Grazia (UK)

School of thought

Q I started taking antidepres­sants as well as seeing a therapist. A few friends have strong opinions on antidepres­sants and I’ve been made to feel bad – or misguided – for taking them. I know they don’t mean to offend me, but the medication seems to be he

- Email your mental-health questions to feedback@graziamaga­zine.co.uk and we’ll try to help

eleanor says:

Before even starting to reflect on this predicamen­t of yours, I want to say that being proactive about your mental health in the way you have been – going to your GP, trying medication and seeing a therapist – is excellent. It would be patronisin­g to say ‘well done’, but you shouldn’t lose sight of that strength and honesty as you move forwards.

Now, these friends of yours. I can imagine how the scripts go. ‘ You don’t want to be messing around with your brain chemistry’, or ‘ They’re addictive’, or ‘ They’re just a sticking plaster, you’re not getting to the root cause’ – am I right? Unfortunat­ely, these kinds of attitudes reflect the common misconcept­ions people have about what antidepres­sants are and, more abstractly, what it means to be taking them.

Let’s be clear. Antidepres­sants are not an exact science. For example, SSRIS – the most commonly prescribed antidepres­sants – are thought to work by increasing the amount of serotonin (a neurotrans­mitter that regulates our mood and behaviour) in the brain, as diminished serotonin is thought to be linked to things like depression and anxiety. Even though the science is not precise (very little to do with brain chemistry is), we know through rigorous trials that they can work for people with all kinds of mental distress.

We cannot ignore the conversati­ons surroundin­g how often antidepres­sants are prescribed in the UK. It reflects both how overstretc­hed and under-funded talking NHS therapies are, and the devastatin­g impact of austerity on people’s health. Antidepres­sants are not magic bullets, either. There is no such thing when it comes to mental health. But I really believe that, if someone is suffering, whatever works for them to live their life is the ‘right’ option. If that means taking medication alongside therapy, fine! It ‘means’ nothing more than you taking your health seriously.

If people have strong opinions about your decisions, it reflects more on them. Attaching a sense of nobility to suffering is how so many of us find ourselves in despair. I hope your friends are able to see that.

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