Choosing to come off of antidepressants is a decision that should be made with the support of your therapist and practitioner. Antidepressants work by changing the levels of neurotransmitters (chemical messengers that attach to nerve cells) in your body.

The symptoms someone feels when coming off of antidepressants is called "antidepressant discontinuation syndrome". The pneumonic FINISH can be used to describe some expected symptoms if someone tapers too fast.

Flu like symptoms
Insomnia
Nausea
Imbalance
Sensory disturbance (the zaps)
Hyperarousal (anxiety and agitation)

It's important to note that having these symptoms does not mean you're addicted to your antidepressant. There is debate on whether or not antidepressants can cause addiction, however it's thought this isn't true since they don't cause tolerance or compulsive use due to their being no instant desirable effects with its use.

Since discontinuation symptoms can bring on feelings of depression and anxiety it is important to work with a practitioner during this process. Discontinuation symptoms usually come within days to weeks of reducing the dose and they can be accompanied by physical symptoms.

Things to consider if you're thinking of coming off:

1. Take your time and taper slowly
2. Work with your clinician to create a tapering schedule
3. Work with a therapist! Those who work with a counsellor or psychologist while discontinuing are less likely to relapse
4. Keep up with lifestyle factors such as sleep and exercise!
5. Evaluate your life circumstances! You should feel confident that you are doing well and that you will be able to cope with any new symptoms as they come. It may not be a good time to taper if you are under a lot of stress and tension.
6. Use your support circle! This can include checking in with your clinician as physical or emotional symptoms arise and a close friend or family member

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