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Joanna Moncrieff

@joannamoncrieff

Critical psychiatrist, professor at University College London and author. Views are my own.

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22.11.2024
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Latest posts by Joanna Moncrieff @joannamoncrieff

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File on 4 Investigates - Thin on Information? Hair loss drug Finasteride - BBC Sounds Is the popular hair loss drug Finasteride being safely promoted?

It was great that BBC radio 4 covered the harmful effects of finasteride, including persistent sexual dysfunction. More attention is needed to the fact that SSRIs and other antidepressants cause similar, potentially devastating effects. www.bbc.co.uk/sounds/play/...

30.01.2026 16:07 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

I agree psychedelics are being pushed now with little regard for the uncertain and potentially negative consequences of repeated use

30.01.2026 16:02 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Super interesting interaction between two esteemed experts of our field.
Such important points, especially toward the end where biological reductionism is discussed

28.01.2026 21:09 πŸ‘ 9 πŸ” 5 πŸ’¬ 0 πŸ“Œ 1

See this detailed thread on our paper. In sum, evidence shows fluoxetine has no meaningful effect. Earlier studies influenced by recency bias. But it is still recommended in clinical guidelines

28.01.2026 16:03 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 1

Welcome to the world of "pure" biological psychiatry
"MDD is increasingly understood as a disorder of dysregulated neuroplasticity rather than solely of neurotransmitter imbalance"
www.biorxiv.org/content/bior...

@padbergthorsten.bsky.social @joannamoncrieff.bsky.social @mad-in-america.bsky.social

25.11.2025 16:02 πŸ‘ 6 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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"Chemically Imbalanced": An Interview With Joanna Moncrieff The author of β€œChemically Imbalanced” discusses the persistent serotonin myth of mental illness.

Do #antidepressants resolve a chemical imbalance or risk creating one?

My interview @psychologytoday.com with @joannamoncrieff.bsky.social, author of Chemically Imbalanced

#SSRIs #Depression #Psychiatry #MedSky

www.psychologytoday.com/us/blog/side...

04.12.2025 17:11 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Frontiers | Why psychiatry needs an honest dose of gentle medicine The pharmaceutical industry’s influence on psychiatric research and practice has been profound and has resulted in exaggerated claims of the effectiveness of...

@joannamoncrieff.bsky.social

The 'medicalization of distress, the sedimented belief in β€œmagic bullets,” and the push to β€œscale up” mental health treatment have contributed to the meteoric rise in the prescription of psychiatric drugs and of polypharmacy
tinyurl.com/2az6fc86

02.01.2026 14:05 πŸ‘ 5 πŸ” 2 πŸ’¬ 2 πŸ“Œ 1
#29: "Psychiatry Failure? The Serotonin Theory of Depression Lacks Evidence!"-Joanna Moncrieff, MD
#29: "Psychiatry Failure? The Serotonin Theory of Depression Lacks Evidence!"-Joanna Moncrieff, MD YouTube video by Making Therapy Better

In this podcast I talk to therapist, Bruce Wampold, about the science and sociology of the chemical imbalance theory, how emotions are signals and about the potential risks of upcoming treatments for mental disorders, including psychedelics www.youtube.com/watch?v=s7Yu...

28.01.2026 15:55 πŸ‘ 10 πŸ” 1 πŸ’¬ 0 πŸ“Œ 3
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Controversial mental health voice Joanna Moncrieff speaks out The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week

In mental health diagnoses are not explanations. 'Sometimes that can be a distraction, because people often try to fit themselves into boxes ..and don't necessarily communicate, or become aware of, what their actual problems are' camdenist.beehiiv.com/p/controvers...

28.10.2025 17:32 πŸ‘ 7 πŸ” 4 πŸ’¬ 1 πŸ“Œ 1
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El mito de los antidepresivos - La tienda de libros ΒΏCΓ“MO LLEGAMOS A CREER QUE LAS EMOCIONES HUMANAS SE REDUCEN A FLUCTUACIONES QUÍMICAS? ΒΏQUΓ‰ PAPEL JUGARON LA INDUSTRIA FARMACΓ‰UTICA, LOS MEDIOS DE COMU...

I am delighted to announce that the Spanish translation of Chemically Imbalanced is out now - its called "El mito de los antidepresivos" published by Arcopress almuzaralibros.com/fichalibro.p...

28.10.2025 17:28 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Controversial mental health voice Joanna Moncrieff speaks out The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week

My interview in the Camdenist. We have come to think what we 'need is ever more neuroscience, and that that is somehow going to uncover the answer to everything and tell us who we really are. It is not.' camdenist.beehiiv.com/p/controvers...

28.10.2025 17:26 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Controversial mental health voice Joanna Moncrieff speaks out The final guest editor in our current series on why the drugs don't work, plus new cultural projects for Camden Town & loads to do this week

@joannamoncrieff.bsky.social Found you! now following having left X.

camdenist.beehiiv.com/p/controvers...

30.09.2025 11:43 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Serial Ketamine Infusions for Depression This randomized clinical trial evaluates outcomes following adjunctive ketamine infusions vs midazolam for depression.

No significant effect for ketamine (vs midazolam) in this trial. This contrasts previous research. Functional unblinding and reduced expectancy effects due to the enrolment algorithm likely explain this finding (implying that older research is biased).
jamanetwork.com/journals/jam...

