Is It Safe To Take SSRIs For Depression While In Recovery?

Selective Serotonin Reuptake Inhibitors (SSRIs) are one of the most frequently prescribed drugs for Major Depressive Disorder (MDD). Depression is more common among addicts and alcoholics than other groups. During recovery, symptoms can worsen. If you’ve been diagnosed with depression, SSRIs can potentially improve brain chemistry and ease recovery.

SSRIs are in a class of drugs that don’t have the same addictive qualities as opioids and benzodiazepines (Xanax). Their onset is gradual, and the effects can take weeks to take effect. In the rest of this article, we’re going to discuss how SSRIs behave in the brain and how to determine if they’re appropriate for you or your loved one while in recovery.

Many seeking recovery from alcohol and drug use are diagnosed with a co-occuring disorder.  Many times, these co-occuring disorders include anxiety and depression.  Treatment for co-occuring disorders is very common within the realm of addiction recovery.

 

How SSRIs Work

Serotonin is known as the “happy,” “feel-good” neurotransmitter because it increases feelings of general well-being. SSRIs treat depression by temporarily preventing serotonin from being reabsorbed into the bloodstream. When serotonin is absorbed into the bloodstream it gets returned to the inside of your brain’s neurons. To be actively influencing how you feel, serotonin needs to be outside of your brain’s neurons and in the synaptic gap between them. Once here it can get to work at making you feel happy. SSRIs work by allowing serotonin molecules to stay suspended in the synaptic gap for an extended period before reabsorption.

Serotonin has multiple functions in the body and brain, but its main job is to keep you upbeat and content. Folks that have too little serotonin in the synaptic gaps between neurons are more prone to feelings of depression and nervousness.

 

How Depression Influences Addiction

Someone who’s chronically depressed early in life is more likely to self-medicate with drugs and alcohol. This gets the ball rolling, and genetic tendencies for addiction pick up the momentum from there.

Not all people with depression have low serotonin, and not everyone with low serotonin is depressed. Depression can also be caused by imbalances of dopamine and norepinephrine. For people who are both depressed and low in serotonin, SSRIs can be helpful at managing symptoms during alcohol and drug recovery.

 

How Recovery From Addiction Impacts Brain Chemistry

Recovery throws your brain chemistry into chaos. In a state of addiction, the brain relies on substances as an external source of the happy neurotransmitters it would otherwise produce on its own. In the depths of addiction, your brain balances on shaky legs. When you stop taking drugs and alcohol, those legs get kicked out from under you. Recovery is the process of re-establishing healthy brain chemistry that isn’t dependent on substances.

This transitional period can last over a year before your brain returns to its pre-addiction baseline. It’s during this time that untreated depression can create the most risks for recovering addicts.

 

Depression Increases The Risk Of Suicide In Recovering Addicts

One study suggests that the suicides of alcoholics contribute to 25% of the total suicides nationwide. John H. Krystal, M.D. is the chair of the Department of Psychiatry at Yale University School of Medicine. In his opinion, although therapy alone can be helpful, persistent depression is best treated with a combination of therapy and antidepressants.

 

Antidepressants Can Increase The Risk Of Suicide

For some recovering addicts, taking SSRIs can increase the risk of suicide. For others, taking antidepressants can significantly decrease the risk. This makes it critical to work closely with a psychiatrist who’s experienced in dealing with both depression and addiction. The first few weeks of taking SSRIs, and anytime that doses are changed, are high risk periods for suicide. During this time, depression can get worse before it stabilizes. Patients ages 25 and under report the highest occurrences of such episodes.

 

SSRI Side Effects

The biggest risks associated with SSRIs are suicide and decreased sex drive. Aside from these, SSRIs can cause the following side effects: weight gain, nausea, nervousness, dry mouth, fatigue, rash, diarrhea, increased perspiration, trouble sleeping, and headaches.

 

The goal of recovery is to live a long and happy life. For people with depression, taking SSRIs can be lifesaving in its ability to decrease suicidal thoughts. While abstaining from antidepressants may be appropriate for people with mild or intermittent depression, chronically depressed individuals should rely on the opinion of their psychiatrist to help them make the final call. If you or someone you know lives in the Phoenix, AZ area and is in need of treatment for addiction, our 10-week Intensive Outpatient Program is here to help support you through this challenging time.

