{"id":539114,"date":"2026-04-19T08:53:11","date_gmt":"2026-04-19T08:53:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/539114\/"},"modified":"2026-04-19T08:53:11","modified_gmt":"2026-04-19T08:53:11","slug":"the-frightening-side-effect-of-coming-off-sertraline-you-dont-often-hear-about","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/539114\/","title":{"rendered":"The &#8216;frightening&#8217; side effect of coming off sertraline you don&#8217;t often hear about"},"content":{"rendered":"<p>\t\t<img fetchpriority=\"high\" width=\"646\" height=\"339\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/SEC_293262791-afcd.jpg\" class=\"article-image wp-image-27987027\" alt=\"\" decoding=\"sync\"\/><br \/>\n\t\tNew research has found that approximately 15% of people will experience withdrawal symptoms after coming off of mental health medication (Picture: Getty)<\/p>\n<p>Coming off of <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/2026\/01\/04\/i-scared-take-antidepressants-saved-marriage-sex-life-25933514\/\" data-type=\"post\" data-id=\"25933514\" rel=\"nofollow noopener\" target=\"_blank\">anti-anxiety medication<\/a> and antidepressants is not something to be taken lightly.<\/p>\n<p>Even when its done gradually, under medical supervision, it can cause confusion, irritability, nausea, and in some cases, vivid dreams.<\/p>\n<p>Recently, a user going by the name of @wwapiti took to <a href=\"https:\/\/www.reddit.com\/r\/zoloft\/comments\/1shnoso\/upsettingvivid_withdrawal_dreams\/\" rel=\"nofollow noopener\" target=\"_blank\">Reddit <\/a>to share their experience with withdrawal symptoms after making the decision to stop taking sertraline \u2014 a selective serotonin reuptake inhibitor (SSRI) used to treat <a data-ico=\"hyperlink-article\" data-track=\"inline-tag-auto-link_article\" href=\"https:\/\/metro.co.uk\/tag\/depression\/\" rel=\"nofollow noopener\" target=\"_blank\">depression<\/a> and <a data-ico=\"hyperlink-article\" data-track=\"inline-tag-auto-link_article\" href=\"https:\/\/metro.co.uk\/tag\/anxiety\/\" rel=\"nofollow noopener\" target=\"_blank\">anxiety<\/a> disorders.<\/p>\n<p>The \u2018brain zaps\u2019 (brief,\u00a0electric\u00a0shock-like\u00a0sensations\u00a0in\u00a0the\u00a0head) and \u2018dizziness\u2019 didn\u2019t cause them concern. But the persistence of \u2018weird and vivid dreams\u2019 were apparently becoming extremely distressing.<\/p>\n<p>Describing the dreams as \u2018upsetting\u2019 and emotionally lingering, the user revealed that these nightly-occurrences were having a lasting impact. <\/p>\n<p>So, why is this happening?<\/p>\n<p>Why are vivid dreams a symptom of coming off of sertraline? <\/p>\n<p>Psychologist Dr Nikita Amin tells Metro that the key factor in why this occurs is because of one particular chemical: serotonin.<\/p>\n<p>She explains: \u2018Sertraline is a SSRI which works by increasing serotonin.\u2019<\/p>\n<p>This chemical plays a crucial role in regulating sleep, Dr Amin continues, including REM sleep, the stage most closely associated with dreams.<\/p>\n<p>It might sound counterintuitive, but while serotonin is involved in sleep regulation, increased serotonin activity can suppress REM sleep. As a result, dreams may become less vivid or harder to remember while taking the medication.<\/p>\n<p>Then, when people begin to reduce or stop taking sertraline, this effect can reverse.<\/p>\n<p>As serotonin activity decreases, the brain may temporarily experience more REM sleep \u2014 a phenomenon referred to as \u2018REM rebound.\u2019<\/p>\n<p>Dr Amin explains that this can lead to more intense or vivid dreams as sleep patterns readjust.<\/p>\n<p>The psychologist adds: \u2018Sertraline works on neurotransmitters like serotonin, norepinephrine, and dopamine. Suddenly reducing these levels forces your brain to try and rebalance itself.\u2019<\/p>\n<p>How long do vivid dreams last after coming off of sertraline?