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Joanna Moncrieff

@joannamoncrieff.bsky.social
782 followers 9 following 161 posts

Critical psychiatrist, professor at University College London and author. Views are my own.

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Joanna Moncrieff @joannamoncrieff.bsky.social · 21/08/2026
How to think about ADHD Channel 4’s documentary on ADHD earlier this week predictably caused a stir, with cries of outrage starting even before it was aired. But we need to have a debate about ADHD, if for no other reason than it is becoming a significant burden on the health service. Referrals…
joannamoncrieff.wordpress.com
How to think about ADHD
Channel 4’s documentary on ADHD earlier this week predictably caused a stir, with cries of outrage starting even before it was aired. But we need to have a debate about ADHD, if for no other reason than it is becoming a significant burden on the health service. Referrals for ADHD assessments among adults are overwhelming mental health services. Most have had to put a block on referrals, because if they didn’t they would have practically no time to do anything else.
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Joanna Moncrieff @joannamoncrieff.bsky.social · 07/07/2026
On the pros and cons of the concept of ‘mental illness’: a response to Richard Gipps Summary: Many modern philosophers see the logical incoherence of the medical model that underpins psychiatry, but fail to draw the obvious and radical conclusions. For several years I have been aware that many…
joannamoncrieff.wordpress.com
On the pros and cons of the concept of ‘mental illness’: a response to Richard Gipps
Summary: Many modern philosophers see the logical incoherence of the medical model that underpins psychiatry, but fail to draw the obvious and radical conclusions. For several years I have been aware that many contemporary philosophers of psychiatry, whilst critical of the medical model of mental illness or disorder, are nevertheless reluctant to acknowledge the negative consequences of this model, such as the massive medicalisation of human distress, or to criticise the current practice of psychiatry.
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Martin Plöderl @ploederl.bsky.social · 26/05/2026
Finally, deprescribing has become an issue for mainstream psychiatry. Not out of interest but in response to political pressure, IMO. And, wow, just look at the conflict of interest section 🙈😳 Not exactly provoking trust. jamanetwork.com/journals/jam...
jamanetwork.com
Recommendations for the Deprescribing of Psychotropic Medications
This consensus statement evaluates clinical situations that would favor deprescription of psychotropic medications and provides broad consensus on its risks and benefits.
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Martin Plöderl @ploederl.bsky.social · 27/05/2026
Good commentary on the issue!
madinamerica.com
Rearranging Deck Chairs While the Titanic Goes Down—The American Society of Clinical Psychopharmacology Issues Deprescribing Recommendations
Clinicians seeking practical guidance about how to deprescribe in a safe, rational manner will find little here to assist them.
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Martin Plöderl @ploederl.bsky.social · 28/05/2026
🔥 Finally, our commentary on the problematic harm benefit ratio of escitalopram to treat pediatric generalized anxiety disorder is published. It took about 2 years and several rejections. With @floriannaudet.bsky.social @joannamoncrieff.bsky.social @markhoro.bsky.social and John Warren 🧵 below
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Mad in America @mad-in-america.bsky.social · 29/05/2026
From Mad in Canada: Have you ever been prescribed an antidepressant? And, are you an adult, who lives in Canada? If so, we want to hear from you! Click on the link to fill out this important survey. buff.ly/QPJDsbL
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Joanna Moncrieff @joannamoncrieff.bsky.social · 30/01/2026
It was great that BBC radio 4 covered the harmful effects of finasteride, including persistent sexual dysfunction. More attention is needed to the fact that SSRIs and other antidepressants cause similar, potentially devastating effects. www.bbc.co.uk/sounds/play/...
bbc.co.uk
File on 4 Investigates - Thin on Information? Hair loss drug Finasteride - BBC Sounds
Is the popular hair loss drug Finasteride being safely promoted?
