How Long Should You Take Antidepressants For?
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- Опубліковано 27 вер 2024
- The Doctors welcome psychiatrist Dr. Domenick Sportelli to answer a viewer question about antidepressants, including how long they should be taken and the safest way to go off the medication.
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Let’s be honest
Doctors have not been trained for depression and anxiety
Soo true!
They know jack shit about it
Facts
Psychiatrists (not primary care or general family doctors) do train in mental illness and do a residency in that area which is their specialty. However many have no idea what depression feels like personally because they themselves have not had it. Education and research are great and often that's the limitation (for example I can't nor would want to give myself a heart attack to be a cardiologist). I had many depressive episodes and ultimately went back to school for a counseling degree so understand it from both a personal and professional view. I have seen many that don't understand through no fault of their own.
@@cg0825 no fault of their own?!
No withdrawal? Wtf are you talking about?! Some people suffer with protracted withdrawal symptoms for years.
I think he is using the fancy term discontinuation syndrome to mean withdrawal
I’m a survivor of PAWS. 😢🇦🇺 It’s crazy that doctors have zero clue about safe,slow tapering plans. A 2-4 week tapering plan just doesn’t cut it for most patients. I investigated 14 doctors and I’m shocked how uneducated they are. Very dangerous times. 🇦🇺
I had a psychiatrist tell me I needed to be on anti depressants for the rest of my life, but I didn't. I got out an abusive situation and got a lot of therapy.
I just started antidepressants again...I'm in an abusive situation I am trying really hard, unsuccessfully, to get out of. Legal problems, family court drama. I expect I will stay on them until I get some kind of relief in court.
@@lydiahubbell6278 Hope all is well
@@lydiahubbell6278 Lydia it’s ok the pills it’s save don’t listen to anybody if you feel good keep going promise
@@lydiahubbell6278 How are you now? Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually does not have side effects. Tapering off takes more than a month. To feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
@@shyaaammeneen63 I am okay.
Patient: Dr. Im am addicted to opioids. Dr: No you aren't we call that opioid discontinuation syndrome. This guy is flat out lying. You absolutely build a tolerance to anti-depressants and what he is calling ssri discontinuation syndrome is withdrawal. Do they actually expect anyone to buy into this crap? This is insulting and disturbing.
Yep I so agree. This makes me so angry! And think about the kids on these. No wonder there are school shootings!
My girlfriend has been on Paxil since it first came out & now her memory is shot. This has got to be the Paxil!
She is ok now
You just can't stop taking any medication right away you could end up int the hospital! I'm an antidepressants and I love them and I've been on them since 5 years ago
What are you taking ?
@@suryaananda108 why? I can’t tell people my medications because it could make you sick
@@tigeress699 ???? He was just asking what are you taking it’s not like he was goi g to start doing it you need to be prescribe a prescription from a doctor anyways so what’s the problem obviously the pills aren’t working
@@mackeyjaylozada2453 well, i don’t know that! I’m not responsible for someone possibly over dosing!
Um there are withdrawal symptoms!!!🙋 Lexapro was the worst for me
I must stay on my medication. I rather live without the depression. I have had MDE since I was a kid.
Hi.. Can I know how old you are now? How long have you been taking antidepressants? Has there been any side effects?
Effexor which targets both serotonin and norepinephrine (an SNRI) was horrific for me to stop. Took about 9 months to go from 225mg down to zero
No one gets off them in just 4 weeks. I am still on a high dose and this is at least 12 plus years later. 4 weeks? Give me a damn break.
That’s called addiction.
It's called dependence...
Earn the difference
Addiction, centers around negative behavior involving abusing of a su stance regardless of consequences.
Dependency is when the body alters, no longer able to function without said drug
Two very different processes although they often swim in the same pond
I have been taking AD for 6 years. I have several depressive episodes a year. I do get suicidal and I self harm. I have changed AD about 4 times. Now I'm on sertraline and mirtazapine.
