Understanding Antidepressant Addictions
Sertraline Addiction: The Causes, Symptoms and Side Effects
Sertraline is one of the most commonly prescribed antidepressants in the UK. For many, it provides much needed relief from mental health issues. But even medications that start with good intentions can become difficult to part with, especially when the fear of relapse or emotional chaos lingers in the background.
At The Providence Project, we understand that sertraline addiction doesn’t always involve euphoria, cravings or rapid decline. Sometimes, it’s subtle, quiet and wrapped up in the idea that you won’t cope without it.
What is sertraline?
Sertraline is a selective serotonin reuptake inhibitor (SSRI), most often used as an antidepressant drug to treat depression, anxiety disorders, panic disorder and post-traumatic stress disorder (PTSD). It works by increasing serotonin levels in the brain, a neurotransmitter linked to mood, emotion and sleep regulation.
Sertraline can cause withdrawal symptoms if stopped suddenly and for some people, long-term use can lead to a psychological dependence.
Is sertraline addictive?
Sertraline is not classified as addictive but that doesn’t mean it can’t be misused or relied upon. Many people taking sertraline find it difficult to stop, even when they feel stable, because they fear that doing so might bring back depressive thoughts or emotional instability.
This emotional reliance can become so strong that people avoid tapering, increase their dose without advice or ignore the signs that the medication is no longer helpful. While this isn’t an ‘sertraline addiction’ in the classical sense, the need to keep taking it ‘just in case’ can interfere with wellbeing and personal growth.
How a sertraline addiction can begin
Sertraline dependency often starts as cautious use. But over time, the fear of stopping becomes stronger than the original symptoms that led to the prescription, leading to a dependence on the prescribed drug.
Long-term maintenance without review
Some people stay on sertraline for years without regularly reviewing whether it’s still needed. The longer it’s part of daily life, the harder it becomes to picture functioning without it.
Emotional blunting
One lesser-discussed side effect of sertraline is emotional numbing. Some users describe feeling ‘flat’ or ‘muted’. But for those who fear emotional highs and lows, this can feel safer, even if it’s no longer healthy.
Fear of relapse
Perhaps the most common reason for ongoing use is fear of relapse. Even if you’re stable now, you might be terrified of what will happen if you stop. That fear can override logic, locking you into a cycle of continued use.
Dose creep
Occasionally, individuals increase their dose without medical guidance, especially if they feel their emotions are creeping back in. This can lead to misuse and create more difficulty down the line.
Reach out to our expert support team 24 hours a day
Start the Sertraline Rehabilitation Process Today
Finding the best addiction treatment is vital for long-term recovery success. Our friendly and compassionate team will hold your hand through the process until you learn to love yourself again.
The signs of sertraline addiction
Sertraline misuse doesn’t always scream for attention. But over time, you may start to notice changes that suggest the drug is doing more than just helping, it’s controlling how you live.
Physical signs
- Drowsiness or fatigue during the day
- Nausea or digestive issues
- Headaches or difficulty concentrating
- Insomnia or vivid dreams
- Light-headedness when a dose is missed
Psychological signs
- Emotional numbness or disconnection
- Anxiety at the thought of stopping
- Feeling like your personality has changed
- Fear that you won’t cope without it
- Believing you’re only ‘okay’ because of the medication
Behavioural signs
- Avoiding conversations about tapering or alternatives
- Repeatedly postponing plans to reduce or stop
- Ignoring side effects because stopping feels scarier
- Taking higher doses than prescribed
- Becoming defensive if others express concern
When a sertraline addiction starts to mask bigger issues
One of the biggest concerns with long-term sertraline abuse is that it can quietly cover up problems that still need attention. If the medication was originally prescribed during a difficult period, it may have helped stabilise your mood or reduce anxiety, but over time, it’s easy to assume that things are ‘better’ simply because nothing feels urgent anymore.
The truth is, that emotional flatness or sense of ‘just coping’ might not mean the underlying issue has gone. It might just mean it’s been dulled.
