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Due to the chronic stress of war, mental health issues among Ukrainians are increasing. Antidepressants, as a treatment, are often surrounded by myths. Experts from the human rights organization “Right to Protection” clarified some of them.
Myth 1: Antidepressants just improve mood
Fact: Antidepressants restore brain function by affecting neurotransmitters like serotonin, dopamine, and norepinephrine, which regulate emotions, sleep, appetite, and concentration. Research shows chronic stress can damage synaptic connections, and antidepressants help repair them.
Myth 2: Antidepressants work immediately
Fact: Effects usually appear after 2–4 weeks of consistent use. Antidepressants work cumulatively, gradually rebuilding nervous system function. Skipping doses or stopping early reduces effectiveness.
Myth 3: Antidepressants are addictive
Fact: They do not cause addiction. Gradual discontinuation is recommended to avoid withdrawal symptoms (temporary anxiety, dizziness, “electric shocks”), which are brain responses, not dependence.
Myth 4: Antidepressants change your personality
Fact: They do not change who you are—they restore your normal state. Some may feel emotional numbness at high doses, which should be discussed with a doctor.
Myth 5: Antidepressants have many side effects, cause weight gain and apathy
Fact: Modern antidepressants rarely affect weight. Side effects usually appear in the first 2–4 weeks and are temporary. Changes in weight may reflect appetite recovery. Temporary apathy usually resolves with dose adjustment.
Myth 6: Once started, antidepressants must be taken for life
Fact: Treatment usually lasts 6–12 months. The goal is to stabilize the patient, not create dependency. Therapy should end under medical supervision, often alongside psychotherapy.
Myth 7: Antidepressants are only for depression
Fact: They are also prescribed for anxiety, OCD, panic attacks, PTSD, and sometimes chronic pain.
Myth 8: Antidepressants may harm more than help
Fact: Untreated depression is more dangerous. Lack of treatment increases the risk of suicide, chronic illness, sleep disorders, and heart problems. Modern antidepressants are thoroughly tested for safety.
Myth 9: I can choose an antidepressant myself or use one that worked for someone else
Fact: Antidepressants are prescription drugs. Choice depends on symptoms like insomnia, anxiety, apathy, or somatic pain. Self-medication or abrupt discontinuation can worsen health. Always consult a psychiatrist.
