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Stevie Lewis’s article ‘Four research papers’1expresses what so many patients have experienced. GPs have been reluctant to engage with patients who have been trying to share with them about the serious (apparently unrecognised and/or significantly underplayed) problems with antidepressants (see also New NICE guideline: antidepressants and chronic pain2 — chicken or egg?3 Now mid-2021, GPs are absolutely overwhelmed as detailed by Clare Gerada in her ‘Stop skinning the cat’ article where she says “I have never seen things so bad”.4
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We are flagging alarm that antidepressant problems are actually a definite contributor to ‘where we are’ and that initial decisions to prescribe antidepressants warrant urgent attention … as well as how to address the longer-term dependence issues which are clearly now evident.
Ed White’s article indicates what is occurring5 and concludes “Ultimately, the members of these groups want to know their GP will acknowledge, understand, and support them if difficulties occur, and have the knowledge to help them avoid painful and sometimes debilitating withdrawal symptoms”.
The 14th Edition of the Maudsley prescribing guidelines for Psychiatry includes new information about antidepressant prescribing and ‘discontinuation’ Order (maudsley-prescribing-guidel...Competing Interests: None declared.