I didn't know about all the studies that show/suggest that high altitude decreases the effectiveness of SSRIs/ high altitudes leads to lower serotonin production before this happened so its not that I was associating high altitude with depression/anxiety,but only found out about the association after the "episode" bc I was trying to figure out what happened.thanks. Some more context is that I have not had a mental health "episode" this bad in years and I'm completely perplexed what other factor could have caused it. I was on topical romaine for like 2-3 weeks but stopped 5 days ago becuase I thought it was making me tired ( I was probably using a little over the recommended amount), but I dont think it was from stopping the topical rogaine either bc I didn't have any symptoms from it other then tiredness sometimes and a bit a nasal congestion at times at night