withdrawal Hell

15 posts in this topic

Posted

Hi there. I was surprised at the lack of posts about Remeron withdrawal. I know it's supposed to be one of the easiest ADs to come off so perhaps that's why, but as we all know, everyone's different, so here's a brief outline of my experience with it:

Was prescribed it for Glandular Fever. :flowers: Not depressed at the time but the Dr said it might help. It didn't, but I'd always been a poor sleeper, and suddenly I was falling asleep almost as soon as I took the pill and sleeping straight through the night. So I carried on taking it.

I'd always been slightly overweight but nothing major at all. I took Remeron for 4 years and HAVE BEEN TRYING TO COME OFF IT FOR THE PAST THREE!!! In those 4 years I went from mildly overweight to clinically obese to the point where I developed fatty liver disease and the Gastro told me I was so dangerously obese that I was a candidate for gastric bypass surgery on the NHS :hearts: (I'm in the UK).

I know weight-gain has been a huge (excuse the pun) problem for most of us on this med, but has anyone had weight gain this bad? And more importantly, has anyone had really bad trouble getting off this med?? Unlike some people, I found the higher dose made me more drowsy and not the other way round and I tapered so, so, so slowly. But even on 3mg (therapeutic dose being 30mg) the carb cravings are still as strong as ever, as is the daytime drowsiness - and I just can't get it off completely. Although on this incredibly low dose I find I sleep around 9 hours instead of 14 (!) as soon as I stop it completely I either don't sleep all night, or I get 2 hours max. The scary thing is that I'm not on any other med (so no stimulant side-effects), don't go near caffeine, and I'm wondering if this is actually withdrawal because it has gone on so long and has not improved one bit. I've been off Remeron for 2 months now and the insomnia is as bad as the first day I stopped! Could Remeron have done something to my brain? Is this going to be permanent? Has anyone experienced anything similar with this med?

Please help. With virtually no sleep for 2 months I feel like I'm going crazy and I've helpfully :hearts: been told by my Pdoc that I have to choose between my physical health (developing cirrhosis of the liver which is where I'm heading with my liver disease, not to mention the other 101 medical problems brought about by severe obesity) and my mental health!!! :hearts:

Tsva

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Posted

Tsva, I was hoping a more knowledgeable person might respond to your post but I don't see that you mentioned trying any other sleep aids such as something as simple as over the counter Benadryl to a prescribed med such as Ambien. Have you done so?

Hi there. I was surprised at the lack of posts about Remeron withdrawal. I know it's supposed to be one of the easiest ADs to come off so perhaps that's why, but as we all know, everyone's different, so here's a brief outline of my experience with it:

Was prescribed it for Glandular Fever. :flowers: Not depressed at the time but the Dr said it might help. It didn't, but I'd always been a poor sleeper, and suddenly I was falling asleep almost as soon as I took the pill and sleeping straight through the night. So I carried on taking it.

I'd always been slightly overweight but nothing major at all. I took Remeron for 4 years and HAVE BEEN TRYING TO COME OFF IT FOR THE PAST THREE!!! In those 4 years I went from mildly overweight to clinically obese to the point where I developed fatty liver disease and the Gastro told me I was so dangerously obese that I was a candidate for gastric bypass surgery on the NHS :hearts: (I'm in the UK).

I know weight-gain has been a huge (excuse the pun) problem for most of us on this med, but has anyone had weight gain this bad? And more importantly, has anyone had really bad trouble getting off this med?? Unlike some people, I found the higher dose made me more drowsy and not the other way round and I tapered so, so, so slowly. But even on 3mg (therapeutic dose being 30mg) the carb cravings are still as strong as ever, as is the daytime drowsiness - and I just can't get it off completely. Although on this incredibly low dose I find I sleep around 9 hours instead of 14 (!) as soon as I stop it completely I either don't sleep all night, or I get 2 hours max. The scary thing is that I'm not on any other med (so no stimulant side-effects), don't go near caffeine, and I'm wondering if this is actually withdrawal because it has gone on so long and has not improved one bit. I've been off Remeron for 2 months now and the insomnia is as bad as the first day I stopped! Could Remeron have done something to my brain? Is this going to be permanent? Has anyone experienced anything similar with this med?

