Hello Mike,
I am going thru something similar as you, only I've been on Prozac instead of Zoloft. And I've had "bad" thoughts such as yours for many years, before ever even taking an antidepressant. I've never acted on these thoughts, because I know that they are wrong. But just having them makes me feel like I am a "bad" person and unworthy and also guilty. I have battled depression for years, but never got on medication until in my 30's (I'm 48 now). Two years ago I was diagnosed with Generalized Anxiety Disorder, with resulting depression, and just last year I was diagnosed with Obsessive-Compulsive Disorder. My dr. told me that the "bad" thoughts could be a result of the OCD. I was immediately put on Prozac, and gradually worked up to 80 mg a day, which is recommended for treatment of OCD. It really helped with the depression and some of the intrusive thoughts, but I notice that I still get very anxious and stressed out, and just a few days ago my therapist suggested that perhaps I have a mild form of bipolar disorder. I had been tapering off the Prozac for about 4 weeks now, and was down to 40 mg a day when I had a "manic" episode this past Wednesday at work. I took .5 mg of Ativan (anti-anxiety med) to help calm me down, then in another hour or so I took another .5 mg. The Ativan did help me calm down, but I experienced a "blackout" for a period of about an hour. I absolutely cannot remember what happened during this period, but I was awake and "functioning."
Anyway, sorry this is so long! But I thought it might help you. When I saw my therapist the day after the blackout, she told me to immediately call my psychiatrist to let her know what was going on. I was starting to feel like I was really going crazy, mostly because of the blackout and the earlier manic episode (which really isn't new to me--have been that way for years but never thought it was anything to be taken seriously). I was told by my doctor to come in this Tuesday. I think I am going to be tested more thoroughly. I don't think any doctor has come to the bottom of my mental problems, but I think my therapist has come the closest. And sometimes I think with the right knowledge, we can diagnose ourselves better than a stranger can. Of course I don't know for sure, but I believe (and this is just in the past few days) that I have bipolar disorder, generalized anxiety disorder, OCD, and also (and this is scary to admit to myself) schizophrenia. I might be wrong about the latter, but a lot of times I believe there are at least two people inside of me. However, I think that all of these disorders that I might have are "mild." I don't think I am extreme in any of them, or I am sure I would have been diagnosed many years ago.
Medications can certainly make you feel like you are going crazy. When I see my psychiatrist on Tuesday I am going to tell her that I still want to get off the Prozac (she told me to immediately get back to taking 80 mg of Prozac until I see her on Tuesday--even though I was still taking 40 mg I think I was going thru withdrawal of some kind). I want to "start with a clean slate" and go from there. I have a feeling I might be getting on some kind of mood stabilizer, and maybe even something similar to what you are taking (anti-psychotic med). Do you find that is helping yet with your bad thoughts? Or is it too soon to tell?
Take care,
Linda |