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Doctors are finally learning to manage antidepressant withdrawal

newscientist.com

281–290 of 377 posts

Re: Doctors are finally learning to manage antidepressant withdrawal

#281
post #229

Earlier quoted context omitted.

Were you experiencing side effects that made you want to get off? For the vast majority of people there really are none.

This is the same myth that women get told about hormonal birth control, it's not an "if" with side-effects of SSRIs, it's a "how much" and "when"

I don't to my knowledge suffer side-effects.

Why are you certain about this?

Re: Doctors are finally learning to manage antidepressant withdrawal

#282

Earlier quoted context omitted.

One should not question the seriousness of ADHD or the benefits of an appropriate treatment plan. One should question the rate of which it is diagnosed, and who is getting diagnosed.

> One should question the rate of which it is diagnosed, and who is getting diagnosed. The medical consensus after multiple enquiries in the UK has come to: 1. The rate of diagnosis is far too low (the evidence of this being we're catching people as adults who should've been caught as children). 2. Our diagnostic criteria aren't inclusive enough (we have historically missed inattentive presenting ADHD, we have histor…

I say this as someone with ADHD:

The issue is that ADHD is not real in the organic sense. Well, at least the evidence is scant. It's more of a description than a disorder. It's not something one "has."

I like to compare ADHD to racial categorization of people. Race is not real in a biological sense, but it's definitely real in a social sense.

I am probably butchering what I am trying to say so, just read this if you want to understand someone(s) that can communicate eloquently.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9189308/

Re: Doctors are finally learning to manage antidepressant withdrawal

#283
post #280

There’s a lot of focus on negatives in comments. I will say ssris probably saved my life and I have had zero side effects to date. It’s easy to say “just suck it up and power through it”. That advice can kill people

This topic always draws out the contrarians. It's like vaccine discussion.

Re: Doctors are finally learning to manage antidepressant withdrawal

#284

When I was diagnosed with depression - amongst other things - my doctor prescribed SSRIs with a caveat that they might or might not work. After a few weeks I was tapered off them. I felt no different before, during or after them. What helped was 3 daily walks around the park, around 9km per day after each meal. Anecdotal but it is what it is. Right now I have bigger problems than just depression.

[deleted]

Re: Doctors are finally learning to manage antidepressant withdrawal

#285
post #225

Earlier quoted context omitted.

Definitely prefer psychologists and therapists over psychiatrists, but don't discount how much something like an SSRI can help

But how does one know? According to some studies, spontaneous remission happens in about half the cases of depression in a given year. It's happened to me plenty of times. That's why I refuse to medications. All I have to do is just wait it out. I am not claiming no one gets any benefits, rather how can one be certain the benefits are actually not from something else? If the goal is to improve, then I suppose it does…

Part of diagnostic criteria is how long something lasts.

If you have a really good week you aren't going to get diagnosed with mania.

If you have a really good month where you quit your job, move to Italy, and try to start a new job carving marble statues (and you've never carved stone in your life), well those will all be factors in any diagnoses given.

On the other hand, if you feel sad because your dog died, no one should be writing you a script for anything.

But if your dog died and you can't even function enough to go to work for a month, yeah it is probably temporary, but maybe some help is warranted, be that therapy or meds.

Re: Doctors are finally learning to manage antidepressant withdrawal

#286
post #280

There’s a lot of focus on negatives in comments. I will say ssris probably saved my life and I have had zero side effects to date. It’s easy to say “just suck it up and power through it”. That advice can kill people

This topic always draws out the contrarians. It's like vaccine discussion.

Perhaps because various SSRI users have contrary outcomes?

Re: Doctors are finally learning to manage antidepressant withdrawal

#287

Earlier quoted context omitted.

One characteristic of ADHD is that many people don't build up tolerance, or only minor tolerance, to therapeutic doses of some stimulants including amphetamines. It's really not the same as what's being discussed here.

That is not a characteristic of ADHD. Th most damaging thing to ADHD is the myth that the medications affect people with ADHD differently. It is the most pseudoscientific piece of information that is commonly repeated. As for tolerance, it absolutely happens. Most people do not stay on the medications for a long enough time to really feel the tolerance to begin with. Sure, in a clinical trial of four to six weeks, it…

I was at the same dose of concerta for a decade. I just recently increased to the next dosage.

At this rate I'll top out of dosage sometime around when I retire.

It really isn't on my list of concerns.

Re: Doctors are finally learning to manage antidepressant withdrawal

#288
post #229

Earlier quoted context omitted.

Were you experiencing side effects that made you want to get off? For the vast majority of people there really are none.

> Despite considerable improvements in side-effect profiles, antidepressants continue to be associated with a significant burden of side effects that affect, treatment adherence and quality of life. Hu et al1 studied 401 patients with depression who had recently been prescribed an SSRI, and found that, after 75 to 105 days of treatment, 86% of patients reported at least, one side effect, and 55% experienced one or mo…

> In both research and clinical contexts, an important challenge is presented by the phenomenological overlap between side effects and residual symptoms of depression. Thus, fatigue, cognitive impairment, apathy, jitteriness and irritability, and sleep and appetite changes are core features of depression, but may also be related to antidepressant, treatment. In a small study of 43 depressed inpatients,6 which investigated the rate of somatic symptoms and complaints that were present before and after treatment, many symptoms often considered to be side effects of drugs were also present prior to treatment, including dry mouth, lightheadedness, sweating, tremors, and constipation. The distinction between residual symptoms and side effects is crucial, as they call for very different responses.

Re: Doctors are finally learning to manage antidepressant withdrawal

#289

Earlier quoted context omitted.

This topic always draws out the contrarians. It's like vaccine discussion.

Perhaps because various SSRI users have contrary outcomes?

Sure. I always find the more extremist responses (you can find some towards the bottom) confusing because the only side effect I've ever been aware of is not wanting to die.

I just think there's a lot of fud around this and I have friends who have never taken them that were very ready to jump in on the discussion about how they destroy lives.

Re: Doctors are finally learning to manage antidepressant withdrawal

#290

Earlier quoted context omitted.

This topic always draws out the contrarians. It's like vaccine discussion.

Perhaps because various SSRI users have contrary outcomes?

I'm observing ~3 categories of SSRI negativity in this comment section:

1. Those who have directly experienced negative outcomes from SSRIs or observed negative outcomes in people they care about

2. Those who feel that the medical establishment should more loudly caution about the side effects of SSRIs

3. Those making something tantamount to claims that depression is a natural phenomenon which has been collectively constructed as a mental illness

For (1) and (2) I have only compassion and modest disagreement. For (3), I have nothing but disdain.

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