 

Prescribing SSRIs (How Psychiatrists Evaluate The Need)

Only a psychiatrist can weigh in on the question of whether or not SSRIs are right for your recovery. More likely than not, if you were already taking SSRIs, your doctor will recommend you continue taking them throughout recovery. Discontinuing use will only create further chaos in a brain that’s scrambling to rewire itself post-addiction.

When deciding whether or not to start an SSRI, your doctor will look at your mental health history. If you weren’t consistently depressed leading up to getting clean, your psychiatrist will likely discourage the use of SSRIs.

If you do have a history of chronic depression, your psychiatrist may diagnose you with Major Depressive Disorder. This would warrant getting you started on an SSRI.

Finding Which Antidepressant Works For You

Most antidepressants take several weeks to build up in your system and become effective. This is a long time to be in limbo for someone struggling with depression, thoughts of suicide, and recovery from addiction. It isn’t unusual for a patient to spend an entire year rotating through different medications before finding one the works. The following are antidepressants that your psychiatrist may suggest for you.

Selective Serotonin Reuptake Inhibitors (SSRIs)

These are usually the first types of antidepressants that your psychiatrist will start you on. They tend to have the least side effects and highest success rates. SSRIs include fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil, Pexeva), escitalopram (Lexapro), and citalopram (Celexa).

 

Serotonin And Norepinephrine Reuptake Inhibitors (SNRIs)

This class of antidepressants targets the neurotransmitter norepinephrine as well as serotonin. These include venlafaxine (Effexor XR), duloxetine (Cymbalta), levomilnacipran (Fetzima), and desvenlafaxine (Khedezla, Pristiq).

 

Tricyclic Antidepressants

Your psychiatrist will likely try other antidepressants before suggesting tricyclics due to their higher rates of complications. Examples of tricyclics include nortriptyline (Pamelor), imipramine (Tofranil), and desipramine (Norpramin).

 

Atypical Antidepressants

These are antidepressants that don’t fit nicely in any category. They include vilazodone (Viibryd), trazodone, mirtazapine (Remeron), bupropion (Wellbutrin, Aplenzin, Forfivo XL), and vortioxetine (Trintellix).

 

Monoamine Oxidase Inhibitors (MAOIs)

This is another class of antidepressants that your psychiatrist may wait to try. They can have serious side effects and require a strict diet when taking them. MAOIs don’t combine well with SSRIs.

 

SSRIs Don’t Get You “High”

SSRIs are notoriously slow at making an impact on brain chemistry. The best case scenario is that after several weeks the drug will begin positively impacting on how you feel. You never “get high” in the same way that you do with opioids or benzodiazepines. In fact, after being on SSRIs for a while, you probably won’t notice any change until you stop taking them.

 

SSRIs Don’t Cause Withdrawal Symptoms, But You Do Notice When They’re Gone

SSRIs aren’t considered addictive. You will start to feel different, however, if you miss a few doses or if you stop taking them altogether. Stopping SSRIs causes what the doctors call “discontinuation syndrome.” Discontinuation syndrome can result in nausea, dizziness, and flu-like symptoms in addition to feelings of uneasiness. Let your psychiatrist know if you want to stop taking SSRIs. He or she will put together a plan for gradually decreasing your dose in a way that minimizes undesirable symptoms.

 


 

Only you and your psychiatrist can decide whether or not taking SSRIs is right for you. For certain individuals, SSRIs can reduce depression and be a critical component of a safe and successful recovery. SSRIs’ lack of addictive properties makes them safe for recovering addicts to take, so long as they meet the right requirements and are closely monitored by health professionals. If you or anyone you love is currently dealing with drug or alcohol addiction, it’s vital to keep an eye out for developing dependence. Stonewall Institute Treatment Center is more than happy to answer any questions you may have. Call us today at 602-535 6468 or email us at [email protected].