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Joanna Moncrieff @joannamoncrieff.bsky.social · 30/01/2026
I agree psychedelics are being pushed now with little regard for the uncertain and potentially negative consequences of repeated use
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Martin Plöderl @ploederl.bsky.social · 28/01/2026
Super interesting interaction between two esteemed experts of our field. Such important points, especially toward the end where biological reductionism is discussed
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/01/2026
See this detailed thread on our paper. In sum, evidence shows fluoxetine has no meaningful effect. Earlier studies influenced by recency bias. But it is still recommended in clinical guidelines
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Martin Plöderl @ploederl.bsky.social · 25/11/2025
Welcome to the world of "pure" biological psychiatry "MDD is increasingly understood as a disorder of dysregulated neuroplasticity rather than solely of neurotransmitter imbalance" www.biorxiv.org/content/bior... @padbergthorsten.bsky.social @joannamoncrieff.bsky.social @mad-in-america.bsky.social
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Christopher Lane Author @christophlane.bsky.social · 04/12/2025
Do #antidepressants resolve a chemical imbalance or risk creating one? My interview @psychologytoday.com with @joannamoncrieff.bsky.social, author of Chemically Imbalanced #SSRIs #Depression #Psychiatry #MedSky www.psychologytoday.com/us/blog/side...
psychologytoday.com
"Chemically Imbalanced": An Interview With Joanna Moncrieff
The author of “Chemically Imbalanced” discusses the persistent serotonin myth of mental illness.
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Un-American @bennevis.bsky.social · 02/01/2026
@joannamoncrieff.bsky.social The 'medicalization of distress, the sedimented belief in “magic bullets,” and the push to “scale up” mental health treatment have contributed to the meteoric rise in the prescription of psychiatric drugs and of polypharmacy tinyurl.com/2az6fc86
tinyurl.com
Frontiers | Why psychiatry needs an honest dose of gentle medicine
The pharmaceutical industry’s influence on psychiatric research and practice has been profound and has resulted in exaggerated claims of the effectiveness of...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/01/2026
In this podcast I talk to therapist, Bruce Wampold, about the science and sociology of the chemical imbalance theory, how emotions are signals and about the potential risks of upcoming treatments for mental disorders, including psychedelics www.youtube.com/watch?v=s7Yu...
youtube.com
#29: "Psychiatry Failure? The Serotonin Theory of Depression Lacks Evidence!"-Joanna Moncrieff, MD
YouTube video by Making Therapy Better
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/10/2025
In mental health diagnoses are not explanations. 'Sometimes that can be a distraction, because people often try to fit themselves into boxes ..and don't necessarily communicate, or become aware of, what their actual problems are' camdenist.beehiiv.com/p/controvers...
camdenist.beehiiv.com
Controversial mental health voice Joanna Moncrieff speaks out
The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/10/2025
I am delighted to announce that the Spanish translation of Chemically Imbalanced is out now - its called "El mito de los antidepresivos" published by Arcopress almuzaralibros.com/fichalibro.p...
almuzaralibros.com
El mito de los antidepresivos - La tienda de libros
¿CÓMO LLEGAMOS A CREER QUE LAS EMOCIONES HUMANAS SE REDUCEN A FLUCTUACIONES QUÍMICAS? ¿QUÉ PAPEL JUGARON LA INDUSTRIA FARMACÉUTICA, LOS MEDIOS DE COMU...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/10/2025
My interview in the Camdenist. We have come to think what we 'need is ever more neuroscience, and that that is somehow going to uncover the answer to everything and tell us who we really are. It is not.' camdenist.beehiiv.com/p/controvers...
camdenist.beehiiv.com
Controversial mental health voice Joanna Moncrieff speaks out
The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week
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Meg Howarth @howarthm.bsky.social · 30/09/2025
@joannamoncrieff.bsky.social Found you! now following having left X. camdenist.beehiiv.com/p/controvers...
camdenist.beehiiv.com
Controversial mental health voice Joanna Moncrieff speaks out
The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week
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Martin Plöderl @ploederl.bsky.social · 22/10/2025
No significant effect for ketamine (vs midazolam) in this trial. This contrasts previous research. Functional unblinding and reduced expectancy effects due to the enrolment algorithm likely explain this finding (implying that older research is biased). jamanetwork.com/journals/jam...
jamanetwork.com
Serial Ketamine Infusions for Depression
This randomized clinical trial evaluates outcomes following adjunctive ketamine infusions vs midazolam for depression.
