The Daily Telegraph

Fears Facebook is filling mental health void

- By Jessica Carpani

PEOPLE coming off antidepres­sants are increasing­ly turning to inadequate Facebook support groups to “fill the void” of profession­al mental health support, a new study warns.

Patients are seeking out help from social media due to “failed clinician-led tapers”, an analysis by the University of East London has shown. Researcher­s analysed 16 Facebook support groups with more than 67,000 members who were raising awareness of, and supporting individual­s, tapering off antidepres­sants.

Membership was found to be growing at about 28 per cent annually, and was more than 80 per cent female.

Dr Ed White, report lead author, said: “I was alarmed when I found tens of thousands of people online seeking help with stopping antidepres­sants, many of whom are in a perilous state after being tapered too fast by their prescriber. Online peer support has become such an important avenue of care for people suffering antidepres­sant withdrawal and needing guidance to safely taper off these medication­s in the absence of medical backup from doctors.”

The pandemic has added to the problem with the Associatio­n of Independen­t Multiple Pharmacies reporting a 10 to 15 per cent rise in antidepres­sant prescripti­ons across the country.

Dr John Reed, co-author of the paper, said he feared there would be a further rise in the social media group membership­s if action was not taken to give patients the care they needed. Charities have also expressed their concern over the unregulate­d groups “filling the void” of profession­al care.

Stephen Buckley, head of informatio­n at Mind, which offers the peer support platform Side by Side, stressed that it was important to “not follow the advice of someone just because they are taking the same medication as you”.

Instead, he said, patients should talk to a health profession­al, such as a GP, pharmacist or psychiatri­st.

Laura Peters, head of advice and informatio­n at Rethink Mental Illness, said: “Social media can be a useful tool for people looking for peer support when managing mental illness, but it should never take the place of profession­al medical advice.”

Prof Martin Marshall, chairman of the Royal College of GPS, said that the effects of withdrawal from antidepres­sants could be serious and “need to be managed properly”.

He added “Withdrawin­g from taking antidepres­sants can be a big adjustment for patients, and whilst social media can be a good source of support, we’d urge patients to be wary about unverified sites or groups as a source of medical advice.”

In a recent inquiry, Public Health

England establishe­d that antidepres­sant withdrawal was experience­d by about half of people who tried to reduce or come off their medication. Symptoms may include dizziness or vertigo, flu-like symptoms and stomach cramps.

There are no NHS services specifical­ly designed to assist people to safely withdraw from antidepres­sants or other psychiatri­c drugs.

The report, published in the journal Therapeuti­c Advances in Psychophar­macology, has called on PHE to ensure the recommenda­tions in its report to have withdrawal services embedded in the NHS are “implemente­d rapidly”.

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