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why is this happening to me

Posted by masoudmohammad @masoudmohammad, Jul 28 3:59pm

I’m a 31-year-old male (180 cm, 110 kg) with anxiety, panic disorder, and derealization since a sudden panic attack on March 11, 2024. Medical tests were normal. I tried cannabis once (2 months prior), had a panic reaction, and never used it again. Diagnosed with depression and GAD. Treated with citalopram (up to 40 mg, partial response), then bupropion (up to 300 mg). Panic attacks stopped after 6 months, but anxiety, insomnia, depersonalization, and intrusive suicidal thoughts remained. Citalopram was stopped; started sertraline 50 mg in Dec, increased to 150 mg in March. Bupropion was later stopped. After 4 months on sertraline 150 mg, I still have intrusive suicidal thoughts, derealization, identity confusion, and emotional detachment. I live in social isolation, gained 25 kg, and take supplements (Omega-3, magnesium, D, K2, B12, probiotics). I do CBT exercises, but relapses continue.
Should I stay on sertraline? Do I need augmentation or a med change?

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pml | @pml | Jul 30 5:26pm
In reply to @masoudmohammad "Thank you for your kind words @pml . Unfortunately, I do not know the reason for..." + (show)
Profile picture for masoudmohammad @masoudmohammad

Thank you for your kind words @pml . Unfortunately, I do not know the reason for these thoughts. I have stopped all nutritional supplements and vitamins, perhaps because of them, but I am not sure of that. Before using antidepressants, I never thought about suicide, despair, or anxiety, but after using them, all these problems happened.

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Hi,
You need to talk to your doctor about the antidepressants and how they may be affecting you. Also since you stopped taking your vitamins do a search for the foods that would have those vitamins and minerals in them and eat those foods that you like. Natural foods with vitamins are better for you than taking vitamins in a pill form anyway. Your body is dealing with some issues and it needs all the help it can get.

Don't even consider suicide. Suicide doesn't always work. You could just end up paralyzed for life or very sick. When you have those suicidal feelings just ask God for help. You don't have to make a formal prayer. Just say, "God, please help me!" God knows all about you and your problems. He made you so he can fix you. Also he loves you and doesn't want you hurting yourself.

You sound like a very nice person! I'm glad you found this website. People on here are very helpful. I know they helped me a lot when my husband died a year ago.
I'll say a prayer for you. I'm sure things will get better for you.
PML

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masoudmohammad | @masoudmohammad | Jul 30 6:35pm
In reply to @pml "Hi, You need to talk to your doctor about the antidepressants and how they may be..." + (show)
Profile picture for pml @pml

Hi,
You need to talk to your doctor about the antidepressants and how they may be affecting you. Also since you stopped taking your vitamins do a search for the foods that would have those vitamins and minerals in them and eat those foods that you like. Natural foods with vitamins are better for you than taking vitamins in a pill form anyway. Your body is dealing with some issues and it needs all the help it can get.

Don't even consider suicide. Suicide doesn't always work. You could just end up paralyzed for life or very sick. When you have those suicidal feelings just ask God for help. You don't have to make a formal prayer. Just say, "God, please help me!" God knows all about you and your problems. He made you so he can fix you. Also he loves you and doesn't want you hurting yourself.

You sound like a very nice person! I'm glad you found this website. People on here are very helpful. I know they helped me a lot when my husband died a year ago.
I'll say a prayer for you. I'm sure things will get better for you.
PML

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Thank you for your advice. You are, quite frankly, a very wonderful person. I am trying to control myself and I do not want these thoughts. They come against my will. You are also a kind person and I am happy with the people who have a heart like yours here on this site.

Masoud

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pml | @pml | Jul 30 7:47pm
In reply to @masoudmohammad "Thank you for your advice. You are, quite frankly, a very wonderful person. I am trying..." + (show)
Profile picture for masoudmohammad @masoudmohammad

Thank you for your advice. You are, quite frankly, a very wonderful person. I am trying to control myself and I do not want these thoughts. They come against my will. You are also a kind person and I am happy with the people who have a heart like yours here on this site.

Masoud

Jump to this post

You are welcome and thank you for the kind words! You will get through this and everyone on Mayo Connect will all help you to do so! Can you talk to your parents about this? I know as a Mom, I would want to know if my son was having some problems like you are. It's good that you don't want to have thoughts of suicide and you are trying to control them! That is proof that you are a good person and will be OK! Also, you are only 31. You have your whole life ahead of you with all the wonderful things to come in it!
I wish you the best and will keep praying for you.
PML

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