Clinic Address: Unit 3, 36-42 Auburn St, Wollongong NSW  | Monday to Friday by Appointment Only

Clinic Address: Unit 3, 36-42 Auburn St, Wollongong NSW  | Monday to Friday by Appointment Only

The Role of Anti-Depressants

Many people believe that anti-depressants increase the amount of neurotransmitters in the brain that helps to improve mood because there was a shortage of neurotransmitters to begin with. We're not actually sure if this is true. 

Anti depressants, particularly those such as Selective Serotonin Reuptake Inhibitors (SSRI) increase the amount of available serotonin in the brain which can decrease sensitivity and increase indifference. This means that things don't get under your skin so badly, which reduces irritability. Decreased sensitivity can also reduce anxiety, as you are less inclined to worry about stuff,  but there’s a spectrum of effect:

  • Reduced sensitivity (Usually desirable)
  • Increased indifference (sometimes helpful)
  • Emotional numbing (usually undesirable)
  • Zombified (undesirable)

​Where you land in that spectrum depends on dose, duration, type of medication and your individual neurochemistry.

When sensitivity is reduced, things don’t feel so bad. Things don’t feel so irksome. Things don’t feel so difficult. The chaos is more tolerable. One feels less defeated. Irritability is improved and thereby relationships can improve. But when one is too numbed out, life feels dreary and joyless.

Other type of anti-depressants, called Selective Noradrenaline Reuptake Inhibitors (SNRI) work by increasing energy to help with motivation, However, if you have an agitated depression it can make things worse. 

In the video above, Dr Al explains this in more detail

Sometimes the drugs make things worse

Not all drugs are created equal. SSRIs work differently to SNRIs. While both work on mood, some SNRIs (like Effexor) can make anxiety worse, creating new problems.


Dr Al explain how in this video. 

Share

About Our Resources

We offer actionable resources and teach real skills to help people make meaningful change in managing mental health issues through different modes depending on people's learning preferences including infographics, text, worksheets, handouts and video. 

View Website
By Al Griskaitis January 5, 2025
Using the Mammalian Dive Reflex to as a tactic to stop anger and overwhelm in it's tracks
By Al Griskaitis November 23, 2024
Getting properly squared away with DVA 
We explain the biology of rage, panic and distress: the fight/flight response
By Al Griskaitis November 8, 2024
We can lose our senses when we are distressed. When overwhelmed with rage, terror or distress we enter a state whereby rational thinking is sometimes not possible. This is a biological process. We explain how it works and what you can do to prevent to damage of unmitigated states of distress.
By Al Griskaitis October 30, 2024
Crutches help you get to the surgeon. Meds can help you get to a point were you can address the root causes.
By Al Griskaitis October 10, 2024
Erectile Dysfunction is common in PTSD
By Al Griskaitis August 28, 2024
Stubbornness can keep traumatised people stuck
By Al Griskaitis August 17, 2024
PTSD causes emotional fatigue so anger can easily come out. It's like being possessed by a family-wrecking demon. Marriages often can bear the anger from a spouse with PTSD. Whether it's the husband or the wife that is affected by PTSD, they both suffer.
Moral injury and the gnashing of teeth
PTSD and Bruxism
By Al Griskaitis June 29, 2024
How PTSD Can Lead to Bruxism and Dental Issues: The Teeth Keep the Score By Dr Al Griskaitis, Psychiatrist Bessel van der Kolk noted in PTSD that "The body keeps the score". Bruxism is a literal example of that. What is Bruxism? Bruxism is the involuntary grinding or clenching of teeth. It can occur during waking hours (awake bruxism) or during sleep (sleep bruxism). Common signs include worn-down biting surfaces of teeth, erosion of teeth at the gumline (abfraction), jaw pain, headaches, and increased tooth sensitivity. While bruxism is often associated with transient stress, its common connection to PTSD highlights a bodily impact of feeling endangered. Bruxism likely relates to this chronic state of increased arousal from PTSD which can be further exacerbated by alcohol and some medications. What is PTSD? I posit that it is more than a reaction to trauma with a syndrome of symptoms, that's too low resolution. Post-Traumatic Stress Disorder (PTSD) occurs when a very serious adversity leads to a "alarm
  • View Resources Here


    We hope you enjoy reading this blog post.

    We offer actionable resources and teach real skills to help people make meaningful changes in managing mental health issues. View resources here.

We hope you enjoy reading this blog post.

We offer actionable resources and teach real skills to help people make meaningful change in managing mental health issues.

Share by:
-->