Dr Joanna Moncrieff
@joannamoncrieff
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Critical psychiatrist, author and researcher. Also @joannamoncrieff.bsky.social
UK
Joined October 2013
Following the storm of interest provoked by our 2022 review, I am pleased to announce the publication of my book telling the story of the serotonin theory of depression from the beginning to recent times. Due out Jan 2025. To pre-order @flint_books 1/3
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'Doctors have always minimised the significance of antidepressant discontinuation problems' and continue to do so.
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RT @cwestonclark: Wanted to cheer when I saw this from @HengartnerMP! Dr Jauhar finds small effect sizes meaningful when they support the u….
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RT @justin_garson: The latest clamor to reassure us that SSRIs are “safe and effective” obscures a simple truth: depression is not a diseas….
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Good to see recognition of @markhoro's achievements from the people who matter. A stark contrast with the lack of institutional recognition.
This account is meant to advocate for survivors as a whole, not so much hero worship. But I am making an exception for @markhoro right now and forever. He wrote the Maudsley Deprescribing guidelines, got PAWS and PSSD on SNOMED, and leads deprescribing support groups for
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RT @justin_garson: The reason psychiatrists are so adamant about denying SSRI withdrawal problems - despite thousands of patient testimonie….
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In this article, authors of the latest review of antidepressant withdrawal express their concern to keep up the widespread prescribing of antidepressants
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RT @samhall_dj: @joannamoncrieff @DuthieAlyne I’m an ex senior manager in the NHS who has had to resign from their job, lost my career, my….
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RT @ScienceAlert: When patients show up with severe, long-lasting symptoms, many doctors don't take them seriously because these experience….
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'A new review into antidepressant use has concluded they do not cause significant withdrawal effects – but experts are concerned this dismisses the risks of long-term use'
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RT @iatrogenic_harm: Glad to report the JAMA Psychiatry FB post with their ‘study’, got mostly negative, dissenting comments, disagreeing w….
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RT @HenryRunamucker: This has been going on a long time. In a random sample of 52 antidepressant trials, only 3.8% bothered to monitor for….
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RT @dsowens17: Since minimising the prevalence and severity of antidepressant withdrawal is back in fashion, I revisited testimonies submit….
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RT @Melanie84410075: Struggled to come off long-term antidepressants? Share your story with @JDaviesPhD @markhoro or @dranneguy if you woul….
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RT @PPR_Org: . and this is data over a 20 year period in NI, showing an almost four-fold increase in prescribing. ( Source: Assembly brief….
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RT @SacksDisa: @joannamoncrieff The conclusion of the authors that this review is “ reassuring” is more than concerning .it’s not tenable….
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Thanks for highlighting this - a very important issue.
In a survey of sexual+gender minority youth, excluding people with hormonal treatments, 1 in 7 experienced PSSD symptoms after stopping antidepressants, 14 times the rate in youth who had stopped other psychiatric medications. #mentalhealth RT @markhoro
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Totally accept your point. It is v. difficult to get funding to do research on adverse effects e.g. withdrawal. Here is one paper we did looking at experiences of antidepressant withdrawal in people in online groups - it showed how severe it is for many
@Rozewicz @JAMAPsych @markhoro @joannamoncrieff We have thousands of patients in online communities and deprescribing practices that NO ONE is studying. Lots of media about this, documentaries, videos, even some of your own journal articles talk about it:
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The fact the review is interpreted as ‘reassuring’ by its authors is concerning, and suggests future patients may not be properly informed about the risks of antidepressants 5/n.
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The criterion of 4 plus symptoms to indicate clinically significant withdrawal, although suggested by others, is arbitrary and has no empirical basis – 1 severe symptom could be disabling and could also obscure other symptoms 3/n.
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