When I told people I was starting SSRIs, the first question was always, “For how long?” But this isn’t antibiotics for a nasty UTI; these are happy pills for an unhappy brain. It’s gonna take way longer than a few weeks to sort that out. Honestly, I was more focused on just surviving life than thinking about how long I’d be on them.
Still, the question sticks. I do wonder about the day I might stop taking my antidepressants — if that’s something I decide to discuss with my doctor. And let’s be real, social media loves to serve up horror stories: going off SSRIs sounds just as scary as starting them. At the same time, more and more people are sharing their experiences online — everything from the struggles to the surprises — which is helping to normalize the conversation and remind us we’re not alone.
But as much as I love seeing people normalize SSRIs, TikTok should never be your doctor. Especially when it comes to deciding whether to stop a major medication like this, your FYP is not a healthcare provider. That’s a conversation for your doctor, not your For You page.
When Should You Talk to Your Doctor About Going Off Your SSRIs?
It’s not like a UTI where you just stop peeing in pain. When are you… healed? Happy-ish? Thriving? For those of us with depression, BPD, or whatever, thriving might be a myth — but stability and good vibes? That’s the goal.
Betches chatted with Naomi Magnus, psychotherapist and founder of North London Therapy. She says six months to a year of feeling steady is usually the sweet spot, depending on your diagnosis.
“There’s no shame in staying on SSRIs long-term if they help you feel like you,” Magnus explains.
“But if you’ve been feeling good for a solid stretch — and your life’s chill (no major stress like moving, job changes, or breakups) — it might be time. Build up your support system first: therapy, self-care, social life, healthy habits. And definitely get your GP or therapist on board before you even think about quitting.”
Harvard Health urges people to take their time and not rush the decision. Any choice to stop should be made thoughtfully, with the guidance of a physician or therapist, to avoid stopping prematurely and risking a recurrence of depression.
A little louder for those in the back: never quit without professional input!!!
What Are The Risks Of Coming Off SSRIs?
TikTok made quitting SSRIs look like a horror movie, honestly. I half want to stay on them forever to avoid the drama.
Magnus won’t sugarcoat it — it’s a daunting prospect. But don’t panic! It’s just a decision to take seriously, and only with professional advice. Sorry TikTok dance queens, no amount of cute choreography replaces a doctor’s guidance.
“Coming off SSRIs can present a few downsides if it’s not done properly,” Magnus shares. “Some people experience what’s known as discontinuation syndrome, which can include dizziness, mood swings, anxiety, headaches, or flu-like symptoms. In short, your brain is adjusting to a new normal without the medication, and that can feel a little unsettling for a while.”
According to Mayo Clinic, antidepressant withdrawal can happen if you stop abruptly — especially if you’ve been taking the medication for more than four to six weeks. Symptoms can include insomnia or vivid dreams, “electric shock” sensations, nausea, and heightened anxiety. On top of that, it’s likely that your depression could return, even if only temporarily.
This doesn’t mean you’re addicted to antidepressants: “Addiction involves harmful, long-term chemical changes in the brain and is characterized by intense cravings, an inability to control use, and negative consequences from the substance. Antidepressants don’t cause these issues.”
It’s also worth noting that the National Library of Medicine has found that different SSRIs can cause varying withdrawal effects, meaning each one needs to be approached differently, which is why it’s necessary to work with a doctor.
Going Off Your SSRIs Safely
Set realistic expectations
Don’t go into this delulu. Do your research, talk to your doctor, and prepare yourself. This is going to be a hard time. You might feel like you’re taking three steps back for every one forward — and that’s okay. Withdrawing from your SSRIs isn’t a linear journey; there will be ups, downs, and faceplanting on the bathroom floor.
Prep your support system
Don’t ghost your people. Tell your trusted crew what’s up. You don’t need to tell your entire feed, but at least some besties who can watch your back. Let them know what symptoms to watch for and when to check in. People want to help, so let them.
Gradual tapering
Lower your dose slowly with your doctor’s help to give your brain time to chill and adjust to lower levels of serotonin. Studies show that tapering off over weeks to months reduces the withdrawal risk factors.
Know your symptoms
Brain zaps, mood swings, insomnia? Totally normal, according to Cleveland Clinic. But don’t schedule your quit date right before finals or your birthday party. Track your mental and physical state so you can catch red flags early. If things get wild, call your doc ASAP.
“Keep a note of how you’re feeling, mentally and physically, so you can spot any patterns or changes,” Magnus advises. This can be as simple as a note in your phone or a daily check-in with a friend.
Self-care (the non-Instagrammable kind)
Forget Insta-worthy yoga retreats. Think real stuff: sleep like your life depends on it, journal your feelings (yes, even the ugly ones), take walks, binge-watch with a friend, and eat — even if you don’t want to. Avoid booze and other “fun” substances — they’ll just mess with your brain.
Celebrate small wins
Every day without a meltdown is a win. Be patient, Magnus says that it can take weeks or months, depending on your meds and how your brain reacts.
Know when to return
It’s okay to start meds again if needed. There is no shame in being on medication. You don’t have to go off them until you’re ready, even if that’s far in the future. “If you need to pause, or even go back up a bit, that’s completely fine. Your body might be saying, ‘not yet,’” Magnus says. Not yet isn’t the same as never, so don’t fret!
Going off SSRIs is scary, messy, and super personal. But with support from your doctor and some patience, you can do it without turning your life into a public meltdown. And if you need to spiral-post a little, well… I get it.
