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BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

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

Intimacy, Menopause, Betterpodcast, Nutrition, Women's Health, Menstruation, Hormones, Optimization, Sex, Fitness, Sleep, Dr. Stephanie, Health & Fitness, Science, Parenting, Motherhood, Health, Self Care, Drstephanie, Mindset, Alternative Health, Self Love

4.8 β€’ 613 Ratings

πŸ—“οΈ 23 March 2026

⏱️ 86 minutes

🧾️ Download transcript

Summary

56 million Americans are on antidepressants β€” and 25 million have been for more than five years. Psychiatry researcher and de-prescribing expert Dr. Mark Horowitz unpacks what antidepressants are actually doing to your brain and body over the long term, including effects on mood, weight, sleep, memory, and sexual function. Watch the full episode at https://youtu.be/30Y9eMEqltA

Transcript

Click on a timestamp to play from that location

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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