Psychiatrist Questions Antidepressants

What happens when you come off antidepressants?

I am a 27 year old male. I want to stop taking antidepressants. What happens when you come off antidepressants?

5 Answers

Your mind gets clearer and anxious about things and anxieties can happen. Just stay calm
Stopping suddenly can cause anxiety, imbalance, and "brain zaps." Tapering with fluoxetine helps. If it's been just one episode, you are likely to be fine. Exercise and many forms of psychotherapy help depression.
First, you must talk with your treatment provider about your desire to stop medication. That person can help address any side effects you may be having, as well as guide you as to how to taper down slowly on your medication, if appropriate. You should NOT just stop an antidepressant. Second, studies show that if you have been taking an antidepressant medication for 9-12 months, and are feeling back to your normal self (= remission from depression) and this is your first depressive episode, then after proper tapering from the medication you will have about a 50% chance of not having a depressive episode again. Third, that being said, there is a 50% risk of lifetime recurrence- meaning you will want to watch for signs of a returning depression which can occur months to years later. Coordinating with your prescriber on discontinuing antidepressant medications is the best thing you can do for yourself.
Taking a good history is the key. Getting the proper diagnosis is imperative. I.e. is this a first time depression , is it recurrent ,is it a depression of Bipolar one or two. Is it a depression of secondary disease for example Hypothyroidism etc. is it secondary to a loss of a loved object or any kind off loss , it may surprise it may be due to a promotion.
Knowing all the above and the personality of the patient. We advise according to severity to cut the antidepressant slowly and watch if pt. Depression recur we r committed to one year. After that in few month we try to lighten up and the symptoms recur we r committed to two years. Unfortunately, there r long term depression that we tease out with proper history. It’s advisable to have psychotherapy with the antidepressants and this will give us more clues about cutting the antidepressants and it’s more efficient to have psychotherapy with the antidepressants , and it makes good sense.
Some insight into this question:
https://www.prevention.com/life/a20509451/what-happens-when-you-stop-taking-antidepressants/

Also:
https://www.health.harvard.edu/diseases-and-conditions/going-off-antidepressants