Feeling Stuck on Antidepressants in Midlife? How to Taper Off Safely with Mark Horowitz, PhD
BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause
Dr. Stephanie Estima
4.8 β’ 613 Ratings
ποΈ 23 March 2026
β±οΈ 86 minutes
ποΈ Recording | iTunes | RSS
π§ΎοΈ Download transcript
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| 0:00.0 | one in three women between the ages of 40 and 60 are on an antidepressant. We know by the age of |
| 0:06.8 | 45, 70% of us will meet criteria for clinical depression or clinical anxiety. So it is an |
| 0:13.6 | extremely common thing. If you look at the science, there is no robust evidence showing that people with depression |
| 0:22.7 | have lower serotonin or any other chemical compared to normal people. |
| 0:27.8 | Most people who take antidepressants feel emotionally numbed. |
| 0:32.8 | And what that means is their normal range of emotions from very positive to very negative get squeezed into the |
| 0:39.0 | middle. And that can be a great relief if you're very anxious, but it is not a targeted bullet |
| 0:45.5 | that gets rid of just negative emotions. Antidepressants have been sold to the public, especially |
| 0:51.3 | to Americans, because they've got advertising direct from companies, |
| 0:56.0 | that antidepressants will fix an underlying chemical imbalance. |
| 1:00.5 | The depression is caused by something like low serotonin, the drug will restore it, a bit |
| 1:06.0 | like insulin restores diabetes. |
| 1:09.2 | It's a wonderful story and it's sold millions and millions of drugs. |
| 1:13.6 | If a drug is addictive, it means you want more of it, you crave it, you become obsessed with it, you'll misuse it. |
| 1:21.6 | If it's around, you'd use up all of it, you're going to go rob your neighbours to get more of it. |
| 1:25.6 | You know, that's addiction. |
| 1:29.5 | And antidepressants do not do that. |
| 1:33.1 | But much more important than that is physical dependence. |
| 1:39.5 | We know from studies of people who are given antidepressants for pain, |
| 1:43.9 | given it for the menopause sometimes, or given even to healthy volunteers. When they stop the drug, they get low mood, anxiety, panic, irritability, suicidality. |
| 1:54.0 | 56 million Americans are on antidepressants, with 25 million of that number on antidepressants for |
| 2:03.2 | more than five years. My guest today is going to be talking about the effects that antidepressants |
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