Antidepressants Have Become Increasingly Popular — So Why Aren’t We Talking About It?

Some mental conditions can make day-to-day living difficult. In You’re Not Alone, we highlight how people cope with their emotions and manage their conditions on a daily basis.

My antidepressant journey started in 2022, many years after my depression journey had begun.

About a decade prior, I’d visited my local medical practice for help with my struggling mental health — and an as-yet undiagnosed anxiety disorder — and was shooed out halfway through an assessment form. I was told that my stress was “normal” and they didn’t have time for what I was trying to communicate.

After years of just keeping my head above water, with the help of both state-funded and private psychotherapy, some pandemic-induced burnout pushed me under the surface.

I dragged myself back to the doctor’s office to seek the help I sorely needed. This time, I left with a prescription for a common selective serotonin reuptake inhibitor (SSRI), a type of drug that increases the amount of serotonin in the brain by preventing it from being easily reabsorbed by surrounding cells.

Major health insurance companies have faced legal trouble over their claim denial practices. In February 2018, the insurance commissioner of California announced plans to investigate Aetna’s coverage denial practices after a former medical director of the insurance company admitted that he never once looked at a patient’s medical records when deciding whether to deny claims over the three years he worked in the position, according to CNN.

You’re Not Alone

How does serotonin impact mental well-being?

Serotonin is a chemical that’s produced by the body. It plays a role in regulating your mood and impacts how:

• anxiety is regulated
• happiness is experienced
• wounds are healed
• nausea is stimulated

SSRIs are thought to relieve certain symptoms of mood disorders by boosting the amount of serotonin in the brain.

Was this helpful?

I was taken aback by how helpful medication was. While it took a few weeks for my body to adjust, I soon noticed an improvement.

I finally felt as though there was a way out of the isolation and heaviness.

But I was even more shocked by how many people shared their own similar experiences — friends, relatives, and co-workers who had been on the same medication, or continued to be, quietly managing their conditions in relatively hushed tones.

I realized that a considerable percentage of people around me had taken some form of antidepressant at some point or another. However, no one was talking about it.

The word ‘antidepressant’ was initially coined in 1952 after a discovery of the mood-boosting effects of a tuberculosis drug. Since then, there’s been a steady development of prescription antidepressants with a surge of interest in new antidepressants in the 1970s. The first major SSRI, fluoxetine (Prozac), was introduced in 1987.

The United States has the highest antidepressant usage for any country in the world. In fact, the Centers for Disease Control and Prevention (CDC) found that 13.2% of adults took some type of antidepressant between 2015 and 2018. Additionally, more women report taking antidepressants compared with men.

The availability of medication compared to other forms of treatment is key to its silent popularity.

A 2014 study found that 10% of U.S. adults now fill one or more antidepressant prescriptions each year, with 75% of those prescriptions being written by non-psychiatrists.

As a result, this points to how medication that’s easily available fills the gap left by incomplete mental health care.

Professor Allan Young, director at the Centre for Affective Disorders at King’s College London, notes that the scarcity of other treatments — like therapy, counseling, and support groups — can actually increase the stigma surrounding medication.

“Evidence shows that the two [psychotherapy and medication] are not contradictory,” he says. “People often do better with both together.”

Just like a physical injury can make it difficult to get to the hospital, depression can quickly become its own obstacle. Not only is it an invisible illness, but it also has the tendency to dampen a person’s spirit and weigh them down.

As Young puts it, “the disorder imposes barriers to access by its inherent nature.”

According to the American Psychological Association, adults cited the following reasons for not receiving mental health care:

• cost
• thinking they could handle the condition or symptoms without the help of a professional
• not knowing where to find help
• not having time

Additionally, in the case of minority groups like LGBTQ+ youth, The Trevor Project’s Director of Research Science, Dr. Myeshia Price, says that “reasons why young people who wanted mental health care were unable to get it were: fear of discussing mental health concerns, concerns with obtaining parent [or] caregiver permission, and fear of not being taken seriously.”

She adds that “Admitting you need help is a brave thing to do, but it can be even scarier when you don’t know where to start.”

The recurring theme from the experts I spoke to is the need for a variety of treatments to be easily available — to ensure each person can access what they need without difficulty, undue cost, or judgment.

There’s also an acknowledgment that things are changing, though, since conversations about mental health are being had.

A lot has improved over the years. It makes me think back to my first attempt at receiving mental health support. I see that even a single decade can cause huge shifts in the way we think about depression, the attitude of medical practices, and what kind of support is available to everyday people.

Out of the people I spoke to for this piece, I think this was best put by Wendy Robison, head of services at Campaign Against Living Miserably (CALM), a suicide prevention charity in the United Kingdom.

“The stigma is driven by a fear that being open about mental health issues leads to being seen as weak, not good enough, somewhat lacking,” they say.

“People often also fear that being seen this way could cost them their job or friends or family…” says Robison, “but we should be optimistic that a tipping point will come, when mental health challenges are accepted as a totally normal part of being a human in today’s complex world.”