22.10.2025 18:45 πŸ‘ 10 πŸ” 9 πŸ’¬ 1 πŸ“Œ 1
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Young first-time buyers forced into β€˜nature deserts’, UK data shows Exclusive: High cost of homes near green spaces may be deepening health inequalities, says wildlife coalition

πŸƒ #NatureMatters➑️#EmotionalWellbeing➑️#HousingMatters

🚨Recent studies show that living near #parks or natural #GreenSpace reduces anxiety and depression by about 20 per cent🚨

@housingtoday.bsky.social @heathernstaff.bsky.social @joannamoncrieff.bsky.social

www.theguardian.com/money/2025/o...

26.10.2025 12:37 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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Universal School Mental Health Lessons Can Backfire, Review Warns Oxford researchers say classroom-wide mental health interventions can backfire and call for designs that identify who benefits and who is put at risk.

Universal School Mental Health Lessons Can Backfire, Review Warns

A new review finds that universal, school mental health programs can worsen symptoms for some students and urges trials that measure harm as well as benefit.

By Ally Riddle

www.madinamerica.com/2025/10/univ...

28.10.2025 16:15 πŸ‘ 4 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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Looking forward to taking part in the HTLGI festival in Kenwood House, London, Sept 20-21st. The line up of amazing scientists, thinkers & political figures including Brain Cox, Roger Penrose, Alastair Campbell, Diane Abbott etc. Tickets howthelightgetsin.org/festivals/lo...

20.08.2025 10:43 πŸ‘ 3 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0
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Antidepressant Withdrawal: Nothing to Worry About? Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.

Blog on the longstanding tendency to play down the dependence-inducing effects of psychiatric drugs, now playing out in two reviews that minimise antidepressant withdrawal effects based on flawed studies of short-term users www.psychologytoday.com/us/blog/chem...

20.08.2025 10:14 πŸ‘ 4 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0

When Dr. Roussos-Ross pointed out the dangers of untreated depression, she left out the fact that antidepressants (ADs) have modest efficacy (as later pointed out by @joannamoncrieff.bsky.social ). Bc of the side effects, ADs are associated with a problematic harm-benefit ratio for the majority.

28.07.2025 14:56 πŸ‘ 2 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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Antidepressant Withdrawal: Nothing to Worry About? Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.

Excellent summary of the ongoing controversy about antidepressant withdrawal issues by @joannamoncrieff.bsky.social

www.psychologytoday.com/us/blog/chem...

02.08.2025 09:44 πŸ‘ 7 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
FDA Expert Panel on Selective Serotonin Reuptake Inhibitors (SSRIs) and Pregnancy
FDA Expert Panel on Selective Serotonin Reuptake Inhibitors (SSRIs) and Pregnancy YouTube video by U.S. Food and Drug Administration

I was honoured to take part in the FDA's panel on the risks of SSRIs in pregnancy yesterday along with other experts @fda.gov. This is a huge issue with so many young women taking these drugs. I hope the UK and other countries will listen to the evidence presented www.youtube.com/watch?v=2Nha...

22.07.2025 20:26 πŸ‘ 6 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

It is worrying that leading psychiatrists have quoted the Henssler review regardless of these limitations (and the more recent Kalfas review) to reassure the public and called on the Royal College of Psychiatrists to weaken its advice on stopping antidepressants 4/n

22.07.2025 20:20 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Only 5 studies in the Henssler AD withdrawal review (not 18 as claimed) used a relevant measure of withdrawal. These find 55% of people reported withdrawal symptoms after stopping antidepressant 3/n

22.07.2025 20:20 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

The vast majority of included studies in the Henssler AD withdrawal review were not designed to measure withdrawal and only recorded it incidentally among spontaneously reported β€˜adverse events’. This is no basis for estimating prevalence 2/n

22.07.2025 20:18 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review | Psychological Medicine | Cambridge Core Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review - Volume 55

Remember the 2024 Henssler review claiming only 1 in 6 have antidepressant withdrawal symptoms & 1 in 30 severe symptoms? Here we show it was based on highly unreliable data & can't be used to assess withdrawal effects @ploederl.bsky.social @markhoro.bsky.social 1/n www.cambridge.org/core/journal...

22.07.2025 20:16 πŸ‘ 12 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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Big pharma-funded psychiatrists 'cosplaying science' in misleading antidepressant withdrawal study The paper claims, with confidence, that withdrawal symptoms from antidepressants are minimal and easily managed. Not true.

'Psychiatrists have been accused of downplaying the risks of antidepressant withdrawal in a new study' www.thecanary.co/global/world...

15.07.2025 07:43 πŸ‘ 3 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Review underestimates antidepressant withdrawal effects

Our rapid response in the BMJ highlights how the recent antidepressant withdrawal review confirms withdrawal effects with SSRIs and SNRIs but underestimates their significance due to relying on short-term trials and other methodological problems @ploederl.bsky.social www.bmj.com/content/390/...

15.07.2025 07:32 πŸ‘ 4 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Our rapid response to a summary of the new problematic antidepressant withdrawal study has been published, together with other interesting and important ones (e.g., by @markhoro.bsky.social ).
@joannamoncrieff.bsky.social

14.07.2025 09:25 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Useful thread on this study

14.07.2025 09:03 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Useful thread critiquing the recent review of antidepressant withdrawal

13.07.2025 11:28 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Occurrence of a discontinuation syndrome in the 5-8 day discontinuation period, defined by Rosenbaum et al. as 4+ withdrawal symptoms: 60% sertraline, 66%paroxetine, and 14% fluoxetine (which can serve as control group).
This conforms the ca. 50% occurrence, which was dismissed by Hayes πŸ€”

13.07.2025 09:02 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0