"Trouble with Antidepressants": Best Practices and Pitfalls to Avoid
In the battle against depression, knowing when and how to adjust your treatment plan is crucial. One common challenge is Antidepressant Tachyphylaxis, also known as "antidepressant poop-out," a condition where an antidepressant that once improved symptoms no longer works as well or at all.
When you're experiencing a change in your antidepressant's effectiveness, consulting with a healthcare professional is the best course of action. They can help assess your current experience and offer advice, support, and strategies on how to feel better again.
If needed, they could refer you to other health professionals for additional support. Remember, managing depression may be a long-term process, but it's possible to do it effectively.
Adjusting your antidepressant medication can be done, but it's important not to discontinue or change antidepressants without consulting a healthcare professional. Stopping antidepressants abruptly can bring on withdrawal symptoms and intensify your depression.
The effects of antidepressants can change over time, and they might not work as effectively as before. In such cases, keeping up with the medication regimen is essential, even if the antidepressant seems ineffective.
Various factors can contribute to antidepressant tachyphylaxis, such as other prescription medications, substance use, pregnancy, and new stress. Self-care is also important when living with depression. Options may include eating a nutrient-dense diet, engaging in light or moderate exercise, working on your support network, practicing meditation and mindfulness exercises, rearranging school or work commitments, spending time in nature, journaling, and more.
A 2019 review of studies on tachyphylaxis in major depressive disorder uncovered some possible strategies to make meds work again. These include changing the antidepressant dose, switching class of antidepressant medications, medication augmenting or combining, psychotherapy, and lifestyle changes and self-care strategies.
A slow tapering process or adjustments may be necessary if a change in medication is required. Depending on what they determine is the cause of your antidepressant not working, your mental health professional might recommend a change of dose or type of medication.
Remember, taking care of your mental health is just as important as taking care of your physical health. If you're struggling with antidepressants, don't hesitate to reach out to a healthcare professional for guidance. They are there to help you navigate this journey towards feeling better.
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