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Meg Howarth @howarthm.bsky.social · 26/10/2025
🍃 #NatureMatters➡️#EmotionalWellbeing➡️#HousingMatters 🚨Recent studies show that living near #parks or natural #GreenSpace reduces anxiety and depression by about 20 per cent🚨 @housingtoday.bsky.social @heathernstaff.bsky.social @joannamoncrieff.bsky.social www.theguardian.com/money/2025/o...
theguardian.com
Young first-time buyers forced into ‘nature deserts’, UK data shows
Exclusive: High cost of homes near green spaces may be deepening health inequalities, says wildlife coalition
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Mad in America @mad-in-america.bsky.social · 28/10/2025
Universal School Mental Health Lessons Can Backfire, Review Warns A new review finds that universal, school mental health programs can worsen symptoms for some students and urges trials that measure harm as well as benefit. By Ally Riddle www.madinamerica.com/2025/10/univ...
madinamerica.com
Universal School Mental Health Lessons Can Backfire, Review Warns
Oxford researchers say classroom-wide mental health interventions can backfire and call for designs that identify who benefits and who is put at risk.
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Joanna Moncrieff @joannamoncrieff.bsky.social · 20/08/2025
Looking forward to taking part in the HTLGI festival in Kenwood House, London, Sept 20-21st. The line up of amazing scientists, thinkers & political figures including Brain Cox, Roger Penrose, Alastair Campbell, Diane Abbott etc. Tickets howthelightgetsin.org/festivals/lo...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 20/08/2025
Blog on the longstanding tendency to play down the dependence-inducing effects of psychiatric drugs, now playing out in two reviews that minimise antidepressant withdrawal effects based on flawed studies of short-term users www.psychologytoday.com/us/blog/chem...
psychologytoday.com
Antidepressant Withdrawal: Nothing to Worry About?
Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.
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Martin Plöderl @ploederl.bsky.social · 28/07/2025
When Dr. Roussos-Ross pointed out the dangers of untreated depression, she left out the fact that antidepressants (ADs) have modest efficacy (as later pointed out by @joannamoncrieff.bsky.social ). Bc of the side effects, ADs are associated with a problematic harm-benefit ratio for the majority.
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Martin Plöderl @ploederl.bsky.social · 02/08/2025
Excellent summary of the ongoing controversy about antidepressant withdrawal issues by @joannamoncrieff.bsky.social www.psychologytoday.com/us/blog/chem...
psychologytoday.com
Antidepressant Withdrawal: Nothing to Worry About?
Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.
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Joanna Moncrieff @joannamoncrieff.bsky.social · 22/07/2025
I was honoured to take part in the FDA's panel on the risks of SSRIs in pregnancy yesterday along with other experts @fda.gov. This is a huge issue with so many young women taking these drugs. I hope the UK and other countries will listen to the evidence presented www.youtube.com/watch?v=2Nha...