 

Healing The Gut After Alcohol Abuse

Alcohol abuse is gut abuse. When you seek treatment for alcohol use, you not only must think about the disease itself, but you also must think about the physical consequences your body endured for a long time. Increased and long-term alcohol use bombards your digestive system with sugars, carbs, and inflammatory toxins. This raises the acidity level of your body, throws the ratio of your gut bacteria out of balance, compromises your gut lining, and can lead to chronic, systemic inflammation. Your stomach and intestinal tract are more than just part of the digestive system. They’re your immune system’s first line of defense against the toxins you consume.

When your gut health is compromised, inflammatory agents can quickly cross into the bloodstream. From there, toxins can trigger inflammation anywhere that blood travels, including your brain. In the rest of this article, we’re going to discuss which foods and supplements to take, and which to avoid to heal your gut and brain while recovering from alcohol abuse.

 

Avoiding Sugar

Sugar is something that most everyone has too much of in their diet. Sugar (such as alcohol) feeds the harmful bacteria that colonizes your gut. Scientists and researchers have yet to discover the ideal ratio of the many different strains of bacteria that live in your digestive system. What they do know is that some are obviously beneficial, while excessive amounts of others can compromise gut health.

These harmful bacteria are associated with obesity, autoimmune disease, ADHD, anxiety, depression, hypothyroidism, adrenal fatigue, skins conditions like eczema, and the list goes on.

Bad gut bacteria consumes sugar for energy, while healthy bacteria thrives off of dense, fibrous leafy greens and other low-sugar vegetables. Eating less sugar and more veggies can speed the gut healing process. Keep in mind that as you detox from alcohol, you’ll also be detoxing from sugar. Sugar is highly addictive on its own, so you’ll be fighting two battles at once.

 

Eat Dense, Fibrous Veggies

Eating dense, fibrous veggies will give the good bacteria in your gut a fighting chance to thrive. Veggies like broccoli, cauliflower, kale, and chard are fuel for good bacteria. Artichokes are also an excellent source of fuel. When you eat broccoli, the good bacteria feeds on it in the small intestine. The denser the vegetable, the deeper into the digestive tract it survives without being completely broken down by enzymes. This means more food for good bacteria.

 

Supplement With Prebiotics and Probiotics

When vegetables serve as food for healthy bacteria, they play the role of prebiotics. Prebiotics are exactly this, fuel for healthy bacteria to consume. In the world of supplements, the bacteria themselves are referred to as probiotics. Supplementing with probiotics (good bacteria) and prebiotics (bacteria food) can help to recolonize your gut flora.

Before you take your probiotic supplement, make sure to eat plenty of broccoli, cauliflower, and other fibrous vegetables. You can also take a prebiotic supplement just before taking your probiotics. When you do this, the good bacteria (probiotics) will have something to munch on immediately. Artichoke is one of the most effective natural prebiotics, and several quality prebiotic supplements are derived from the plant.

 

Glutamine: One Of The Most Important Supplements For Repairing A Damaged Gut

Glutamine seals up that leaky gut. In scientific terms, glutamine “decreases intestinal permeability.” The cells of your small intestine use glutamine as a primary fuel source. When glutamine runs out, it becomes hard for the cells of the small intestine to repair themselves. By supplementing with glutamine, you give your cells the fuel they need to stay healthy and protect the body and brain from inflammation. Glutamine helps with nearly all gut issues: Irritable Bowel Syndrome (IBS), ulcers, diarrhea, leaky gut, bowel movements, diverticulosis, and Crohn’s disease. If it’s a gut-related issue, glutamine can reduce symptoms.

 

Glutamine Improves Focus, Concentration, and Working Memory

Glutamine is one of the most abundant amino acids in the body. Your gut can’t survive without it, and neither can your brain. In the brain, glutamine is used to make the neurotransmitters GABA and glutamate. The balance between these two neurotransmitters is critical to overall brain health, cognitive performance, and the prevention of serious brain-related disorders. Epilepsy, anxiety, depression, bipolar disorder, schizophrenia, and addictive behaviors are all affected by a healthy balance of GABA and glutamate. If you or someone you know in the Phoenix, AZ area is struggling with addiction or believes they have a problem with alcohol, Stonewall Institute’s 10-week Intensive Outpatient Program allows patients to work towards recovery without disrupting daily life.

