I don't have much advice for you-- tramadol
withdrawal is quite severe for some people, and
very mild for others. You will likely have both opiate withdrawal symptoms and also 'ssri withdrawal' symptoms; the way to avoid them would be a slow taper, but if that is not possible I don't have much to offer. Like my prior posts today, I suspect your time using tramadol is not over--- if you end up back on it again, consider definitive treatment, nurse or no nurse.