youtube.com
FDA Expert Panel on Selective Serotonin Reuptake Inhibitors (SSRIs) and Pregnancy
YouTube video by U.S. Food and Drug Administration
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Joanna Moncrieff @joannamoncrieff.bsky.social · 22/07/2025
It is worrying that leading psychiatrists have quoted the Henssler review regardless of these limitations (and the more recent Kalfas review) to reassure the public and called on the Royal College of Psychiatrists to weaken its advice on stopping antidepressants 4/n
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Joanna Moncrieff @joannamoncrieff.bsky.social · 22/07/2025
Only 5 studies in the Henssler AD withdrawal review (not 18 as claimed) used a relevant measure of withdrawal. These find 55% of people reported withdrawal symptoms after stopping antidepressant 3/n
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Joanna Moncrieff @joannamoncrieff.bsky.social · 22/07/2025
The vast majority of included studies in the Henssler AD withdrawal review were not designed to measure withdrawal and only recorded it incidentally among spontaneously reported ‘adverse events’. This is no basis for estimating prevalence 2/n
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Joanna Moncrieff @joannamoncrieff.bsky.social · 22/07/2025
Remember the 2024 Henssler review claiming only 1 in 6 have antidepressant withdrawal symptoms & 1 in 30 severe symptoms? Here we show it was based on highly unreliable data & can't be used to assess withdrawal effects @ploederl.bsky.social @markhoro.bsky.social 1/n www.cambridge.org/core/journal...
cambridge.org
Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review | Psychological Medicine | Cambridge Core
Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review - Volume 55
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Joanna Moncrieff @joannamoncrieff.bsky.social · 15/07/2025
'Psychiatrists have been accused of downplaying the risks of antidepressant withdrawal in a new study' www.thecanary.co/global/world...
thecanary.co
Big pharma-funded psychiatrists 'cosplaying science' in misleading antidepressant withdrawal study
The paper claims, with confidence, that withdrawal symptoms from antidepressants are minimal and easily managed. Not true.
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Joanna Moncrieff @joannamoncrieff.bsky.social · 15/07/2025
Our rapid response in the BMJ highlights how the recent antidepressant withdrawal review confirms withdrawal effects with SSRIs and SNRIs but underestimates their significance due to relying on short-term trials and other methodological problems @ploederl.bsky.social www.bmj.com/content/390/...
bmj.com
Review underestimates antidepressant withdrawal effects
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Martin Plöderl @ploederl.bsky.social · 14/07/2025
Our rapid response to a summary of the new problematic antidepressant withdrawal study has been published, together with other interesting and important ones (e.g., by @markhoro.bsky.social ). @joannamoncrieff.bsky.social
bmj.com
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Joanna Moncrieff @joannamoncrieff.bsky.social · 14/07/2025
Useful thread on this study
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Joanna Moncrieff @joannamoncrieff.bsky.social · 13/07/2025
Useful thread critiquing the recent review of antidepressant withdrawal
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Martin Plöderl @ploederl.bsky.social · 13/07/2025
Occurrence of a discontinuation syndrome in the 5-8 day discontinuation period, defined by Rosenbaum et al. as 4+ withdrawal symptoms: 60% sertraline, 66%paroxetine, and 14% fluoxetine (which can serve as control group). This conforms the ca. 50% occurrence, which was dismissed by Hayes 🤔
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Martin Plöderl @ploederl.bsky.social · 13/07/2025
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Martin Plöderl @ploederl.bsky.social · 13/07/2025
Also note that the SMD's for individual SSRI/SNRI's ranged between 0.39 and 0.68. In the study of Rosenbaum, where patients were on antidepressants much longer (average ca. 11 months), the increase in DESS symptoms after stopping meds was 6 and 8 for sertraline and paroxetine, respectively.
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Martin Plöderl @ploederl.bsky.social · 13/07/2025
Besides the double standards, the main problem is that the result from the main analysis is based on short-term trials (ca 8w) except one 26w agomelatine trial. Not much withdrawal can be expected but was nonetheless observed - concerning! Most are on ADs much longer. Absurd conclusions!
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Joanna Moncrieff @joannamoncrieff.bsky.social · 17/06/2025
Thread on our response to Ghaemi and how Ghaemi's article became more hostile and pejorative after peer review
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Joanna Moncrieff @joannamoncrieff.bsky.social · 04/06/2025
I'm looking forward to talking about Chemically Imbalanced in Harrogate at #BerwinsSalonNorth tomorrow evening. Tickets available here: harrogateinternationalfestivals.com/event/berwin... @harrogatefestivals.bsky.social
harrogateinternationalfestivals.com
Sound Connections | Harrogate International Festivals
Book tickets for Sound Connections with Harrogate International Festivals online today!