 

Glutamine Strengthens The Immune System

Leaky gut is the starting point for a lot of autoimmune diseases. A compromised gut lining allows too many inflammatory agents into the bloodstream. This can lead to thyroid disease, Hashimoto’s disease, and a greater chance of getting sick in general.

 

Glutamine Reduces Pain Associated With Chronic Inflammation

Inflammation in the gut leads to inflammation all over. Leaky gut can make arthritis worse, exacerbate skin problems (like psoriasis) and wreak havoc on overall health. Strengthening the gut with glutamine can reduce these symptoms.

 

Digestive Enzymes

Digestive enzymes help your gut process the difficult to digest foods like protein. In fact, enzymes are what allow you to digest all food, including complex sugars and starches. When not enough enzymes are present in the gut, intestinal inflammation can occur. As the food sits without being broken down, the lining of your intestine can become inflamed. Supplementing with digestive enzymes before and after eating can reduce intestinal inflammation by speeding up the digestive process.

It’s best to supplement with a broad spectrum of enzymes. A quality product will contain protease, lactase, lipase, and amylase. Protease is a pro at digesting protein, lactase breaks down dairy, lipase breaks down fat, and amylase goes to work on starches.

 

Herbs That Support The Adrenal Gland

Adrenal fatigue is more common in people with compromised gut health. Adaptogenic herbs like licorice root and ashwagandha are proven to aid in recovery from adrenal fatigue.

Licorice root increases hormone availability while alleviating adrenal fatigue by aiding the absorption of cortisol. Not only that, but it also promotes gut health by strengthening the mucosal lining of the stomach and small intestine. If you’d like to try supplementing with licorice root, go for the ‘DGL’ version. This type has had the glycyrrhizin removed, which can cause edema (swelling) and high blood pressure.

Ashwagandha is another adaptogenic herb that is especially effective at recovering from adrenal fatigue and balancing hormone levels post-addiction. It’s also proven to improve mood and cognitive health. Ashwagandha is a stress reliever, but also prevents against brain degeneration.

Ashwagandha’s effectiveness lies in its potent antioxidant content. The antioxidants in ashwagandha neutralize the free radicals in the blood that cause inflammation and cell damage. Ashwagandha is also proven to reduce symptoms of anxiety and depression. Unlike prescription medications used to treat anxiety and depression, ashwagandha has no adverse side effects.

 

Bone Broth And Collagen

Collagen is the ingredient in bone broth that makes it so valuable for gut health. Collagen is also influential in reducing joint inflammation and strengthening soft tissue throughout the body. The amino acids proline and glycine in collagen can repair damaged intestinal lining. Supplementing with collagen also helps increase the gastric juices that strengthen the mucosal lining.

 

 

HCL (Hydrochloric acid)

Hydrochloric acid is the stomach acid that’s most important for breaking down protein before it enters the intestines. Individuals with poor gut health from drinking alcohol excessively or taking prescription meds tend to have too little HCL. This can be problematic because HCL plays a significant role in keeping bad bacteria from growing out of control in the small intestine. Check with your doctor before supplementing with HCL. Your doctor will want to test your stomach acid levels to make sure that you are, in fact, low on HCL. If she advises you to supplement with HCL, make sure it’s the ‘pepsin’ variety. Also be sure to take it with a meal that contains protein.

 

Oil Of Oregano

Oil of oregano extract is an anti-fungal. Supplementing with it can help balance the ratio of bacteria in your gut. Oil of oregano isn’t something to supplement with long-term, but initially, it can speed recovery. An overgrowth of yeast and candida can make gut flora imbalances worse. If you’ve been a beer drinker, you’re an ideal candidate for excessive yeast growth. The anti-fungal properties of oil of oregano can reduce yeast levels, giving your gut a better chance to heal itself and balance bacteria levels. Try building up your gut bacteria for a few weeks using the other techniques described in this article, then supplement with oil of oregano for one to two weeks.

 


Aside from taking supplements and eating healthy, exercise can ignite metabolism and stimulate the brain for a faster recovery from addiction. In the end, a healthy, well-rounded lifestyle is your best weapon against relapse. Having a healthy gut will make it easier to stay motivated and on track. It’s much harder to stay in a negative mindset when your digestion, immune system, and brain are all significantly improving together. Focus on accomplishing the small health goals, and the larger goal of sobriety will follow close behind. If you or someone you love is a habitual drinker, it’s important to keep an eye out for developing dependence. Stonewall Institute Treatment Center is a safe resource for any questions you may have. Call us today at 602-535 6468 or email us at [email protected].