Um... OK... Sooo.... Did it WORK or NOT WORK??? What's your point
@@daviedood2503 point is she needs them
I went through a serious depression about 10 years ago. Dr prescribed antidepressants. I decided I didn’t want to be in the medication and made lifestyle changes. Never been depressed since. I shutter to think I could have spent the last 10 years I’m a medication I didn’t need.
The book "30 Days to Reduce Depression" by Harper Daniels is recommended. Gives good daily mindfulness exercises. Worth a try.
When someone suffers from clinical depression either due to genes, trauma, situational etc it’s not easy for them to look elsewhere for alternatives. Such as exercise, lifestyle changes, reading books, meditation, etc. Before any of those things to work one needs to get their mind right once that happens, life can be transformed
Informative video. Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually
does not have side effects. Tapering off takes more than a month. To feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
Recommend a 2-5% taper every 2-4 weeks. This is EXTREMELY important. Many times, withdrawal is delayed so you may be doing large cuts and feel great, actually better than ever but just be blindsided with severe, debilitating withdrawal weeks or months later and at that point it's often too late to reinstate so it's a waiting game. Please be aware most doctors follow old tapering guidelines and the majority in this group going through withdrawal did follow their doctors tapering advice.
@a s
I've been at it for over 3 years.
I am about 82% complete.
Being extra sensitive and on for 25 years my taper's are 2% every 4+ week's.
Rule of thumb. 1 year taper for every 5 year's on. For some I've met even longer.
@a s
Absolutely better. Best decision I've ever made. My worst decision was listening to my doctor's advise and his prescribing them without informed consent of what I was getting into and all the health issues I would get from them.
@a s
Yes. NO more than 2-5% every 2-4+ week's from the last dose.
1 year taper for every 5 year's on.
For some, longer.
Hold as needed. Never taper if having withdrawal symptoms.
I know several who specialize in tapering and also I am in groups who follow these tapering guidelines.
Most doctor's are totally clueless and follow old tapering guidelines that is to fast and are dangerous.
@a s
Reinstatement window is 3 week's. After that it's not advised. Stick with the tapering guidelines.
@a s
All antidepressants are neurotoxins. Antidepressants do not cure anything. They all have hundreds of side effects and the side effects can pop up at anytime. Some of the side effects can be permanent and last long after the antidepressant is stopped like Tardive Dyskinesia, tinnitus, and sexual side effects. Antidepressants actually increase the risk of suicide in people of all ages (not just young adults), they are linked to worst long term outcomes compared to those who do not take antidepressants for their anxiety and depression. The chemical imbalance theory is not true but rather a marketing ploy by big pharma. Antidepressants also all need to be slowly tapered and can cause debilitating withdrawal symptoms that can lasts for years in some cases if someone doesn't taper safely. The issue would be to try to find the root cause of your symptoms. If not caused by trauma then anxiety and depression are thought to be symptoms of something physically going on in the body. It could be nutritional deficiencies or allergies, hormonal imbalances such as Thyroid disease or vitamin D or other vitamin deficiencies, heavy metal or chemical toxins, Lyme disease, genetic defects such as the MTHFR gene variations, histamine intolerance, previous medication toxicity, bad gut health, brain trauma, systemic inflammation and oxidative stress, unbalanced blood sugar levels and more.
If you can find a functional or integrative doctor then they can do the testing to find the root cause of your symptoms. Antidepressants only mask symptoms and damage a person's health while they do not realize it. Any part of the brain and body can be affected so many doctors do not tie health problems with the antidepressant.
I told my Dr to prescribe me Sertraline, only use the office to send my new scripts. I know more then my Dr's about mental health and nutrition. I decided what mg to start at and when to up my dose, settled on 100mg now and feel the best I've felt in 35 years. I'll also decide when, if, it's time to taper off but right now I have no desire to be off them. Be proactive in your treatment, don't sit back and accept everything, learn.
