u/Ok-Strawberry-2230

I have a few close friends who are in various phases of residency and when they come to me with updates about their life, I often find myself at a loss for words since their work in residency is so unbelievably mentally and physically taxing.

I work in a completely different field and I love my job, so I feel silly sharing my unrelatable life complaints and I don’t know what to say in response to my burnt out friends without annoying them with some shallow or cliche reply. Any advice for what to say/what not to say?

I’ve been on 30mg mirtazapine for 1.5 years to help with anxiety and weight gain, but I’m feeling ready to come off the medication.

The biggest trigger of my anxiety (which is tied to health/contamination OCD) is feeling dizzy and nauseous- it can really send me down a spiral- so naturally I’m really nervous about potential side effects of coming off the med.

My psych and the random pharmacist I talked to said I should be fine to simply reduce from 30 to 22.5, to 15, to 7.5 to 0 if I do so over the course of a few months. But I’m wondering- is it possible to safely split the 7.5 pill even though it’s not scored so that I can do smaller increments? I’ve read it’s not recommended to do that, but I simply don’t feel comfortable taking such big reductions at a time.

I usually trust medical professionals but my anxieties around this process potentially throwing my life out of wack due to side effects makes me extra cautious. Thanks!