I moved up too fast in the spring and I am still cautious

Started 10 September 2025 · 13 replies · 116 hearts · read 1.4k times

HeddaCopenhagen, DK · 10 September 2025

10 months ago

A question rather than an update: I moved up too fast in the spring and I am still cautious

I do not know if this belongs in this circle. Move me if not.

I am aware some of this may simply be what this stage is like. I would still like to hear from people who have been through it, because I have spent a fortnight assuming I am the only one.

I nearly did not post this because it feels like a small thing to be stuck on. It has taken up most of my thinking for a month, so apparently it is not small to me.

Sorry for the length. If anybody has been at this point, I would very much like to hear how it went.

BroganCumbernauld, UK

I have been at the same step for eleven months, agreed with my prescriber, and it is the best decision I have made in this whole business. Slow was not a compromise, it was the plan.

TomásFacilitatorLisbon, Portugal

Something worth noticing whenever it happens in a thread like this: somebody puts down the difficult version rather than the tidy one, and nobody flinches. That is not automatic and it is most of what we are for.

GwennoPwllheli, UK

Slow titration is not the cautious version of this. For some of us it is simply the version that works, and I have stopped framing it as a hedge.

3me too 6

FlorrieBlackburn, UK

Gwenno has already said most of this and I want to add the one part that was different for me.

My prescriber and I settled on longer gaps between steps and shorter gaps between conversations, which I would recommend to anybody who finds the schedule stressful.

BrammyBelfast, NI

Picking up Florrie’s point rather than starting a new one.

I stayed where I was for four months because it suited me there, and the only pressure to move came from me. Not from my prescriber, and certainly not from anybody here.

HalCambridge, UK

What worked for me was agreeing a review point rather than a step-up date. We would look at it in eight weeks and decide then, which took the whole thing out of my head in the meantime.

BevanSwansea, UK

The schedule on the box is a default, not a deadline. My nurse said that in my second month and it reorganised how I thought about the whole thing.

DoraUtrecht, NL

I would have written the same thing a year ago, word for word.

IdrisCardiff, UK

Dora said something I want to sit with for a second.

Going slowly did not stop things changing for me. It just meant the changes arrived one at a time and I could see each one.

10me too 7

GwendaEbbw Vale, UK

#10

I have watched people here move at four times my pace and do beautifully, and others move at half my pace and do beautifully. There is no schedule that is correct in the abstract.

HeddaCopenhagen, DK

#11

My step-ups are all in April and October now, entirely because those are quiet months in my working year. That is a completely legitimate way to plan it.

TomásFacilitatorLisbon, Portugal

#12

Adding a marker so the thread does not lose it: when the same practical thing gets named twice by two people who have never met, that is usually the sentence a newcomer needs, and it is rarely the one at the top.

17me too 8

GwynethAberdare, UK

#13

The thing that changed my mind about pace was noticing that my worst fortnights all followed a step-up I had not really been ready for. That pattern was in my own notes.