SSRI induced cognitive impairment

I really really need help...

I started to take Seroxat (an SSRI) due to anxiety and insomnia about 3.5 years ago , and later get cognitive problems such as memory loss, poor concentration, blunted in responsiveness , impediment in speech and so on .I'm quite certain that these problems are caused by Seroxat (surely not depression or neurasthenia), so I have been off ALL ADs since 1.5 years ago. However my cognitive functions hasn't seemed to recover over the past 1.5 years.
The symptoms that I'm suffering are exactly the same as those discribed here :
http://www.medhelp.org/posts/Depression/Anti-depressants-and-memory-concentration/show/536037
The starter of the thread discribed his symptoms in the third post. These symptoms are now torturing me...

I've searched through the Internet, and find many people of similar problems, and to my despair, the Alzheimer's disease like sequela seems to be permanent !!! No people seem to have successfully recovered. I'm a graduate aged only 23 ! How can I live the rest of my life with such a dumb head ?

My Questions:
      #1 How can I get normal ?

      #2  Since SSRE (Selective serotonin reuptake enhencer) works in a somewhat inverse way as compared to SSRI, Can SSRE  help ? Is there anybody who has tried SSRE in order to recover from Post SSRI SEs, especially cognitive impairment ?

      #3 Is there anybody suffered cognitive impairment such as memory/concentration loss from SSRE ?

Sorry for my poor English.

yours sincerely
wzlong_D

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

I recommend that you follow up with a psychiatrist. Psychiatry consult would be helpful in diagnosing and prescribing appropriate medication for you (e.g., the SNRIs, other SSRIs, etc). There are many medications available for anxiety and other options should be pursued if you are still suffering from symptoms. I doubt the cognitive slowing is from the paroxetine (but again, I would need to get more history and exam you). It is quite possible that the untreated psychological illness is leading to the cognitive slowing.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.