Common concerns

Two common questions people may have about antidepressants is how long they will need to take them for, and are they addictive.

On average, a person would normally take an antidepressant for between six months and two years. While antidepressants are not addictive, there can be withdrawal effects when stopping, so a step-down approach is recommended. 

People should not stop taking their antidepressant suddenly. It is important to remind people that everyone is an individual and, ultimately, the length of treatment needed will depend on the individual person, the severity of their depression, the risks associated with untreated depression and their own preferences.

It is also important to know that during the initial phase of treatment, there is an increased risk of suicidal ideation. This is because antidepressants can increase energy and motivation levels, which start to rise prior to the depression starting to lift.

They may then have more energy plus motivation to act on suicidal intent before their mood starts to improve.

Although particularly high in young people under 25, this risk can occur in anyone starting an antidepressant. It is therefore crucial to know local escalation routes and contact details. 

If anyone expresses suicidal ideation or discloses thoughts or plans to harm themselves, these risks must be highlighted to their GP immediately.

If the person is in crisis and has active plans to harm themselves or end their life, they should be referred to the local urgent care service. If you are concerned that patient’s life is in imminent danger, contact 999 or A&E.