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by Sizlak 5495 days ago
Drugs can be helpful, but it's important to find a good doctor first. A lot of doctors will just try lots of different meds and see what sticks. When you're dealing with toenail fungus, that's ok, but when it's your brain, the result can be catastrophic. And if the drugs turn out to be wrong, getting off can be a nightmare. Google "brain shivers" for a good example. In my case, CBT has been a much bigger, more lasting help.
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I cannot overstate how important this is. I had a doctor hand out pills like candy and the brain shivers are devastating (I've had them for about 8 days on my way off Pristiq). All kinds of therapy are roughly equivalent in efficacy (I don't have the citation on this, but I believe it was on HN a couple weeks ago), but the most important part is finding someone you can trust.

My psychiatrist is now fired after playing games with my brain and missing some pretty obvious calls, but my therapist is indispensable.