On antidepressant medication, it is possible that you might experience a sense of feeling numb and less like yourself. Though the symptoms of depression have decreased, there may be a sense that other emotional responses – laughing or crying, for example – are more difficult to experience.
Antidepressants were lauded back in the 80s as the miracle cure for major depression, but as more and more clinical trials are revealing, as many as 50% of the patients who were prescribed antidepressants did not experience a successful result—on antidepressants but still depressed.
Antidepressants work by balancing chemicals in your brain called neurotransmitters that affect mood and emotions. These depression medicines can help improve your mood, help you sleep better, and increase your appetite and concentration.
Taking antidepressants may help to lift your mood. This can help you feel more able to do things that don't feel possible while you're depressed. This may include using other types of support for your mental health.
Emotional blunting can be temporary, lasting from a few minutes to a few hours at a time. It can also occur over the long term, from months to years. It all depends on the underlying cause. Experiencing emotional blunting may affect your relationships and how you feel about yourself and the world.
Emotional blunting is a commonly reported side effect of taking antidepressants for depression and other mental health issues. It affects 46% of people taking antidepressants for depression. That's according to a three-country survey by the University of Oxford.
among 161 patients, 46% reported a narrowed range of affect, 21% reported an inability to cry, and 19% reported apathy.
When you start taking an antidepressant, you should begin to function better in your daily life before you start feeling better, says Dr. Michael McGee. In other words, you should begin sleeping better, eating better, and having more energy. “Then you should start feeling better,” he says.
Because SSRIs cause more serotonin to remain in circulation in the brain, the individual experiences less depressive symptoms. In fact, many people report feeling completely back to normal when taking these medications.
4 According to the research, the antidepressants most commonly associated with emotional blunting are: Selective norepinephrine reuptake inhibitors (SNRIs) such as Cymbalta (duloxetine), Pristiq (desvenlafaxine), and Effexor XR (venlafaxine)
During the first few weeks' people commonly experience some side effects or feel worse before they begin to feel better. Although the newer Selective serotonin reuptake inhibitors (SSRIs) usually have fewer or less severe side effects than tricyclic antidepressants, various side effects can occur with them all.
These drugs target serotonin, a chemical that carries messages between nerve cells in the brain and has been dubbed the 'pleasure chemical'. One of the widely-reported side effects of SSRIs is 'blunting', where patients report feeling emotionally dull and no longer finding things as pleasurable as they used to.
Kramer gives many anecdotes of patients who, when given Prozac, end up faring “better than well.” Not only do their depression symptoms abate, but they experience higher self-esteem and great social ease for the first time in their lives.
Emotional blunting—inability to feel positive or negative emotions, detachment, or reduced emotional responsiveness—is common in people with depression. However, there is a paucity of studies comprehensively investigating this symptom and its functional impact.
Some side effects are serious. If you have any of these symptoms, tell your doctor right away: Thoughts about or attempts at suicide. More feelings of depression and anxiety.
Antidepressant drugs, already known to cause sexual side effects, may also suppress the basic human emotions of love and romance. That SSRIs, or selective serotonin reuptake inhibitors — the most common type of antidepressant — cause sexual dysfunction is common knowledge.
There are many signs that you may be experiencing emotional blunting, even if it is short term. These include an inability to feel happy, fatigue, inability to concentrate, and feeling disconnected. Emotional blunting symptoms include: Inability to feel happiness and sadness.
Mood: Serotonin in your brain regulates your mood. It's often called your body's natural “feel good” chemical. When serotonin is at normal levels, you feel more focused, emotionally stable, happier and calmer. Low levels of serotonin are associated with depression.
Though the symptoms of depression have decreased, there may be a sense that other emotional responses – laughing or crying, for example – are more difficult to experience. This is termed “emotional blunting,” which is the experience of dulled emotional states caused by an antidepressant.
Antidepressants can cause changes in neurotransmitter levels and brain function; however, these changes are typically reversible once the medication is stopped.
While we can't completely eliminate emotions – nor would we want to – we can manage our emotions in such a way that we stay in the driver's seat. This is known as emotional self-regulation.
It's usually recommended that a course of antidepressants continues for at least 6 months after you feel better, to prevent your condition recurring when you stop. Some people with recurrent illness are advised to carry on taking medicine indefinitely.