What I have learnt from helping thousands of people taper off antidepressants and other psychotropic medications
- PMID: 33796265
- PMCID: PMC7970174
- DOI: 10.1177/2045125321991274
What I have learnt from helping thousands of people taper off antidepressants and other psychotropic medications
Abstract
Although psychiatric drug withdrawal syndromes have been recognized since the 1950s - recent studies confirm antidepressant withdrawal syndrome incidence upwards of 40% - medical information about how to safely go off the drugs has been lacking. To fill this gap, over the last 25 years, patients have developed a robust Internet-based subculture of peer support for tapering off psychiatric drugs and recovering from withdrawal syndrome. This account from the founder of such an online community covers lessons learned from thousands of patients regarding common experiences with medical providers, identification of adverse drug reactions, risk factors for withdrawal, tapering techniques, withdrawal symptoms, protracted withdrawal syndrome, and strategies to cope with symptoms, in the context of the existing scientific literature.
Keywords: antidepressant; deprescribing; discontinuation syndrome; iatrogenic; kindling; polypharmacy; post-acute withdrawal; psychotropic; tapering; withdrawal syndrome.
© The Author(s), 2021.
Conflict of interest statement
Conflict of interest statement: The author is founder and administrator of SurvivingAntidepressants.org, a website offering tapering information and volunteer peer support for withdrawal and protracted withdrawal syndrome from psychiatric drugs. SurvivingAntidepressants.org does not provide medical care, psychiatric diagnosis, or psychotherapy. Donations underwrite site expenses. The author does not receive any compensation, monetary or otherwise, for serving in this capacity.
References
-
- Dilsaver SC, Greden JF. Antidepressant withdrawal phenomena. Biol Psychiatry 1984; 19: 237–256. - PubMed
-
- Davies J, Read J. A systematic review into the incidence, severity and duration of antidepressant withdrawal effects: are guidelines evidence-based? Addict Behav 2019; 97: 111–121. - PubMed
-
- Jha MK, Rush AJ, Trivedi MH. When discontinuing SSRI antidepressants is a challenge: management tips. Am J Psychiatry 2018; 175: 1176–1184. - PubMed
-
- Fava GA, Gatti A, Belaise C, et al. Withdrawal symptoms after selective serotonin reuptake inhibitor discontinuation: a systematic review. Psychother Psychosom 2015; 84: 72–81. - PubMed
-
- Benzobuddies.org. Benzodiazepine withdrawal support and information, https://web.archive.org/web/20041009112234/http://www.benzobuddies.org/ (2004, accessed 27 December 2020).
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous
