Are Americans too dependent on SSRIs?
Key Takeaways
Industry Buzz
“It is an important option for many that should not be ostracized." — Ozan Toy, MD, MPH, chief medical officer at Telapsychiatry
“I wouldn't be doing my job if the medications I used were a crapshoot." — Alex Dimitriu, MD, double board-certified psychiatrist and sleep medicine physician
There’s no denying that antidepressant medications have become increasingly popular over the past decade. [] Before COVID, roughly 1 in 8 Americans were taking an antidepressant.
Then, the pandemic came along and accelerated that trend. [] Research shows that antidepressant prescriptions increased by 64% in teens and young adults after 2020. []
The most commonly prescribed antidepressants are selective serotonin reuptake inhibitors (SSRIs)—or pharmaceutical drugs that improve mood by increasing serotonin levels in the brain. []
Related: SSRIs were a 'wonder drug'—then the research stopped. Here's whyBut Robert F. Kennedy, Jr., United States Health and Human Services Secretary, isn’t convinced of their effectiveness or their safety. The politician has been vocal about SSRIs, claiming the drugs may be addictive and dangerous. []
Related: Experts push back as RFK Jr. compares SSRIs to heroinWhy SSRIs can be life-changing
Ozan Toy, MD, MPH, Chief Medical Officer at Telapsychiatry in New Jersey, disagrees with the politician’s take. He believes the current prescribing amount is appropriate. “It is an important option for many that should not be ostracized,” he tells MDLinx.
Alex Dimitriu, MD, a double board-certified psychiatrist and sleep medicine physician and founder of Menlo Park Psychiatry & Sleep Medicine, says SSRIs have a gentle risk-to-benefit ratio. And when used correctly and under supervision, SSRIs can be life-changing.
Dr. Dimitriu believes that people’s limited clinical experience and personal experiences have contributed to opinions that aren’t backed by data. “I wouldn't be doing my job if the medications I used were a crapshoot,” he told MDLinx.
The societal shift
To Dr. Dimitriu, the increased need for antidepressant medications like SSRIs makes sense, given the significant societal and cultural changes of recent times.
“We live in a time when our society and technology has outpaced our biology,” he says. People, in general, are more socially isolated and devote less time with family and in nature. They have less downtime, work longer hours, and spend hours on their devices.
The human mind was not meant to work this fast, according to Dr. Dimitriu. “This is not natural, and for that reason, we need biological help to keep up,” he said.
Related: Why patients may be panic-stocking SSRIs—and what you should tell them