The theory behind the problem. Please note that my research has also been taken from Dr Peter Breggin, Professor David Healey, Professor Helen Fisher, Dr Ann Blake Tracey, Professor Lardi, Robert Whittaker and many more esteemed professionals. Also note that clinical trials of these drugs last only 12 weeks for approval. When you CT or taper the brain has to regrow neuro Transmitters that the brain has closed down to try to balance the hormone imbalance caused by these drugs. The whole serotonin issue of depression has virtually been debunked. Everyone is different and it is the consistency of hormones that make a person who they are. I could write about this for hours but will leave you with this for now. I am not saying our spouses are not having MLC I am saying that it is the meds they may initiate the feeling of wasted life and no feelings toward the spouse. Still the same problem to deal with but if they stay off the meds it may facilitate recovery. Maybe this is the difference between returning and not. If the MLCer stays on the drug then they can not progress as they are stuck in a rut of numbness. Ever thought how meds have helped the LBS deal with it. By numbing emotions so we do not care. Can you see how this may drive some of our spouses behaviours? This is not my article by the way.
Why they walk away
Over the past few years I have heard numerous stories about relationships abandoned while someone was either on an SSRI / SNRI or during withdrawal. I have thought about this untold hours and I’m going to try sharing those thoughts here.
I want to be very clear that this is not directed at anyone and I am in no way being judgmental.
The Beginning
It all starts innocently enough when someone has gone to the Dr for an ailment, any ailment but for this exercise we’ll say anxiety. They get a prescription for one of the medications known as SSRI’s or SNRI’s which are a type of antidepressant. They get the usual blather about how safe they are and how effective they are along with a stern warning about how they can cause dry mouth, nausea and a feeling of sleepiness. These drugs include Paxil, Prozac. Lexapro. Celexa, Zoloft, Effexor and Cymbalta.
The unsuspecting victim gets the prescription filled and because they were reassured about the safety from the Dr they don’t purchase a microscope to read the insert that comes with the medication.
They begin taking the medication and before long they have changed but it’s a very slow change. Changes that are barely noticeable in the beginning, starting with an anger outburst or an out of character comment.
When frontal lobe syndrome occurs symptoms such as Apathy, indifference, loss of initiative, becoming indifferent toward work performance, exhibiting impulsive and disinhibited behavior, or developing poor concentration and forgetful behavior (Hoehn-Saric et al. 1991). may be present.
The inability to feel good or satisfied may be missing due to a reduced dopamine level. The activities they once enjoyed no longer light their fire. You see for every incremental increase in serotonin levels there is a corresponding decrease in the level of the neurotransmitter Dopamine that allows us to feel reward or satisfaction. The big sale or other achievement won’t feel right, it won’t be enough. The cuddle at night may become meaningless.
Some will become manic. Mania includes but may not be limited to such things as
• increased energy, decreased sleep
• overly irritable
• fast emotional changes
• inflated self-esteem
• increased sexual drive
• overspending
• poor judgment
The retrospective study I read says that slightly less than 9% will experience mania as a side effect of these drugs. A report on Fox News today said there are 30 million people in the US on these drugs at any one time and that 5% are manic or psychotic. Psychotic just means they have lost touch with reality. Perceived feelings begin to emerge which often times include blaming their significant other for everything bad that has ever happened or for things that never happened. The phone call just to see how they’re doing that was once viewed as sweet or considerate is now viewed as “checking up on me”
With that being the case and with more than half being women or girls it doesn’t take much reasoning to figure out what happens when they experience an increased sex drive, become disinhibited and exercise poor judgment. I use women here as the example merely because it’s much easier for them to act out sexually than it is for men. That however in no way precludes men from engaging in this type behavior for the exact same reasons.
It has also been reported in trial data that some people will actively pursue such things as pornography when they never were inclined to do so before. These are all things that may be outside “their normal behavior” Keep that simple phrase in mind “their normal behavior” it’s the key to understanding what has happened or is happening now.
Some will say at this point that sex had nothing to do with MY decision. The sexual scenario was just an example. The out of character behavior can and does come in virtually any form including but in no way limited to excessive spending, gambling, vivid violent dreams directed towards the loved one that create a fear of what you might do and the list goes on.
Soon with the help of the drug they begin to rationalize what they’ve done. Believing these new activities feelings and fears are really who they are and what they want they simply walk away from their previous life to pursue the perceived utopian existence they have discovered under the numbing mind altering influence of their medication.
Having rationalized they begin to feel threatened. Their secrets aren’t safe, so now what? The hard wired survival mechanism known as fight or flight kicks in.
Fight or flight
What is the "fight or flight response?"
This fundamental physiologic response forms the foundation of modern day stress medicine. The "fight or flight response" is our body's primitive, automatic, inborn response that prepares the body to "fight" or "flee" from perceived attack, harm or threat to our survival.
