In some cases, antidepressants can initially worsen social anxiety symptoms in the first few weeks of treatment. This phenomenon is known as "activation" or "stimulation," and it is more commonly associated with certain classes of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
The reason behind this initial worsening is not entirely understood, but there are several possible explanations:
Neurotransmitter adjustments: Antidepressants like SSRIs and SNRIs work by increasing the levels of serotonin and/or norepinephrine in the brain. During the first weeks of treatment, these changes in neurotransmitter levels can lead to temporary increases in anxiety and agitation before the therapeutic effects fully kick in.
Heightened awareness: As the medication starts to take effect, you may become more aware of your anxiety symptoms, which can give the impression that they have worsened.
Adjustment period: It takes time for your body to adapt to the medication, and during this adjustment period, you may experience fluctuations in mood and anxiety levels.
While some people experience initial activation or worsening of symptoms, it's crucial to remember that these effects are usually temporary. Most individuals find that these side effects diminish after a few weeks as the body adjusts to the medication. Additionally, the long-term benefits of antidepressant treatment often outweigh the temporary side effects.
If you're experiencing increased social anxiety or any other concerning side effects after starting antidepressants, it's essential to communicate with your prescribing healthcare professional. They can assess your situation, offer guidance, and, if necessary, adjust the medication or provide additional support to help you through this initial phase of treatment. In some cases, a lower starting dose may be recommended to minimize side effects.
It's important not to stop or change your medication without consulting your healthcare provider, as abruptly discontinuing antidepressants can lead to withdrawal symptoms and may not give the medication a chance to work properly. Your healthcare provider will work with you to find the most suitable treatment approach for managing your social anxiety and any other related conditions.