The use of antidepressant prescriptions is increasing, driven in part by more people staying on them for longer periods of time (Kendrick, 2021; Kendrick et al., 2015; McCrea et al., 2016; Moore et al., 2009). While antidepressants can help prevent relapse for many individuals, up to half of those taking them long-term may not have evidence-based reasons for doing so (Ambresin et al., 2015; Eveleigh et al., 2014). This is concerning because antidepressants can come with significant side effects (Kendrick, 2021), and many people struggle to stop taking them due to fear of relapse or withdrawal symptoms, lack of coping strategies, and limited support from healthcare professionals (Maund et al., 2019).
Furthermore, withdrawal symptoms from antidepressants can be severe and may last for extended periods of time, complicating the process of discontinuation (Davies et al., 2019). Additionally, withdrawal symptoms can be confused with symptoms of relapse, making it challenging for individuals to determine the best course of action for their mental health (Horowitz & Taylor, 2022).
In response to these concerns, Read et al. (2023) surveyed individuals attending online antidepressant withdrawal support groups to gather their recommendations for improving support for antidepressant discontinuation. The survey participants emphasized the need for better information, support from healthcare professionals, and access to alternative forms of medication for tapering.
The study conducted by Read et al. (2023) used mixed methods to analyze responses from 708 participants, resulting in the identification of 7 themes and 29 subthemes related to recommendations for public health services to help people come off antidepressants.
The study findings highlight the need for improved education for clinicians regarding antidepressant withdrawal, as well as increased access to alternative forms of medication and support beyond the typical role of the doctor. It also provides valuable insights into the anger and disillusionment experienced by individuals struggling with antidepressant discontinuation, pointing to the need for changes in the current support system.
While the study offers important insights, it is important to acknowledge that the sample consisted mainly of white, well-educated individuals, and therefore, may not represent the experiences of a diverse population. More research is needed to understand the experiences and support needs of individuals from different backgrounds who may face unique barriers to stopping antidepressants.
In conclusion, the study by Read et al. (2023) underscores the urgent need for improved support for individuals looking to discontinue antidepressants. This includes the provision of evidence-based information at the point of prescription, enhanced education for clinicians, and expanded access to alternative forms of medication and support services.