Don't take them at all! Heal your gut dysbiosis. There are some M.D.'s out there who actually read the latest research and know about the gut-anxiety/depression issue.
It takes at least 3-6 months for BDNF and ngf to reach adequate levels for best nueroplasticity benefits
You gave me a light of hope thank you🙏🏻🥺 god bless you
Lots of hot doctors in this episode!
Been taking antidepressants for 6 years. For the first almost 5 years my psychiatrist had to keep raising the doses consistently before I finally reached a good level. Last year I stopped taking one of them (under my doctor's directions) and I didn't feel a thing. Now I'm only taking three pills and they are working good. My mom keeps telling me I should finally stop taking them all, that I'm addicted, that they aren't good for me etc. But I know I'm not an addict, I hate having to take my meds. I know I need them though and I really don't wanna mess this balance up.
Van Essa which ones are you on? Are you still on them now.?
Van Essa, How are you now? Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually does not have side effects. Tapering off takes more than a month. To feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
@@JetmiraaaOfficial How are you now? Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually does not have side effects. Tapering off takes more than a month. To feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
I think doctors create antidepressants to make money not help customers, the way they do that is by creating a short term nice solution at the same time worsening problems, the addiction has been put on those drugs so you can support them.
@@The.Billionaire.Official If you have problems of stress and overthinking read the msg I sent you and do the simple practice regularly to feel better. Best wishes. Sr. Counsellor.
You can have a ruff hell getting off
Take preventative measure, don't take antidepressants to begin with.
Sadly they didn’t address the theory of antidepressants possible links to altzeimers
Oh! Wow! For real !😯
Exactly what I have been looking for. Thanks a lot, Doc.
Don't take these nasty meds, they will destroy your life!
NO WITHDRAWAL? This guy is spreading misinformation. This is absolutely not true, the withdrawals can often be worse than the initial presentation.
Answer: Never and 0
You’re welcome
In schizophrenia does abilify have to be taken forever in life
Extremely ignorant and damaging information. “Completely avoid withdrawal “ is beyond comprehension to state. A bus driver knows more about antidepressants than this ‘doctor’.
Never use AD’s they are worse than depression
Exactly
I would really like your input,
A new psychiatrist to me, put me on ability. Will this work for motivation and depression. I seem to be very sensitive to saris, do he wants me to try this. I am scared to take any antidepressants. The mg of Albilify is 2mg which l would cut in half to 1mg because lam nervous about taking these. Thank you so much!
I would do alot of research. And I would be affraid for you. Check how easy to get off it. Remember it messing with your brain.
Abilify is usually used with an antidepressant to help it along a bit
Sorry that was a typo it is Albilify not ability.
If you start taking this class of drugs its very likely you will be on them in one form or another for the rest of your life weather they actually help you or not. "A rose by any other name." SSRI discontinuation syndrome IS withdrawal. Your body does gain a tolerance. The Dr giving the info in this video is flat out lying. I wouldn't take them unless I was at the end of my rope with no other options. Be careful.
@@socialmediaaccount404 How are you now? Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually does not have side effects. Tapering off takes more than 2 months. To prevent side effects and feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
@@shyaaammeneen63 Thanks for your interest. I am not on any anti-depressant. I was able to stop taking them without any withdrawl roughly a year after I started using Morphine on a daily basis and I actually count myself lucky for that. Opiodes have been the only anti-depressants that have worked for me. Of coarse they come with alot of there own issues. I am now taking Methadone provided by a pharmacy and covered by disability. Since having that set up and since I stopped using Amphetamines Just over a year and a half ago I have been quite stable. For the most part the opiodes have kept the debilitating anxiety and depression at bay. The anxiety has come back a little bit but I think that is mostly a result of cannabis use. Cannabis is Somthing I went back to to help get me off meth and I don't think I would have been able to stop without it.
What you suggested sounds alot like the meditation I practice. I do avoid benzos, yes they are habbit forming. There ya go stranger there's my life.
