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Long COVID Moderate → somewhat betterIll 18 months before improving or writing

Long COVID relapses with panic and brain fog, somewhat better with time and a therapist

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
18 months
Last post
May 2023
In their words
  • Condition: Long COVIDI have long covid 1.5 yrs now In context ↗
  • At worst: ModerateI started to be a bit more socially active, after months spent at home. In context ↗
  • Now: Somewhat betterSince I'm completely off citalopram I feel like a human again. ... Despite of still having LC symptoms present and kicking In context ↗
  • Began after: COVIDI have long covid 1.5 yrs now In context ↗
Read from 16 of their posts and comments; links to the 7 this page draws on

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Summary

A UK Reddit user about 1.5 years into long COVID had repeated relapses with sudden depression, panic attacks and suicidal thoughts, plus brain fog and pain. Citalopram, raised to 20 mg, caused side effects that mimicked long COVID; coming off it left them clearer and more energetic. They credited time and a therapist, and said good stretches between relapses were getting longer, though PEM, pain and temperature problems remained.

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What they tried

Their words about each treatment
  • citalopram (lexapro) · WorseInstead of helping, citalopram started giving me wild range of side effects In context ↗
  • weed · HelpedNothing soothes muscle and joints aches as quickly and effectively as weed. In context ↗
  • time · HelpedJust time. Took me over 9 months to get brain back In context ↗
  • sertraline · Not saidwon't have as many side effects as sertraline that I was on couple of years ago In context ↗
  • therapist (psychodynamic talk therapy) · HelpedIt started to have such positive impact on my mental health In context ↗

Approaches: CBT & mindset

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
onsetlong COVID begins; months spent at homeafter months spent at home In context ↗Moderate
2022-09-30bad relapse after a year, all symptoms backSurprisingly bad relapse after a year In context ↗Moderate
2022-11-15significant recovery, becoming a bit more socially activeRecently I am recovering in a quite significant way (yay!) and getting back to normal gradually, with ups and downs In context ↗Mild
early 2023worst relapse with sudden depression, panic attacks and intrusive suicidal thoughtsFirst quarter of this year = the worst fucking relapse In context ↗Moderate
2023-04-19very slow improvement, better periods getting longer between relapsesI'm getting better very very slowly, I still relapse but every time the period of feeling much better is getting longer and longer. In context ↗Mild
2023-05-02off citalopram, feels like a human again while LC symptoms remainSince I'm completely off citalopram I feel like a human again. In context ↗Mild

Adverse events

  • Citalopram (Celexa)“citalopram started giving me wild range of side effects, including some that literally are exactly like long COVID symptoms: fatigue, massive anxiety, dizziness, brain fog and..PALPITATIONS among many.” In context ↗ Side effects
  • Citalopram (Celexa)“massive anxiety ... panic attacks over nothing coming literally from nowhere” In context ↗ Mood or psychiatric effects
  • Citalopram (Celexa)“PALPITATIONS among many” In context ↗ Heart rhythm problems
  • Citalopram (Celexa)“on citalopram I walked slower than my elderly neighbors and felt imbalanced ... My attention span on antidepressants was so bad I was scared to cross the streat without checking like 50 times if it's clear to go...” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisepost meal fatigue, PEM In context ↗
  • Brain fogthis hell on earth with derealisation and brain fog seems to be over for me In context ↗
  • POTS & dysautonomiadizziness, sleepiness, poor attention span, short memory issues, physical imbalance In context ↗
  • Sleep problemsnumb painful hands, disrupted sleep In context ↗
  • Pain & fibromyalgiajoints and muscles pain In context ↗
  • Headaches & migraineheadache, body aches, shivers In context ↗
  • Light & noise sensitivityhyper skin sensitivity, light sensitivity, sensory issues In context ↗
  • Heart symptoms & palpitationshigh resting heart rate, palpitations In context ↗
  • Neuropathy & tinglingnumb painful hands In context ↗
  • Anxiety & low moodSUDDEN and aggressive depression, anhedonia and panic attacks In context ↗
  • Temperature regulationbody temperature issues, profuse sweating In context ↗

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