well-being

antidepressants help me no more

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antidepressants help me no more

I consult a shrink and I have been taking antidepressants for a few months. But I have the impression that the drugs are no longer effective. I am anxious again. I have a big problem of trust in me. And I'm afraid it will make me fail in my job. How to do? salima28, 28

Christophe André

Psychiatrist and psychotherapist

respond

Thank you for your testimony, which allows us to discuss several important points, also concerning many other people.

First, medications: When taking antidepressants, it is almost always necessary to also take psychotherapy. Otherwise, there are two risks: either their effect may be exhausted if there is no relay taken by our personal efforts to change our behavior and our ways of thinking; this is often what happens when the difficulties are old: the antidepressants has a "starter" effect which then fades. Either, even if the effectiveness is maintained, in the absence of these efforts of changes, there can be a relapse at the end of treatment.

Next, the question of lack of self-confidence. This is always accompanied by a bad relationship with oneself: we do not love each other, and we feel that we are not loved, even rejected, by others, we rehearse and we ruminate dark thoughts, often excessive ... these sufferings that we inflict are useless: there are around us people ready to appreciate us in full, with our qualities and our faults, and also other people who will not appreciate us whatever we do.

Finally, whether these difficulties are likely to make you fail in your work is far from certain. Often, inner doubts do not prevent "pretending" in specific areas such as work. One can be very competent while doubting oneself.

To progress towards more serenity and fewer antidepressants, you would probably benefit from starting psychotherapy

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