Miruvor

SSRIs and antidepressants

22 people describe trying SSRIs and antidepressants (16 with ME/CFS, 6 with long COVID).

27%
recovered fully or nearly
6 of 22
45%
improved (substantial or partial)
10 of 22
23%
relapsed
5 of 22
5%
no benefit
1 of 22

How it went

Did it last?

  • 7 of 22 said the benefit wore off (including the 5 who relapsed).
  • 2 of 22 needed to keep doing it to stay well.

Read from what people wrote. A story that ends without a follow-up counts as lasting, so treat these as minimums.

Outcome describedAccountsShare
Full recovery418%
Near-full29%
Substantial418%
Partial627%
Relapsed523%
No benefit15%

By how ill people were

Severity at worstHow it wentnRecovered
Moderate450%
Severe729%
Very severe633%

5 accounts don’t say how ill the person was.

Who published these accounts

Sells a treatment or program2 accounts
100%
Recovery advocacy site2 accounts
50%
Independent (blog, forum, news)18 accounts
17%

Right-hand number: share describing a full or near-full recovery. Pages that sell something, and advocacy sites, tend to publish only the successes.

How often it comes up

Posts that mention SSRIs and antidepressants, per 1,000 posts each year. Hover a point for the count.

010202009201220152018202120242026
Show as a table
YearPosts mentioning itAll postsPer 1,000
200901840.0
201016821.5
201157047.1
2012151,49110.1
2013401,70823.4
201482,3523.4
2015262,15812.0
201671,4314.9
2017483,11015.4
2018222,20110.0
201971,0756.5
2020632,58124.4
2021221,86711.8
202291,1667.7
2023151,00015.0
2024241,23719.4
202561,0195.9
2026 (so far)88409.5

Posts in the forum threads we archived, 26,806 in all, counted per year. A mention means the post names the treatment, not that the writer took it. These threads all contain a recovery story, so they show what those communities discussed, not everyone with ME/CFS or long COVID. All trends

All 22 accounts

  • How I got in remission/cured my ME/CFS

    Full recovery ME/CFS SevereIll 3 years forums.phoenixrising.me Aug 2025

    Ali_Mardiyev, disabled for 1.5 years with POTS/dysautonomia/severe fatigue/PEM, layered a stellate ganglion block with beta-blocker, a testosterone course, several psychiatric medications, intermittent fasting and a slow graded-exercise ramp starting April…

  • List of ME/CFS Recovery and Improvement Stories (thread)

    Partial ME/CFS Severe forums.phoenixrising.me Jul 2024

    Blazer95 moved from moderate-severe to moderate ME/CFS after 3 weeks on citalopram, with less pain and enough function for minor chores; citing published research on citalopram reducing endotoxin-induced fatigue and cytokine production as a possible…

  • Martin's Paradoxical Temporary ME/CFS Remission Story

    Relapsed ME/CFS Very severeIll 10 yearsEffect faded healthrising.org Jul 2024

    Martin became ill after EBV reactivation, Lyme disease and food poisoning, and was bedbound for the last three of his ten years of illness with severe post-exertional malaise. Lyrica, benzodiazepines, tianeptine, quetiapine, rapamycin and methylprednisolone…

  • Losing a whole year - my Long COVID story

    Substantial Long COVID SevereIll 2 years moreisdifferent.medium.com May 2024

    D.C. Elton tried a series of psychiatric medications for sleep and mood — Lexapro starting at 1 mg, trazodone escalated from 10 mg to 150 mg nightly (ineffective at any dose), sublingual Ambien, Remeron 10-15 mg (caused daytime sedation), and Wellbutrin 75…

  • Bromelain+NAC are really helpful to me

    Partial ME/CFS forums.phoenixrising.me Apr 2024

    Took 600mg NAC plus 1000mg bromelain (1200 GDU) twice daily on an empty stomach for pre-COVID-onset ME/CFS, for 12 days before stopping due to insomnia. By day 5 reported "more energy, less brainfog, less joint pain and just felt better overall," and notes…

  • An ME/CFS Expert Helps a Long-COVID Patient Recover

    Near-full Long COVID ModerateIll 2.5 years healthrising.org Apr 2023

    A nineteen-year-old developed POTS and mast cell symptoms after a mild PCR-confirmed COVID infection, leaving him with a wellness score of 45 out of 100 and out of in-person classes for about fifteen months. Under Dr Peter Rowe at Johns Hopkins he was…

  • Impact of extended-course Paxlovid in established Long COVID (Case 11)

    Partial Long COVID Very severeIll 3 years pmc.ncbi.nlm.nih.gov 2023

    Case 11, a 33-year-old woman roughly three years into severe Long COVID/ME since March 2020, initially bedridden and dependent on caregivers and later "mostly housebound," had a 5-day Paxlovid course in May 2022 that brought significant improvement, ending…

  • Robyn Dale

    Near-full Long COVID Very severeIll 5 months positivelycovid.org Jun 2022

    Robyn's treatment combined short courses of propranolol, zopiclone and diazepam early on with medium-term amitriptyline for insomnia, mood and muscle spasms, alongside daily walking, yoga, meditation and graded activity. She crashed severely in December 2021…

