Venlafaxine significantly improved my autistic symptoms, confidence, and social anxiety, but I experienced severe withdrawal after stopping it. Should I consider taking it long-term?
Hi everyone. I'm 21 years old and have Asperger's syndrome (autism).
About a year ago, I took venlafaxine (37.5 mg) for five months. During that time, I experienced the biggest improvement in my confidence, social skills, mental sharpness, energy, and overall ability to function that I had ever experienced in my life.
I felt more confident, could express myself without losing my train of thought, and was much more socially comfortable. Almost all of my autism-related difficulties seemed to become significantly less noticeable.
Unfortunately, after five months, I stopped taking the medication abruptly, which led to severe withdrawal symptoms. I've now been off venlafaxine for about a year, and unfortunately, all the positive effects I experienced have disappeared.
Currently, I struggle with severe social anxiety. When I make eye contact with people on the street, my heart starts racing, I sweat, and I become extremely anxious. If someone suddenly calls my name or approaches me unexpectedly, I lose my composure and struggle to respond naturally. I've also lost the mental sharpness, confidence, and social flexibility I used to have. I often become indecisive and lose my train of thought while speaking.
I experienced something similar when I was 14. My doctor prescribed fluoxetine (60 mg), which I took for three years. I eventually stopped taking it because I had reached a weight of 95 kg. After discontinuing it, I developed even more severe symptoms than I currently have, including intense heart palpitations and such extreme anxiety that I could barely look outside my window at home.
Although my current condition isn't as severe as it was back then, I'm considering restarting venlafaxine under my doctor's guidance.
However, I'm concerned that if I start taking it again, I might need to remain on it for many years or possibly for the rest of my life. I don't know whether long-term antidepressant use is the right approach for me.
I'd really appreciate hearing from people who have had similar experiences, particularly those with autism and social anxiety.
- Have antidepressants like venlafaxine genuinely helped you with autistic-related social difficulties, confidence, and mental sharpness?
- If medication is effective, is long-term or even lifelong use sometimes necessary?
- Are there alternative treatments for autistic people with severe social anxiety that can be as effective as antidepressants?
- How much can a psychologist or autism-informed therapist help with these difficulties? Can therapy significantly improve social confidence, anxiety, and the ability to think clearly in social situations without medication?
- Has anyone experienced a similar loss of confidence, mental sharpness, and social functioning after discontinuing venlafaxine or fluoxetine?
I'm particularly interested in hearing about real-life experiences, including both medication and non-medication approaches.
Thank you for taking the time to read my post.