saw a great psychiatrist 20 years ago when I was depressed with back injury got better withb3 months of seroxat . Reinjured sacroiliac joint in 2017 and couldn't restart seroxat as it made me feel sick . Psychiatrist put me on Mirtazapine , despite knowing SSRI had got me better before and that I was feeling suicidal .... didn't tell me it could worsen suicidality - worst antidepressant for suicide- or that it could cause severe anxiety and worsen depression . All these thing happened and I'd never felt so terrible NICE says First line drug is SSRI and Mirtazapine is 3rd line . I told I was suicidal and anxious 24/7 and he upped the dose - should have switched as it was making me worse after 4-6 weeks . I didn't realise it was the drug , thought it was all due to my back .... psych walked away after 4 months telling me the pain was in in my head , despite having it diagnosed and treated intermittent for 26 years ! Ended up on it for 18 months , so anxious and suicidal I was desperate and couldn't make proper decisions ....and had a sacroiliac fixation op in June 18 whichshouldnt have been recommended as it doesn't work ! . I was osteoporotic and hammering rods in caused multiple stress fractures in pelvis , sacrum and lumbar spine , have been bedridden and in agony since the op which failed totally . Still on drug post op and realised op hadn't worked , still anxious and suicidal , attempted suicide 2x as could barely walk twice a day , ended up sectioned in Feb19 and finally was switched to Sertralinev( SSRI ) in 6/weeks I felt better, no longer suicidal or anxious - so it was the Mirtazapine !, I then didn't know why I'd had the surgery on such a weak back and if been on Sertraline earlier I'm sure I would not have had a back op which has totally destroyed my mobility with no hope of walking again as rods can't be taken out ... spine now collapsing and hips hhave stress fractures ...... I feel the psychiatrist was negligent , I had 18 months of mental hell and decided to have surgery in my desperation to feel better and walk . When I complained about his treatment he said it was appropriate !!? And has now retired
My sister has BPD and took Mirtazapine for 16 years ,I told her re serious side effects as she is suicidal when down and she realised she'd only felt suicidal since starting that drug . She's stopped it and feels better ! She was never warned re side effects and feels sad as her marriage failed and she feels she could have been better Ona different drug .
I do wonder if the psychiatrists actually know about the side effects of what they prescribe , do they read the guidelines , I feel this doctorS treatment was appalling . Sadly I'm in so much pain ! Can't walk and feel I have to ctb now as I don't want to be like this for 20 years .... Because I'd seen a good psychiatrist I assumed they were ok but they can definitely ruin lives .
sorry for venting!
Also they don't believe in rational suicide and assume you are depressed , we are so far behind the Swiss