in reply to @kelvinthomas Thank you very much. I am working on tapering from 37.5 mg downward. I tried weighing the small "pebbles" inside the capsule on my kitchen scale, but they did not register. My next option will be to add them to a 1/4 teaspoon and try to decrease a little each day. Interestingly enough, I am still having nightmares, even when I went back to the 37.5 mg, ones that I wish I did not remember, as they are so real and relate to the recent horrible experience of a couple of weeks ago. I did discuss all of this with my psychologist who also is a MD, and she cautioned me to go very slowly because this medication is "all time awful." I had no idea that at one time it was pulled from the market, and suppose I should not be surprised that my doctor prescribed it in the first place. I know I no longer have a "chemical imbalance" in terms of my depression, as it is primarily the consequences of living with a chronic, incurable illness, When I tapered from the 150 mg to 112.5 mg I had no serious side effects, just sort of feeling "out of it" for the first week or so. After a few weeks I went down to the 75mg as described on this platform, then finally to the 37.5mg where I am at present. Yes, I am still young, but even still, I feel the relevance of coping with my ever changing physical maladies, if you will. I am still determined to remain strong and active as I possibly can, even if it makes me feel worse on some days. I really wish sometimes I were wired to curl up in a ball and feel what people have called, "immobilized." But I just cannot give in. Doctors understand so little today as it is, and I have found a way to navigate the system to the best of my ability, even if that means going against the advice of my doctor. Thank you for telling me about the nightmares, as I have never experienced such vivid ones in the past that actually wake me up.