Q I have heard that taking psychiatric medication for a long time causes dependence or harms the brain. Is that true?
A SSRIs are not medications that cause tolerance or dependence. However, stopping them abruptly on one's own can produce discontinuation symptoms, so dosage reduction must always be done slowly and in consultation with a specialist.
Detailed Answer
SSRIs are not habit-forming or dependency-causing medications. The idea that they harm the brain is an unfounded misconception; in fact, studies suggest that untreated chronic anxiety is more harmful to the brain. However, stopping SSRIs abruptly can cause discontinuation syndrome — symptoms such as dizziness, electric-shock sensations, and anxiety rebound — so dosage must be tapered gradually under a specialist's guidance. Benzodiazepines (such as lorazepam and alprazolam) can genuinely cause tolerance and dependence with long-term use and should be avoided as long-term medications; they are distinct from SSRIs.
Korean Medicine Clinic Perspective
At Dongjedang, we believe that delaying treatment out of worry about medication is the greater problem. Korean medicine can be used alongside SSRIs, and once anxiety is sufficiently stabilized, a medication tapering plan can be developed together with a psychiatrist. Korean medicine treatment can serve as a buffer during the tapering process.
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