@@socialmediaaccount404 You seem to have a complicated history of various chemicals going in to your brain and body which can have side effects without your knowledge. If you take ADS stick to one medication of the lowest mg whch do not have much of side effects. When I went through a bad phase 15 years back I recovered within 1 year with patience and determination. Read more about relation between breathing and the mind [brain] on google. Since many years I have made it a habit to observe my breath sensations even during my normal activities and I am feeling relaxed and healthy. Anywhere-anytime it can be done. The best part is nobody comes to know that you are doing the breath observing practice as there is no deep breathing or sound. Reduce watching negative social media and avoid constipation as it affects the mind. Read my msg and do the practice regularly. Best wishes. Sr. Counsellor.
Lies no withdrawal
can i ask one question
Sure
🐇
Damn Dr. Domenick Sportelli is HOT HOT HOT!! Beauty & brains 😍🥰😘 I wonder how MANY of his patients stalk him? I know I’d definitely would if I was one of them! Haha jokes 😇
There r withdrawals. This guy has never been on AD. He like a lot of Drs & psyc ppl know sh'it nothing.
I remember I just abruptly stopped taking my antidepressants and I felt like I was going to die for the next couple of weeks. It was like withdrawal
They have long ass half lives. They take quite a while to begin sorta working as well. That's why he said 4 to 8 WEEKS just to start. So saying that, once you quit, it can take a few days for symptoms to even BEGIN. Then they drag out over weeks even months depending on how often and how LONG you've been taking it.
It was withdrawal. This doctor is lying. Some people suffer from protracted withdrawal for years.
The doctor more than likely HAS NEVER been on an ANTIDEPRESSANT‼️💯
This is my second day I didnt take it I feel like dying, but I am never honna take it again
@@daviedood2503 lo
I stopped ssri...and damn didn't went to uni for 2 weeks!
Nice propaganda piece. I’m sure big pharma loves y’all
No one is mentioning post ssri sexual dysfunction
Yeah man...not post but ongoing sari sexual dysfunction is a reality atleast in males. I have lost sexual desire considerably since I have been on SSRIs. But it's okay as long as it's helping with depression and anxiety.
No withdrawal??!? Clearly this Dr. needs more education concerning coming off of these meds. Smh..
My dr said the same thing, then told me I was the only one that's had this problem. I called his a lier. He don't like me now. And the councilors bring out the dsm5 book. It says right here.
No withdrawal my ass.... discontinuation syndrome is withdrawal
I’m noticing that I have withdrawals after not taking Zoloft for about two months
you're suppose to taper off not stop cold turkey
@@Jono1982 what if u only just took 1 pill n that was it? 25 mg Zoloft
@@spiritual_king2375 I took for 5 days and now I can’t sleep with it
Antidepressants have a withdrawal!!!
Is withdrawal renamed discontinuation syndrome now?
He's a lier. I've been trying to come off them a year! And I have suisidle thoughts everyday! They never told me I would have to take them the rest of my life. And the anger and moodiness is terrible. Research it it's not good. I'm not the only one going through this either.
Kimberly Dawn, How are you now? Avoid benzos as they are habit forming. Have a goal to take only one ADS of the lowest mg which usually does not have side effects. Tapering off takes more than a month. To feel better reduce negative thoughts and overthinking. Your breathing is closely related to the brain [mind] and gives good relief from stress-anxiety. To relax sit on a chair or lie down, neck straight, eyes closed and observe the sensations of your incoming--outgoing breath at the entrance of the nostrils for 5-10-15 minutes or more. Don’t fight your thoughts. With daily practice the mind will relax. No deep breathing needed. Observe your breath sensations when taking a walk, before sleep, in college, at work, in the kitchen, when reading, etc. Like me, make this a lifetime daily habit to have a better life. Reduce negative social media, take morning sunlight walks and avoid constipation as it affects the mind instantly. Best wishes--Counsellor.
Id like to try