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May 28, 2025 5 mins

Do SSRIs Really Work? Understanding Depression Treatment and the Serotonin Debate.Are you wondering how SSRIs work for depression treatment or if they’re right for your mental health? Join Dr. Ferghal Armstrong on Cracking Addiction for a myth-busting dive into selective serotonin reuptake inhibitors, the cornerstone antidepressants for mood disorders like severe depression, mild depression, and moderate depression. This episode unpacks the science behind SSRIs, from the chemical imbalance theory of serotonin to the modern role of neuroplasticity in reshaping brain pathways.Dr. Armstrong explains what do SSRIs do, revealing why antidepressant efficacy isn’t instant—those crucial 4-8 weeks are about brain adaptation, not just a serotonin boost. He breaks down clinical trials, showing where SSRIs outperform the placebo effect and where they fall short, especially for mild depression. With antidepressant controversy swirling, learn why side effects like lethargy or emotional numbness affect many, and why only about half of patients see success, highlighting the need for personalized medicine.This video is essential for anyone navigating depression treatment, supporting loved ones, or prescribing antidepressants as clinicians. Dr. Armstrong explores how therapy options and the therapeutic setting amplify results, while the placebo effect can rival SSRIs in some cases. He tackles real-world challenges, from varying response rates to the push for mental health awareness in choosing the right path.Don’t miss this honest look at SSRIs—their strengths, limits, and role in mental health. Dr. Armstrong’s evidence-based insights from clinical trials empower you to make informed decisions about mood disorders and therapy options. Hit play for trustworthy answers and a fresh perspective on the antidepressant controversy!Chapters00:00:00 Introduction: SSRIs and the Mystery of How They Work00:00:41 How SSRIs Affect Serotonin in the Brain00:01:19 Challenging the Chemical Imbalance Theory00:02:09 Do SSRIs Actually Work? Examining the Evidence00:02:53 The Placebo Effect and Study Limitations00:03:31 Real World Response Rates and What They Mean00:04:05 Clinical Judgment and Finding the Right Treatment00:04:44 Setting Realistic Expectations: SSRIs Are Not Magic Bullets00:05:11 Conclusion: The Evolving Science and Role of SSRIs in Depression

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