How starting Paroxetine changed my life
(Trigger warning: Anxiety, Self-harm, Suicide, Medication)
Ever since I can remember, I’ve been an anxious girlie. Through life experiences and constant societal pressures, compounded with some spicy genetics (thanks Mum and Dad), as I grew up so did my propensity to anxiety.
What I didn’t realise was that it didn’t matter how much I moved my body to release stored trauma. No amount of yoga, running, weightlifting would ever shift the heavy ball in my chest. My breaths were constantly shallow, and so were my cyclical thoughts, which never shifted out of 1st gear.
I’d always second guess myself in social situations, overanalysing what I had just said, the perspectives that others might glean from my behaviour, the way I was holding my body, what I was doing with my hands. I would go home anguishing over every irrelevant detail. I’d still go out but get overwhelmed, preferring to return home and tuck myself into bed; or worse still, get too drunk to remember what I’d done and wake up with the dreaded hang-xiety. I was stuck ruminating and not really living.
At the start of lockdown, I was back home from my second year at university. My parents had to collect me from Manchester Hospital. I had taken an overdose. At this point, I was self-medicating with alcohol, at my wits end with the health care system and unable to ask for help. My friends and family didn’t know what to do and neither did I.
What followed were several years of talk therapy, me being a massive dickhead and trialling several medications. One psychiatrist thought that I might have Bipolar type 2 and started me on a medication to treat it. The medication was so strong, I ended up staying awake for a week and chatting to God, in the blue light of the Microwave’s digital clock at 3 in the morning. I’d often sit in my fifth-floor window, dangling my feet over the edge of the sill; images of me falling and cracking my pretty little head like an egg on the ground flashing into my mind. Not a lot had changed, except that I knew I didn’t really want to die.
Citalopram made me feel wired, Sertraline genuinely made me feel like I was dying – and for the love of God do not ever get that tiny pill stuck in your throat (thanks Dad for rescuing me with the Gaviscon at 12 in the evening), Cognitive Behavioural Therapy did nothing for my sassy self. But I worked hard to be functional. Functionally depressed. Functionally anxious. Rarely self-harming, rarely blacking out. But I was not pleasant to be around. My friends were becoming few and far between. I’d started a new job several years after I almost lost my battle with my mental health and knew something had to give, so I hauled ass to my GP and was pleasantly surprised that it was a good experience.
My anxiety had skyrocketed since I’d contracted COVID in November of 2023. I was having panic attacks and migraines every day. I’d put blankets up on my windows and was living like a recluse. I was having OCD-like spirals in front of my partner and scaring myself. My therapist suggested medication. My doctor suggested Paroxetine. I was a little hesitant. But I popped the pills. A low dosage to start with. Just 10mg. The pill was supposedly meant to help with symptoms of Premenstural Dysphoric Disorder, and after tracking my cycle with my therapist, seemed like a key contender in my mood swings.
Paroxetine is an oldie, but goldie in the world of SSRI’s. Really rough on the withdrawals (I’m talking headaches, night sweats, night terrors, anxiety, suicidal ideation, even after skipping a dose – had to learn the hard way). It can be used to treat depression, OCD, Panic Attacks, Anxiety and PTSD [1]
Two months on Paroxetine (brand name Paxil or Seroxat) and I am working full time, making new friends, a better cat mum to my baby Pluto and that ball in my chest is slowly shrinking. I wake up on time, go to bed on time, and I’ve recently taken up swimming, and have plans to meet an old bar colleague to go horse riding. I’m all round more pleasant to be around. I can laugh and joke without overanalysing, and my relationship has gone from strength to strength. Life is… good.
Hindsight is 20/20. I can now see how much depression and anxiety warped my reality. How it made me think I had some special ability to see the world for what it truly was. Shit. It told me the ‘truth’. That everything was bleak, that I was untalented, the world is relentless, and I can’t take the beatings. Then 10mg of paroxetine, some good old support from my peers, family, friends, and some good old challenging of my inner critic and suddenly I’m… happy? You guys feel like this all the time?
Yesterday I had a panic. What if I’m manic? What if I’ve been diagnosed incorrectly and the 10mg of Paroxetine coursing through my body is entering me into a manic episode! I then got tired and went to bed at 11pm to start work today fresh faced and ready to go again. I went swimming at my local Nuffield Health and reconnected with an old classmate’s mum. I realise now how much I have missed out on.
The taboo of medication, both societal and internalised stigmas, can prevent recovery. It should not be a secret that I need a little support by way of medication to lead a fulfilling life. Mental health is health, full stop. Had I been shown the light (paroxetine) at 14 years old, I would have saved 10 years of living in survival mode. But I still did it.
Thanks to the amazing staff at the Manchester Hospital for saving my life and making sure that I didn’t run away, my gorgeous friends that I lived with at 37 Landcross Road, Tatty Palace for seeing me through recovery, EB my bestie, my current GP, my partner and God Bless the NHS!
Disclaimer: The information provided in this article is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your General Practitioner or a qualified mental health provider with any queries or concerns that you may have regarding yours or anyone else’s medical or mental health concern. If you are in crisis, please call 999 (UK) or an emergency line immediately.
Resources for Mental Health Support
If you or someone you know is struggling with mental health issues, here are some resources that can provide support:
National Suicide Prevention Lifeline (USA)
Phone: 1-800-273-TALK (1-800-273-8255)
Website: suicidepreventionlifeline.org
Available 24/7 for confidential support.
Website: crisistextline.org
Free, 24/7 support via text message.
Samaritans (UK and Ireland)
Confidential emotional support for people experiencing feelings of distress.
24/7 crisis support and suicide prevention services.
Website: kidshelpphone.ca
24/7 support for youth through phone and text.
Mental Health America (MHA)
Resources and tools for mental health support and advocacy.
Information and support for mental health issues.
Website: beyondblue.org.au
Support for anxiety, depression, and suicide prevention.
Remember, reaching out for help is a sign of strength. If you are in immediate danger, please call emergency services or go to the nearest emergency room.
[1] NHS – About Paroxetine