On antidepressant medication, it is possible that you might experience a sense of feeling numb and less like yourself. Though the symptoms of depression have decreased, there may be a sense that other emotional responses – laughing or crying, for example – are more difficult to experience.
If you have a form of anxiety or phobia, an antidepressant could help you feel calmer and more able to deal with other problems. It could also help you feel more able to benefit from other anxiety treatments, such as cognitive behavioural therapy (CBT).
Emotional blunting is also considered a potential side effect of antidepressants, in particular SSRI antidepressants, and has been reported in multiple case reports and clinical studies.
SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft. Common SNRI brands are Pristiq, Cymbalta, and Effexor XR. Pros: They are effective for a lot of people and they have a solid safety profile.
When you're benefiting from antidepressants, you should feel: A mood that is less depressed, less irritable, happier, and more content. Excitement for and pleasure in everyday activities and events. An ability to regulate your eating patterns without eating too much or too little.
The technical term for the most commonly used antidepressant medications is selective serotonin reuptake inhibitors, or SSRIs. This refers to the drugs' effects — they cause the brain to produce more serotonin, a chemical that makes a person feel happier.
In terms of how they make a person feel, antidepressants may have a number of positive effects. “The person taking the antidepressant has increased energy and is calmer,” Dr. McGee says. “They have improved motivation and their sleep and appetite are better regulated.
SSRIs are considered first-choice medications for treating depression. These medications are believed to work by raising the amount of serotonin — a hormone that helps regulate mood — in the brain.
There is new reason to be cautious about using popular antidepressants in people who are not really depressed. For the first time, research has shown that a widely used antidepressant may cause subtle changes in brain structure and function when taken by those who are not depressed.
The main aim of treatment with antidepressants is to relieve the symptoms of severe depression, such as feeling very down and exhausted, and prevent them from coming back. They are meant to make you feel emotionally stable again and help you to follow a normal daily routine.
Nearly half of patients on all types of monoaminergic antidepressants report emotional blunting,6 and it is associated with serotonin reuptake inhibitor (SSRI) therapy as follows: among 161 patients, 46% reported a narrowed range of affect, 21% reported an inability to cry, and 19% reported apathy.
Though the symptoms of depression have decreased, there may be a sense that other emotional responses – laughing or crying, for example – are more difficult to experience. This is termed “emotional blunting,” which is the experience of dulled emotional states caused by an antidepressant.
When first starting antidepressants, you may suddenly find that you don't feel like yourself anymore. Though your depression symptoms may have improved, the overwhelming waves of gloom can sometimes be replaced by an emotional inertness in which are neither able to cry nor share a real belly laugh.
Do I have to take antidepressants forever is a question that some ask as they struggle with depression. This is one of the more common myths associated with the condition. You do not need to take antidepressants forever nor do you need to get a prescription from a counselor or therapist.
If your depression or anxiety is mild to moderate, and if time and a talking treatment have not helped, and especially if things are getting worse, then you should consider taking an antidepressant.
Selective Serotonin Reuptake Inhibitors (SSRIs)
This class includes sertraline, citalopram, escitalopram, paroxetine, fluoxetine and fluvoxamine. SSRIs are: the most commonly prescribed antidepressants in Australia. often a doctor's first choice for most types of depression.
Around 60% of people respond by about two months to the drugs with about a 50% reduction in their symptoms - an improvement in mood, better sleep and so on. But, he said, “about 80% of people stop antidepressants within a month”.
Perhaps the most recognizable among them is Prozac (fluoxetine). It's still the best option for many people, but since it was approved by the Food and Drug Administration (FDA) in 1987, Prozac has been joined by a variety of other antidepressant medications.
1 Day – On the first day of taking an antidepressant medication, most people will feel nothing at all. Some will notice side effects like nausea or vomiting that could be mild. 1 Week – One week in, people are more likely to note some other side effects like sleeping problems, diarrhea, dry mouth, and sexual problems.
The Evidence for Personality Changes
Study authors suggested that the SSRI may have altered two key personality traits linked to depression—neuroticism and extroversion—independently of their effect on depression symptoms.
You may feel some depression symptoms improve within the first couple weeks, but it can often take 4 to 8 weeks to feel the full effects of your medication. If you've taken your antidepressant for at least 4 weeks with no improvement, let your healthcare provider know.
They will help you feel like yourself again and return to your previous level of functioning. (If a person who isn't depressed takes antidepressants, they do not improve that person's mood or functioning - it's not a "happy pill.") Rarely, people experience apathy or loss of emotions while on certain antidepressants.
Antidepressants don't improve memory or concentration, per se. But anything that makes your depression go away will fix your cognitive difficulties precisely because they are part of the depression. A final comment: Don't forget that antidepressants are not your only option.