
Episode #9
Episode 19: Should We be Deprescribing More SSRIs?
In this episode, we discuss the viral push to “de-prescribe” SSRIs. We outline common claims (overprescribing, lifelong use, “addiction,” inadequate withdrawal counseling, chemical-imbalance myths, and political/media narratives) and why these resonate given stigma, distrust of medicine and pharma, and negative personal stories. We review evidence-based SSRI use and typical treatment durations, note common side effects and limited long-term data, and fact check a frequently cited stat suggesting many long-term users don't need to be on meds at all. We review real “root causes” of anxiety and depression, compare effectiveness of SSRIs and psychotherapy, review lifestyle interventions and evidence for supplements, and highlight that most people with depression or anxiety receive no treatment. Sonia also shares a personal story from residency that highlights the role of bias, stigma, fear and importance of narrative in medicine as well as nuanced, compassionate counseling. 00:00 Podcast Mission 01:25 Patient Deprescribing Story 03:38 Viral Claims Breakdown 06:36 Why This Went Viral 12:27 Ideal SSRI Use 15:23 Long Term Use Data 20:22 Root Causes Explained 30:13 Evidence Based Treatments 33:35 Lifestyle Is Bidirectional 34:09 Exercise Sleep Diet Evidence 36:36 Why Just Exercise Fails 39:03 Omega-3 Supplement Reality 41:30 SAMe And Other Supplements 42:46 Nuanced Supplement Counseling 46:23 Treatment Gap And Barriers 48:51 Deprescribing Stigma Debate 51:24 Clinical Takeaways And Tools 56:07 Personal Story 01:00:45 Doctors Sharing Humanity 01:03:29 Wrap Up And Disclaimer Read the full episode summary, sources, and resources on our Substack: www.theantisocialdoctors.com

