Doctor insights on:
How Fast Do Antidepressants Start Working
Work with your doc: Depending on the situation and the nature of the symptoms and any changes detected, the patients mental and medical condition, medication being used, time on med, presence of side effects , a decision should be made by your doctor in conjunction with discussing it with you. The patient by his or herself should not be making the decision for regulating the dosage. ...Read more
I've been on antidepressants, and I find after I've been on a certain dosage for a while, I get used to it and the dose stops working. What do I do?
Consider therapy: There are some really skilled CBT therapists who can help people who respond as you describe. It's good! You are expressing an Expectancy Response that shows you'd benefit from hope, trust and support. You can learn how to find these and use them to manage your life better. That it's not chemical would be good - but you'd have to work like you would w/ a coach. Find a good fit. Best wishes! ...Read more
None is "best": There are no reliable differences in how well different antidepressants work. For this reason, they are mostly prescribed on the basis of side-effects. I.e., more sedating meds when depression interferes with sleep, more activating meds when depression saps daytime energy. Some are more apt to upset stomach, others to lower sex drive. Balancing these factors can be subtle. ...Read more
Your sx improve: There should be a list of target symptoms that improve, mood, motivation, sleep, anxiety, obsessing, dwelling, enjoyment, functioning, appetite among others. The problem often is the medication can be helping half a dozen symptoms but the patient only focuses on one which didn't improve and think the med is not working. This calls for dose increase, augmentation instead of switching or just more time. ...Read more
Antidepressants stop: There are several reasons I see when antidepressants stop working. 1)missing taking; 2)alcohol use as little as 2 drinks/week for woman, 4 for man; 3)wrong diagnosis- cycling bipolar instead of unipolar depression; 4)overwhelming stress exceeding capacity for meds-would require psychotherapy for PTSD-like symptoms. ...Read more
Rather quickly: Side effects are usually quick to appear within days or weeks but sexual side effects are usually later. ...Read more
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