switched to celexa - now feel totally "out of it"

after a major episode this weekend i came to the conclusion that the zoloft just does not seem to be helping me anymore and so i filled the celexa script i got a few weeks ago (along with the buspar and ativan) and started taking it all saturday. i did sleep for basically all day saturday and much of sunday, but when i finally was up for a while i realized that i still felt very out of it. and i still do today. almost like i am staring through things and just kind of getting lost in my thoughts. i just don't feel right. and there's a little bit of a feeling of disorientation i guess as well. i thought it was the buspar at first, called the doc and he said to discontinue that for now, which i stopped taking after a dose sunday morning. so now it's only celexa and i still feel this way. i am wondering if i should just go back to the zoloft tomorrow, thinking maybe it's withdrawal from the zoloft if not just a reaction to the celexa. at least i finally have an appointment with a therapist in the afternoon tomorrow. anyway, not sure if anyone else has felt this way, but it's not like being tired. it's like being high but not really.

It's tricky when switching from one AD to another. It could be Celexa, withdrawal from Zoloft or both. Although both are SSRIs, they differ in their effect on serotonin receptors and in secondary effects on other neurotransmitters. Celexa tends to be sedating, so the sleepiness might go away as you get used to it.

Give it some time and see what happens.

thanks for the advice. i will see what the therapist says today. my pdoc looked over the medication recommendations of the psychiatrist and didn't have any problems with it but said he definitely wanted to see me in about a month to check in. it's getting tough managing appointments with a therapist, pdoc and psychiatrist and having the potential pressure of making decisions when there is some discrepancy between what they all say and when none of them work together in the same office. i really would prefer to find a therapist that works together with a psychiatrist. my cousin is in this situation and he talks to the therapist at length and then the therapist consults with the psychiatrist and they make medication adjutsments when they think it's necessary. it's all i could do to find a therapist that could see me within the month. hopefully he works with someone directly that can prescribe meds if he doesn't. then i can just go to him and see my pdoc once or twice a year for a physical and bloodwork.

i actually ended up stopping the celexa and taking the zoloft again today since it had only been a few days on the celexa. i already feel a bit better. not totally, but a bit. i think i need to nail down who i am going to be getting therapy and medical advice from on a regular basis, because i am still unsure about this psychiatrist who prescribed all the meds. until then i think i will stick with what i am on. i was just in a panic this weekend and feel a bit better now that my wife and daughter are back in town and things are a bit more normal.