For example:
- You might have started sertraline after a major life event, like a breakup, job loss or bereavement. The medication helped you get through it, but years later, you’ve never fully processed what happened. The feelings are just quieter now.
- Maybe you live with high-functioning anxiety or long-standing self-esteem issues. Sertraline helps take the edge off, but you’ve never explored where those patterns came from, and they continue to shape your decisions and relationships.
- Or perhaps you’re no longer feeling extreme sadness, but you’ve also lost interest in things that once mattered. Rather than being a sign of recovery, this numbness could be a sign that deeper emotional work is still needed.
When sertraline is doing all the heavy lifting, it can delay important personal growth. Therapy, lifestyle changes, or even just honest self-reflection may take a backseat because the urgency isn’t there. But that doesn’t mean those things aren’t still needed.
Addiction doesn’t always mean chasing a high, sometimes, it means holding onto something that stops you from fully moving forward.
Where can I get help for sertraline addiction?
If you’re worried that your relationship with sertraline has crossed a line, support is available. At The Providence Project, we’ve helped many people explore this kind of quiet dependence, without judgement or pressure to rush.
Our team can help you understand your current use, what’s behind it, and whether it’s time to make a change. If treatment feels like the right step, we offer a structured treatment pathway, that includes a safe detox if needed, ongoing therapy to rebuild emotional resilience, and an aftercare plan to prepare you for life after recovery that includes both sober living options and an opportunity to become part of the UKAT Alumni Programme.
You don’t have to figure this out on your own. Reach out today to learn more about sertraline addiction and how our tailored treatment programme for antidepressants can help you take the next step forward.
Reach out to our expert support team 24 hours a day
Start the sertraline Rehabilitation Process Today
Finding the best addiction treatment is vital for long-term recovery success. Our friendly and compassionate team will hold your hand through the process until you learn to love yourself again.
Frequently Asked Questions
Is sertraline prescribed in the UK?
Yes, sertraline is commonly prescribed in the UK to treat depression, anxiety disorders, PTSD and OCD and is one of the most used SSRIs.
Is it possible to become addicted to sertraline from your prescribed amount?
Yes, psychological dependence can occur with long-term sertraline use, especially when fear of stopping leads to ongoing use despite limited therapeutic benefit.
What makes sertraline addiction dangerous?
Sertraline addiction is dangerous when emotional numbness, fear of withdrawal or long-term use prevent individuals from exploring alternative treatments or regaining emotional balance naturally.
(Click here to see works cited)
- Rachel Schraer, Clare Hix & Lindsey Harris. “Antidepressants: Two Million Taking Them for Five Years or More.” BBC News, BBC, 19 June 2023, www.bbc.com/news/uk-65825012
- Marazziti D, Mucci F, Tripodi B, Carbone MG, Muscarella A, Falaschi V, Baroni S. Emotional Blunting, Cognitive Impairment, Bone Fractures, and Bleeding as Possible Side Effects of Long-Term Use of SSRIs. Clin Neuropsychiatry. 2019 Apr;16(2):75-85. PMID: 34908941; PMCID: PMC8650205.
- Scholten W, Batelaan N, Van Balkom A. Barriers to discontinuing antidepressants in patients with depressive and anxiety disorders: a review of the literature and clinical recommendations. Ther Adv Psychopharmacol. 2020 Jun 10;10:2045125320933404. doi: 10.1177/2045125320933404. PMID: 32577215; PMCID: PMC7290254.
- Gabriel M, Sharma V. Antidepressant discontinuation syndrome. CMAJ. 2017 May 29;189(21):E747. doi: 10.1503/cmaj.160991. PMID: 28554948; PMCID: PMC5449237.
- Papp A, Onton JA. Brain Zaps: An Underappreciated Symptom of Antidepressant Discontinuation. Prim Care Companion CNS Disord. 2018 Dec 20;20(6):18m02311. doi: 10.4088/PCC.18m02311. PMID: 30605268.