1st Paxil Update - Feeling Very bad

Fluoxetine 10mg (liquid) - Holding since 2018 after taper from 20mg Paroxetine (tablets). On and off Paroxetine for over a decade. During taper, intense withdrawal symptoms of pain at 10mg and psychiatrist and I agreed to swap to 10mg fluoxetine.

Quetiapine 25mg (tablet) - Taking this since 2023 as aid for sleep.

Lamotrigine (tablet) - Tapering. 4mg October 2026. Started 25mg circa June 2026, titrated to 100mg, intense pain developed, possibly side effects/withdrawal symptoms from original Paroxetine taper. Abrupt withdrawal due to the pain, resumed at 25mg 3 weeks later in September 2026. Began rapid tapering 2 weeks later due to intense pain. Started this medication as developed persistent depression with distressing suicidal type thoughts from circa February 2026.

I am based in England UK and my tapers are largely self managed without clinicians though I tend to keep clinicians informed about my tapering decisions.