  • Robyn Dale

    Substantial Long COVID Very severeIll 5 monthsEffect faded longcovidcured.com May 2022

    Robyn was prescribed short-term propranolol for heart arrhythmia and palpitations, at doses that were increased despite her objections, short-term zopiclone and diazepam to help her rest, and medium-term amitriptyline for insomnia, mood, and to stop cluster…

  • List of ME/CFS Recovery and Improvement Stories (page 6 discussion)

    Substantial ME/CFS Severe forums.phoenixrising.me 2021

    msf went from mostly housebound to functionally healthy - full-time work, a social life and strenuous exercise with minimal PEM - crediting a combination of KDM-directed treatments, trazodone, a low-FODMAP diet, ALA and Chinese skullcap. No single component…

  • One week remission with an SSRI?

    Relapsed ME/CFS Effect faded forums.phoenixrising.me Dec 2018

    Bupropion produced roughly two weeks of remission from brain fog specifically, which then "mysteriously disappeared" and never returned, even after a later break from the drug and restarting it -- a symptom-specific improvement that faded and could not be…

  • One week remission with an SSRI?

    Relapsed ME/CFS Effect faded forums.phoenixrising.me Dec 2018

    Citalopram 10mg (raised to 20mg after a week) was followed by "all my CFS/ME symptoms had disappeared, the whole suite of them" for about a week. A week later "all those missing symptoms piled back on," triggering a two-day crash before stabilizing back at…

  • The Strange Cases of ME Remissions Induced by SSRIs

    Relapsed ME/CFS SevereIll 4.5 yearsEffect faded forums.phoenixrising.me Jul 2017

    After 4-5 years of illness marked by significant neurological disability, started sertraline 200mg in 1992 and improved to roughly 70% functioning. The benefit did not last: "then I went into relapse and seemed to get no benefit," and around two dozen other…

  • The Strange Cases of ME Remissions Induced by SSRIs

    Relapsed ME/CFS Very severeEffect faded forums.phoenixrising.me Jul 2017

    Before starting a standard NHS starting dose of fluoxetine, could not walk normally; on the drug, became able to walk several miles and navigate busy town centres with clearer thinking - a level of function not matched again in the 20 years since. Had to…

  • Diet makes the biggest difference for Alexandra

    Full recovery ME/CFS SevereIll 7 yearsEffect faded healthrising.org Aug 2015

    Alexandra, a 26-year-old nurse when she first fell ill after flu, recovered initially but then relapsed severely for seven years, becoming mostly home- and bed-bound. She tried amitriptyline, which eventually made things worse, and used the mind-body…

  • Louise Finds One Thing That Turns Life Around

    Full recovery ME/CFS Moderate healthrising.org · sells Jun 2015

    Louise, who had a prior history of anxiety and depression, developed post-viral fatigue after stress-induced poor sleep escalated into flu-like symptoms, severe muscle and joint pain and a sore throat that left her unable to work. Amitriptyline, rest,…

  • Clindamycin is a miracle drug for my CFS/ME/POTS/Fibromyalgia symptoms

    Substantial ME/CFS Severe forums.phoenixrising.me Mar 2015

    Took clindamycin 300mg three times daily for 10 days on two separate occasions, once for a tooth infection and once for a throat infection. Reported it helped "tremendously with ALL of my diagnoses" (CFS, POTS, fibromyalgia and others), to the point of not…

  • Dr. Smith Does It Again: University Student Returns to Health by Pacing

    Full recovery ME/CFS Very severeIll 3 years healthrising.org · sells Mar 2015

    Heather, a university student, became severely ill in the early-to-mid 1990s and was eventually lying in bed 23 hours a day. Under Dr David Smith's meticulous pacing protocol, which initially limited any activity to ten minutes, plus very low doses of…

  • 3 Things that Help the Most!!

    Partial ME/CFS forums.phoenixrising.me Nov 2011

    Uses amitriptyline solely for sleep and reports a "massive difference" as a result. The improvement is limited to sleep rather than overall ME/CFS symptoms, stated with clear attribution and no mention of fading.

  • St Johns wort?

    Partial ME/CFS Moderate forums.phoenixrising.me

    St John's Wort, including a New Chapter brand product, was tried more than once by this ME/CFS patient without any noticeable benefit on its own. Illness duration before starting is not stated, and doses are not specified. She notes a possible mild benefit…

  • Eight Things I've Tried That Haven't...

    No benefit Long COVID ModerateIll 3.5 years amythetonic.substack.com

    Fluvoxamine, dose unstated, taken for close to four months as part of a broader protocol meant to address lingering post-viral inflammation. She had long COVID for about 3.5 years at the time of writing, with significant but non-bedbound functional…

  • New sleep medication belsomra

    Partial ME/CFS forums.phoenixrising.me

    Belsomra (suvorexant): 15mg taken every other night, alternated with 100mg trazodone, after finding a full 20mg dose caused more next-day sedation. She had long-term insomnia associated with her ME/CFS before trying it. At the lower every-other-night dose…