Please help. With virtually no sleep for 2 months I feel like I'm going crazy and I've helpfully :hearts: been told by my Pdoc that I have to choose between my physical health (developing cirrhosis of the liver which is where I'm heading with my liver disease, not to mention the other 101 medical problems brought about by severe obesity) and my mental health!!! :hearts:

Tsva

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Posted

Hi TSVA,

It is the anti-histaminic effect that causes the sedation and the carbohydrate (more specifically sugar) cravings. And in most people, either at 30 mg. but even more likely at 45 mg. does the nor-epinepherine effect start to counter act these SE's. Especially the sedating effect. And in actuality, mirtazapine does not cause weight gain, what you eat does. But I know all too well how hard it is to ignore those cravings. Fortunately for me, at 45 mg. and subsequently at 60 mg. these craving were diminished enough to start losing weight with a bit of impulse control and some increase in my normal exercise routine. And after a short time I started to shed pounds as easily as they went on.

As far as your current insomnia is concerned, nothing will keep you awake more than your thinking about it. One gets so obsessed with the difficulty they have falling asleep, that it becomes almost impossible to do so. What I found myself doing in the past is to read or do some activity that keeps you mind off sleeping. Usually, most people will then get so sleepy they will fall asleep in situ. But when you find yourself so drowsy you can hardly keep your eyes open, go immediately to bed and think of something soothing. If you immediately start wondering if you will finally get to sleep, you probably won't.

As you stated, mirtazapine is rarely associated with severe discontinuance syndrome. But certainly, that doesn't mean that no one has ever had a hard time discontinuing them. So keep us posted, the members here on DF and care although they may not post. But they might very well be watching and if you stimulate a thought from then, they will respond.

Peace and Love.... wayne

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Posted

Hi TSVA,

It is the anti-histaminic effect that causes the sedation and the carbohydrate (more specifically sugar) cravings. And in most people, either at 30 mg. but even more likely at 45 mg. does the nor-epinepherine effect start to counter act these SE's. Especially the sedating effect. And in actuality, mirtazapine does not cause weight gain, what you eat does. But I know all too well how hard it is to ignore those cravings. Fortunately for me, at 45 mg. and subsequently at 60 mg. these craving were diminished enough to start losing weight with a bit of impulse control and some increase in my normal exercise routine. And after a short time I started to shed pounds as easily as they went on.

As far as your current insomnia is concerned, nothing will keep you awake more than your thinking about it. One gets so obsessed with the difficulty they have falling asleep, that it becomes almost impossible to do so. What I found myself doing in the past is to read or do some activity that keeps you mind off sleeping. Usually, most people will then get so sleepy they will fall asleep in situ. But when you find yourself so drowsy you can hardly keep your eyes open, go immediately to bed and think of something soothing. If you immediately start wondering if you will finally get to sleep, you probably won't.

As you stated, mirtazapine is rarely associated with severe discontinuance syndrome. But certainly, that doesn't mean that no one has ever had a hard time discontinuing them. So keep us posted, the members here on DF and care although they may not post. But they might very well be watching and if you stimulate a thought from then, they will respond.

Peace and Love.... wayne

Wayne,

I always wondered whether it was the Remeron that made me put on weight or just the extra food that Remeron made me eat !!!!!!

Like the OP, I also put on a fair bit of weight.....

Like you though, I found that the sedation thing did lessen at a higher dose.

Also, unlike the unfortunate OP, I had no problems like hes having withdrawing from it.

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Posted

"Hell" is the right word for it. I have been on 30 mg Remeron for the past ten years, I took it initially to help with sleep and pain (I have myofascial pain, a cousin of fibromyalgia). My withdrawal symptoms have been worse, I suffer "disconnections", seizure-like but not really seizures ( I had EEGs and were normal), my head feels light and confuse, then I drop for a few seconds. Insomia is terrible, I don't even get the two hours. Every time I try to get off it, it is worse, as if my body is telling me "hey, that is already part of my brain chemistry, don't remove it!". Is there a way out?