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Angela Welz @heartforward.bsky.social · 03/06/2025
There’s no strong evidence of a chemical imbalance behind depression, yet antidepressants are still pushed to serve pharma profits and uphold psychiatry’s medical image. @joannamoncrieff.bsky.social's compelling interview. www.youtube.com/watch?v=zcBu...
youtube.com
This Psychiatrist Says Chemical Imbalance is a LIE
YouTube video by Dr. Josef
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Mad in America @mad-in-america.bsky.social · 04/06/2025
Liberation Psychology Gains Ground in a Fractured World As crises of displacement and inequality intensify, more scholars are turning to Liberation Psychology’s commitment to structural change. By Micah Ingle, PhD www.madinamerica.com/2025/06/libe...
madinamerica.com
Liberation Psychology Gains Ground in a Fractured World
As crises of displacement and inequality intensify, more scholars are turning to Liberation Psychology’s commitment to structural change.
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/05/2025
I am looking forward to giving the Sowerby anniversary public lecture at the Philosophy and Medicine conference in London next Tuesday 3rd June at 4pm. The event is open to everyone, please come along. www.tickettailor.com/events/sower...
tickettailor.com
Select tickets – Sowerby Project 10 Year Anniversary Public Lecture: Joanna Moncrieff – King’s College London, Lecture Theatre 1 Bush House, Strand
We are delighted to be welcoming renowned British Psychiatrist Joanna Moncrieff at King’s College London on the 3rd June where...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/05/2025
This data suggests use of antidepressants may be decreasing a bit in the US - not before time! psychiatryonline.org/doi/10.1176/...
psychiatryonline.org
Psychotherapy Trends in the United States | American Journal of Psychiatry
Objective: The authors investigated recent national trends in outpatient mental health care and psychotherapy. Method: Service data from four representative surveys of the U.S. household population, t...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 28/05/2025
I enjoyed my trip to the How The Light Gets In festival in Hay. My talk was packed out and there were was a good discussion. The festival was a great combination of serious debate and fun
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Harrogate International Festivals @harrogatefestivals.bsky.social · 27/05/2025
Thought-provoking piece from our next Salon speaker @joannamoncrieff.bsky.social 
ucl.ac.uk
Opinion: Are mental health conditions overdiagnosed in the UK?
Professor Joanna Moncrieff (UCL Psychiatry) argues in The Conversation that a mental health diagnosis is just a label – and usually an unhelpful one.
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Steve Moskal @samoskal.bsky.social · 20/05/2025
#biorisks - SSRI’s are *not ‘selective’, as they affect serotonin used throughout the whole nervous system and where it is used through the metabolic system. Biological system wide mind-body effects. This has been known by pharma research since mid-1950’s
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UCL News @uclnews.bsky.social · 22/05/2025
People who have been taking antidepressants for more than two years are more likely to experience withdrawal symptoms compared to short-term users when they come off the medication, finds a new study led by Dr Mark Horowitz and Prof @joannamoncrieff.bsky.social @uclpsychiatry.bsky.social
ucl.ac.uk
Antidepressant withdrawal symptoms more common among long-term users
People who have been taking antidepressants for more than two years are substantially more likely to experience withdrawal symptoms compared to short-term users when they come off the medication, find...
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Joanna Moncrieff @joannamoncrieff.bsky.social · 20/05/2025
I enjoyed speaking to Jeannette Hyde in this podcast. We cover the lack of studies on exactly what SSRIs do to the brain, emotional numbing and weight gain, and how exercise and social prescribing fit in thegutmakeover.substack.com/p/research-s...
thegutmakeover.substack.com
"Research shows that most anti-depressants make people gain at least some weight"
Dr Joanna Moncrieff, psychiatrist and author of 'Chemically Imbalanced' in conversation with The Gut Makeover
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