308. PSSD, Anti-Depressant Withdrawals & NOT Telling Your Doctor You’re Depressed
Mar 31, 2025
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In this engaging discussion, psychiatrist Josef Witt-Doerring critiques traditional psychiatric practices, advocating for a more holistic approach to mental health. He sheds light on Post-SSRI Sexual Dysfunction (PSSD), unveiling its significant emotional impact and the urgent need for awareness and research. Josef addresses the risks of antidepressant withdrawal and the dangers of over-reliance on medications, while also exploring the potential of psychedelics combined with therapy. He shares inspiring recovery stories highlighting the power of lifestyle changes in mental health.
Josef Witt-Doerring critiques the over-prescription of psychiatric medications, emphasizing the need for addressing root causes and holistic approaches in treatment.
He discusses Post-SSRI Sexual Dysfunction (PSSD), highlighting its serious emotional and cognitive impacts while calling for increased awareness and research into this condition.
Deep dives
Joseph Wit-Doring's Unique Approach to Psychiatry
Joseph Wit-Doring, a board-certified psychiatrist, shares his unique perspective on the shortcomings of traditional psychiatry, particularly in the U.S. He emphasizes the rapid prescription of psychiatric medications over understanding root causes of mental health issues, which often leads to misdiagnosis and inappropriate treatments. The pressure in the mental health system results in brief consultations that fail to address important aspects of a patient's life, such as stressors or dietary issues. With extensive experience in the pharmaceutical and regulatory sectors, he believes that many adverse drug reactions and long-term side effects of medications are underreported, which raises ethical concerns about informed consent in treating mental health.
Understanding Post-SSRI Sexual Dysfunction (PSSD)
Post-SSRI sexual dysfunction (PSSD) is a condition characterized by persistent sexual dysfunction that continues even after discontinuation of antidepressant medications. Joseph explains that many patients experience diminished sexual sensations, including genital anesthesia and difficulties achieving orgasm. Interestingly, these symptoms often extend beyond the sexual realm, affecting emotional and cognitive functions, leading to feelings of disconnect and diminished joy in life. Despite the significant number of individuals prescribed SSRIs and other antidepressants, there is a troubling lack of research into PSSD, leaving affected patients without clear treatment options or understanding.
Tapering Off Psychiatric Medications Safely
Joseph discusses the complexities and misconceptions surrounding the process of tapering off psychiatric medications like SSRIs and benzodiazepines. Many patients are led to believe that withdrawal is mild and self-limiting, often underestimating the potential for severe withdrawal symptoms if they taper too quickly. He advocates for a gradual and controlled tapering process, emphasizing that patients should consult with professionals to ensure personalized taper schedules that account for their unique needs. Proper tapering techniques, such as using precision syringes for liquid forms of medication, can significantly reduce the risk of experiencing debilitating withdrawal effects.
The Role of Lifestyle and Nutrition in Mental Health
Joseph highlights the transformative impact of dietary and lifestyle interventions on mental health, especially among individuals with severe mental illnesses. He shares inspiring recovery stories of patients who, after decades on antipsychotic medications, found relief and stability through dietary changes, such as adopting gluten-free or ketogenic diets. These changes have led to notable improvements in symptoms and overall quality of life, suggesting that nutrition plays a crucial role in mental health management. His experiences underline the importance of exploring holistic approaches alongside conventional treatments to promote better outcomes for those struggling with mental health issues.
Lucas Aoun interviews psychiatrist Josef Witt-Doerring, who shares his unique journey in the field of psychiatry. Josef discusses the shortcomings of traditional psychiatric practices, particularly the over-prescription of medications without addressing root causes. He delves into the serious issue of Post-SSRI Sexual Dysfunction (PSSD), explaining its symptoms, prevalence, and the lack of research surrounding it. The conversation highlights the emotional and cognitive impacts of PSSD on patients, as well as the broader implications for mental health treatment. Josef emphasizes the need for more awareness and research in this area, while also discussing the challenges faced by patients in recognizing the side effects of medications. The episode concludes with a discussion on the stigma surrounding mental health labels and their impact on patient care. In this conversation, Josef critiques the current mental health care system, highlighting its dysfunction and the over-reliance on medications. He discusses the potential of psychedelics as a more empowering alternative for mental health treatment, emphasizing the importance of therapy in conjunction with these substances. The conversation also covers the risks of serotonin syndrome associated with certain medications and the critical importance of tapering off psychiatric drugs safely. Josef shares inspiring recovery stories of individuals who have successfully weaned off medications through lifestyle and dietary changes, underscoring the transformative power of holistic approaches to mental health.
Podcast Show Notes/Links:
Dr. Josef’s YouTube Channel: https://www.youtube.com/@taperclinic
Dr Josef’s Free Course: https://www.youtube.com/watch?v=VY820dpjdq8&t=2s
Get Lucas’ New Supplement Here: https://www.inb4supps.com/
Disclaimer:
The information provided in this podcast episode is for entertainment purposes and is NOT MEDICAL ADVICE. If you have any questions about your health, contact a medical professional. This content is strictly the opinions of Lucas Aoun and is for informational and entertainment purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult with their doctors or qualified health professionals regarding specific health questions. Neither Lucas Aoun nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this content. All consumers of this content especially taking prescription or over-the-counter medications should consult their physician before beginning any nutritional, supplement or lifestyle program.