What happens to us when we are under excessive stress?
When we experience excessive stress—whether from internal worry or external circumstance—a bodily reaction is triggered, called the "fight or flight" response. Originally discovered by the great Harvard physiologist Walter Cannon, this response is hard-wired into our brains and represents a genetic wisdom designed to protect us from bodily harm. This response actually corresponds to an area of our brain called the hypothalamus, which—when stimulated—initiates a sequence of nerve cell firing and chemical release that prepares our body for running or fighting.
What are the signs that our fight or flight response has been stimulated (activated)?
When our fight or flight response is activated, sequences of nerve cell firing occur and chemicals like adrenaline, noradrenaline and cortisol are released into our bloodstream. These patterns of nerve cell firing and chemical release cause our body to undergo a series of very dramatic changes. Our respiratory rate increases. Blood is shunted away from our digestive tract and directed into our muscles and limbs, which require extra energy and fuel for running and fighting. Our pupils dilate. Our awareness intensifies. Our sight sharpens. Our impulses quicken. Our perception of pain diminishes. Our immune system mobilizes with increased activation. We become prepared—physically and psychologically—for fight or flight. We scan and search our environment, "looking for the enemy."
When our fight or flight system is activated, we tend to perceive everything in our environment as a possible threat to our survival. By its very nature, the fight or flight system bypasses our rational mind—where our more well thought out beliefs exist—and moves us into "attack" mode. This state of alert causes us to perceive almost everything in our world as a possible threat to our survival. As such, we tend to see everyone and everything as a possible enemy. Like airport security during a terrorist threat, we are on the look out for every possible danger. We may overreact to the slightest comment. Our fear is exaggerated. Our thinking is distorted. We see everything through the filter of possible danger. We narrow our focus to those things that can harm us. Fear becomes the lens through which we see the world.
We can begin to see how it is almost impossible to cultivate positive attitudes and beliefs when we are stuck in survival mode. Our heart is not open. Our rational mind is disengaged. Our consciousness is focused on fear, not love. Making clear choices and recognizing the consequences of those choices is unfeasible. We are focused on short-term survival, not the long-term consequences of our beliefs and choices. When we are overwhelmed with excessive stress, our life becomes a series of short-term emergencies. We lose the ability to relax and enjoy the moment.
Over time many medicated partners will file for divorce. Not realizing the thing that changed was the delicate balance in their brain caused by the drug. Believing with all their heart and soul that they are in control of their feelings and finally doing what they want in their life.
By now you may be thinking if all this is true, then why are they seemingly so happy and content with the new life. The answer to that is simple. It’s because it’s new and never before experienced and because of that it can elicit a Dopamine response when the old ways couldn’t. Not because it’s better, simply because it’s new.
Let’s fast forward just a bit. Now we’ve gotten to this point the excitement of the new life and in some cases the new partner begins to wear off. The shine tarnishes and the spark cools. The drugs are now out of their system and they’ve done some healing and the decisions they made and their current situation don’t make as much sense as they once did. Maybe some feelings that were believed to be gone are beginning to sneak back into the picture.
While just going back and trying to work things out might be the obvious step it isn’t that easy. Even if the person now realizes it was the drugs and most won’t at this point the situation is very complex. Now you have someone that walked away from the people they loved and who loved them but they question why did I leave, why did I think those things are they really how I feel? How do I know that what I feel now is real?
If that isn’t enough there are also feelings of shame, embarrassment, wondering how anyone could forgive what happened. Financial and legal problems health concerns and the list could go on.
If the person returns it will only be after they have completed the necessary journey. For some this may only take a few days and it’s done. For others the journey will be longer with twists and turns that may include divorce and even getting married to someone else. The journey like the little pills that set the whole thing in motion is unpredictable and unique to each individual.
How does a couple overcome all of this?
First both people have to understand it was the drug that caused the behaviors and actions.
For the jilted partner this is simply not the time to let macho or feminist attitudes control your thinking. This is the time to remember your wedding vows. For better or for worse for richer or poorer in sickness and in health. If you were never married but made a commitment, if you really loved the person, the same applies.
How much should you be required to give or how long do you hang on to the hope that the love of your life will return? In my mind the answer is simple, how long would you want them to wait if the situation were reversed? They deserve at least that much time.
Now for those that walked away. Please don’t let pride stand in the way of what could be the best thing to ever happen to you. Consider how much the other person must love you to have fought for your return. Please don’t pass up the chance to be rejoined and happy again. The chance to see how the things you had dreamed of turn out. The chance to dream new dreams together and for life to be better than it has ever been before. I would beg of you to make the contact. Have no doubt that those who loved you before will love you again. By the time it’s gone this far the outcome may be up to you, Please ask. In many cases there will be no apologies expected no details to relive. In many cases a phone call or email that simply says something like I miss you ad want to come home will be more than enough.