When ‘Happy Pills’ Don’t Work

 

Image result for happy pills

 

Antidepressants are not for everyone.

In fact, select individuals can get WORSE while on antidepressants.

 

Image result for happy pills

 

Factors that predict a bad response include:

  1. Lack of a mood stabilizer (dangerous for bipolar patients)
  2. Bipolar I vs. II- the further you are toward the manic side of the spectrum, the worse the reactions tend to be.
  3. Recent manic symptoms- starting an antidepressant within six months of a hypomania or mixed state is asking for trouble.
  4. Rapid cycling- if this has occurred in the year before starting the meds, it may get worse.
  5. Past worsening- any history of worsened mood on antidepressants increases your risk.
  6. Younger age- the risk for young adults, especially children and teens, is great
  7. Substance abuse- The more recent the abuse, the higher the risk.
  8. Suicide- If you’ve had a past attempt, there is a greater risk of worsening on antidepressants.
  9. Genetics- Those with the gene for the short-arm of the serotonin receptor are at greater risk for mania as well as suicidal thinking on antidepressants.

 

 

Source: “Bipolar, Not So Much”

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