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Posted

I am 2 years off, from this terrible drug.

It causes rage, obesity, resstless leg syndrome, CFS.

Its not easy to gett off it.

There are special forums to get over this terrible drugs that cause more harm than good and is prescribed for problems that can be solved in another way.

They are prescribed for Insomnia, for Pre menustration pain, and so on, causing life long problems.

Please go to the web pages for withdrawal.

They are not allowed to be mention here.

Good luck !

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Posted

I am 2 years off, from this terrible drug.

It causes rage, obesity, resstless leg syndrome, CFS.

Its not easy to gett off it.

There are special forums to get over this terrible drugs that cause more harm than good and is prescribed for problems that can be solved in another way.

They are prescribed for Insomnia, for Pre menustration pain, and so on, causing life long problems.

Please go to the web pages for withdrawal.

They are not allowed to be mention here.

Good luck !

That's nice Roy that you are off drugs. Can you describe briefly how you are doing without drugs? How did you manage to come off them and do you have relapses?

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Posted

I am on Mirtazapine 45 mg thrice/day. The reason is for tension headache and insomnia.

Honestly, after a while, Mirtazapine's hypnotic effect does not work for me anymore. That is why I am also on Seroquel ( anti psychotics ) before bed.

If anyone is having problem with the liver function, it is best, to my opinion, is to buy a bottle of Benadryl ( the red original bottle, that contains Diphenhydramine, an antihistamine).

You can take 10 mg of it, or maybe 20 mg of it, if it works for you, as opposed to buying Unisom sleep tablet which contains 50 mg of it. I think it's too strong.

Best if you discuss with your doctor. But I think, Diphenhydramine is the oldest and safest antihistamine, and that's where PROZAC is synthesized from.

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Posted (edited)

That's nice Roy that you are off drugs. Can you describe briefly how you are doing without drugs? How did you manage to come off them and do you have relapses?

It takes a lot of will to get over it.

In my case I did it cold turkey, because he ( the DR ) was changing my AD ( remeron ) , and I have had such bad experience with others ADS , that I told to myself, its better to be depress that to feel this bad.

If I had to do it all over again, I would do it very small dosages, it lowers the time of WD.

But with so little knowledge, and the mind in such distress, I had to do it that way. Again the answer is in the WD sites in internet, not in those that praises the AD, which needed to be sued.

Mos depressionn would go away in the course of 12 weeks if left untreated.

With the damage of AD it takes 2 Plus years to get over the unbalance left by the AD.

Good Luck

Edited by roy100

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Posted

Mos depressionn would go away in the course of 12 weeks if left untreated.

I have to disagree. You may be talking about very mild cases. I went for years when I was younger with untreated bipolar depression and all that did was worsen it. I now wish I had just taken the treatment. Each depressive episode left untreated increases your chances of having another episode.

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Posted

Tsva -

I feel for you, that is really awful. I really think you need to somehow get another opinion - I don't know how feasible that is on the NHS? How can your Pdoc say something as unhelpful as that to you?

Anti-psychotics are very sedating and may work for your insomnia, they're really strong, but unfortunately they're also notorious for weight gain. Benadryl (diphenhydramine) was like water off a duck's back to me, even at 100mg, and it doesn't sound as if an over-the-counter remedy is going to dent your severe insomnia. But you deserve a Pdoc who will work with you to solve this problem. Are you able to pay for a private consultation, with someone who has more knowledge of this specific problem?

Wish you all the best.