Drug Treatment Arizona

Stonewall Institute in Phoenix has the best drug treatment program in Arizona.  The Intensive Outpatient Program (IOP) uses evidence-based practices to teach relapse prevention skills and ways to maintain sobriety.  They offer professional and caring alcohol counseling and drug counseling in an upscale environment.  This is an affordable drug treatment program you can fit into your life.  For the complete story, visit our website at www.stonewallinstitute.com and call us for an appointment at 602-535-6468.

Kyle Penniman Arizona Alcohol Counselor

Kyle Penniman is the best Arizona alcohol counselor working at Stonewall institute Phoenix. Kyle Penniman can help anyone who is drinking too much learn about recovery from alcohol abuse. For innovative alcohol counseling at Stonewall Institute, call Kyle Penniman to schedule a clinical alcohol evaluation at 602-535-6468 or visit the website at www.stonewallinstitute.com

Arizona’s Best Alcohol Counseling with Kyle Penniman

Kyle Penniman is a licensed addiction therapist providing alcohol counseling at Stonewall Institute. Kyle Penniman provides alcohol evaluations that help determine whether or not you need treatment for alcohol abuse. To make an appointment, call Kyle Penniman at 602-535-6468 or visit the website at www.stonewallinstitute.com

Kyle Penniman Alcohol Treatment Counselor

Kyle Penniman is a licensed alcohol treatment counselor at Stonewall Institute in Phoenix, Arizona. As CEO and Clinical Director of Stonewall Institute, Mr. Penniman has trained his staff to be inclusive, respectful and welcoming. The atmosphere for alcohol counseling is relaxed and comfortable, while using the most effective addiction treatment methods available in the field. To make an appointment for a complete alcohol evaluation with an experienced and respected alcohol treatment therapist, call Kyle Penniman at 602-535-6468 or visit the website at www.stonewallinstitute.com

Gay Alcohol Treatment Center Arizona

Stonewall Institute is an Arizona LGBTQ affirmative alcohol treatment center.  Our alcohol counseling staff has been trained in LGBTQ Clinical Competency and is especially sensitive to the unique stressors gay individuals and their families face.  This therapeutic environment supports treatment for alcohol abuse in a safe and comfortable environment.  Our relapse prevention program is second to none.  Contact us today at 602-535-6468 or visit us on the web at www.stonewallinstitute.com

Drug treatment in Phoenix, Arizona

Stonewall Institute in Phoenix helps anyone in need of drug counseling or alcohol counseling.  Small groups and an upscale office environment make this Intensive Outpatient Program a step above institution-based programs.  Still, it is a low-cost drug treatment program that accepts insurance as well as cash-pay clients.  If you are in need of help with any kind of drug abuse or alcohol dependency issues, check out our website at www.stonewallinstitute.com or call 602-535-6468.

Drug Treatment in Phoenix

Stonewall Institute is the premier outpatient drug treatment center located in Phoenix, Arizona.  If you are looking for personalized help with drug abuse issues, look no further than Stonewall Institute.  This is not your cookie-cutter rehab, but a customized, small and intimate Intensive Outpatient Program that meets the clients where they are at.     You can find Stonewall online at www.stonewallinstitute.com or call today at 602-535-6468 and start getting the drug counseling or alcohol counseling needed today.

Substance Abuse Evaluation Arizona

Stonewall Institute provides friendly and effective substance abuse treatment. If you or someone you know might have an addiction problem Stonewall can provide an affordable alcohol and drug assessment to help you move forward. Seeking help for addiction issues or alcohol abuse does not have to be a stressful process. Stonewall offers substance abuse evaluations in a comfortable and supportive environment. Stonewall also offers treatment and counseling for a variety of addiction problems. Interested in alcohol counseling or drug counseling? Contact Stonewall today to set up an affordable substance abuse evaluation here in Arizona. Call Stonewall today at 602.535.6468 or visit the website www.stonewallinstitute.com