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Posted

Hi tvsa,

I weaned myself off Avanza (which I'm assuming is the name of Remeron in Australia) 2 months ago too and am having similar problems with insomnia and was starting to question whether i would ever sleep normally again. I had really bad insomnia with my depression when I started on the AD and was really scared that i was getting ill again. Good to know I"m not alone in this. I've had alot of trouble finding info on the withdrawal side effects of this drug and this is the first forum I've found dealing withis issue. I have been taking a combination of different sleeping tablets both herbal and chemist - not at the same time though. I think the post about the anti-histamine component is a good point as I was thinking along similar lines.

i can't believe your doctor put you on this drug. As for me I think it saved my life as I was way ill and probably wouldn't be here today. that said I'm currently very well and I think I will persevere with the sleeplessness as i would rather be AD free and it scares me to think of the long term effects.

let me know how you're getting on

Imkowalski

Hi there. I was surprised at the lack of posts about Remeron withdrawal. I know it's supposed to be one of the easiest ADs to come off so perhaps that's why, but as we all know, everyone's different, so here's a brief outline of my experience with it:

Was prescribed it for Glandular Fever. :flowers: Not depressed at the time but the Dr said it might help. It didn't, but I'd always been a poor sleeper, and suddenly I was falling asleep almost as soon as I took the pill and sleeping straight through the night. So I carried on taking it.

I'd always been slightly overweight but nothing major at all. I took Remeron for 4 years and HAVE BEEN TRYING TO COME OFF IT FOR THE PAST THREE!!! In those 4 years I went from mildly overweight to clinically obese to the point where I developed fatty liver disease and the Gastro told me I was so dangerously obese that I was a candidate for gastric bypass surgery on the NHS :hearts: (I'm in the UK).

I know weight-gain has been a huge (excuse the pun) problem for most of us on this med, but has anyone had weight gain this bad? And more importantly, has anyone had really bad trouble getting off this med?? Unlike some people, I found the higher dose made me more drowsy and not the other way round and I tapered so, so, so slowly. But even on 3mg (therapeutic dose being 30mg) the carb cravings are still as strong as ever, as is the daytime drowsiness - and I just can't get it off completely. Although on this incredibly low dose I find I sleep around 9 hours instead of 14 (!) as soon as I stop it completely I either don't sleep all night, or I get 2 hours max. The scary thing is that I'm not on any other med (so no stimulant side-effects), don't go near caffeine, and I'm wondering if this is actually withdrawal because it has gone on so long and has not improved one bit. I've been off Remeron for 2 months now and the insomnia is as bad as the first day I stopped! Could Remeron have done something to my brain? Is this going to be permanent? Has anyone experienced anything similar with this med?

Please help. With virtually no sleep for 2 months I feel like I'm going crazy and I've helpfully :hearts: been told by my Pdoc that I have to choose between my physical health (developing cirrhosis of the liver which is where I'm heading with my liver disease, not to mention the other 101 medical problems brought about by severe obesity) and my mental health!!! :hearts:

Tsva

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Posted

i read all da posts & i agree & respect & recommend them all

but honestly

regarding remeron

in my case & condition

it haz been the best med. ever

plz im not talkin abt da withdrawal symptomz

remeron rescued me

i wuz in a vry bad place

i am now back 2 normal

yes da withdrawal symptomz r da worst

vry hard 2 get thru

but u gota keep ur mind off it n keep urself buzy

remeron wuz def. worth it, 4 me

i duno wut i wud hav done without it

it helped me alot n cured me frm unipolar disorder

it fixed,healed,changed,improved,& restored me

it lifted up my mood my dayz my life

i now smile, laugh, eat, sleep, talk

i socialize, work, enjoy evrythn n evry1 around me

i will mis it

i cnt thank my doctor enuf

ive nvr felt better

i wish evry1 in pain health

i wish evry1 da end of depression

& i wish evry1 wut i wish 4 myself & more

REMERON thank u

u successfully saved me

c=

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Posted

Hi lara14x and Welcome to DF,

Wow, it's really good to hear that you have had such a wonderful experience with Remeron. I'm glad it has worked well for you.

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Posted

here i am

a month n half away frm my previous post

3 months away frm takin any remeron pill

n after feelin higher n hapier than evr

i now seem 2 be havin my 3rd relapse lol

so i plan 2 find a new med. cz

i wasted 4 yrz with remeron

2 cure unipolar disorder & yet no recovery

sori evry1 i apologize deeply

hop thingz r goin better 4 otherz tho

ya i rly do (=

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