<\/p>\n<p>According to Dr Amin, the amount of time it takes for vivid dreams to wear off as a withdrawal symptoms \u2018differs from person to person.\u2019<\/p>\n<p>However, she notes that typically they peak between four and 14 days after stopping the medication.<\/p>\n<p>\u2018They can last for a few weeks. During this time, the brain is trying to adjust to the new levels of sertraline in the body,\u2019 she adds. \u2018Within three to six weeks symptoms tend to subside.\u2019<\/p>\n<p>\t\t<img width=\"646\" height=\"431\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/GettyImages-2180750556.jpg\" class=\"article-image wp-image-27999664\" alt=\"Serene man sleeping soundly in bed at night\" decoding=\"async\" loading=\"lazy\"\/><br \/>\n\t\tVivid dreams can be overwhelming and anxiety-inducing at times (Picture: Getty Images)<br \/>\nAre vivid dreams always frightening?<\/p>\n<p>Words such as \u2018absurd\u2019, \u2018horrible\u2019, \u2018random\u2019, and \u2018shocking\u2019 have all been used online by people who\u2019ve experienced this symptom, with some even describing their vivid dreams as \u2018night terrors\u2019.<\/p>\n<p>However, while this may be true for some individuals, Dr Amin emphasises that not all withdrawal dreams are frightening.<\/p>\n<p>She shares: \u2018Vivid dreams can be blissful. But due to the intensity of them, they can cause confusion upon waking as they feel very real.\u00a0<\/p>\n<p>\u2018Vivid dreams will only become nightmares when they evoke a negative emotion such as fear, anxiety, distress. But they can range from delightful to unsettling.\u2019\u00a0<\/p>\n<p>One user on Reddit, @whenitrainzz, shared that she thinks about her vivid dreams as a way for her brain to \u2018make sense of what\u2019s going on in [her] subconscious mind\u2019.<\/p>\n<p>She adds: \u2018The dreams are very useful for me to arrange my ideas and many times they answer the questions I have in my mind.\u2019<\/p>\n<p>How many people experience withdrawal symptoms?<\/p>\n<p>In 2024, NHS data revealed that Sertraline had been prescribed more than 24 million times in <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/tag\/england\/\" data-track=\"inline-tag-auto-link_article\" rel=\"nofollow noopener\" target=\"_blank\">England<\/a>.<\/p>\n<p>Previously, research had indicated that over half of patients who stopped taking <a data-ico=\"hyperlink-article\" data-track=\"inline-tag-auto-link_article\" href=\"https:\/\/metro.co.uk\/tag\/mental-health\/\" rel=\"nofollow noopener\" target=\"_blank\">mental health<\/a> medication would experience withdrawal symptoms.<\/p>\n<p>\t\t<img width=\"646\" height=\"431\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/04\/GettyImages-2270803781.jpg\" class=\"article-image wp-image-27987536\" alt=\"A depressed woman sits curled up on a gray sofa by a window, hiding her face in her arms. This poignant image captures themes of mental health, loneliness, and emotional distress in a bright room.\" decoding=\"async\" loading=\"lazy\"\/><br \/>\n\t\tWithdrawal symptoms tend to last for between three to six weeks (Picture: Getty Images)<\/p>\n<p>However, this year new analysis of randomised controlled trials published in The Lancet Psychiatry, found that only 15% of patients will experience one or more discontinuation symptoms that are directly caused by stopping the drugs, while around 2-3% will suffer severe symptoms.<\/p>\n<p>Because of this mental <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/tag\/health-news\/\" data-track=\"inline-tag-auto-link_article\" rel=\"nofollow noopener\" target=\"_blank\">health<\/a> professionals urge patients to gradually taper your dose to minimise any potential negative fall-out.<\/p>\n<p>A tapering schedule will be dependent on your current dose, how long you\u2019ve been taking Sertraline, and your individual response. <\/p>\n<p><a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/tag\/doctors\/\" data-track=\"inline-tag-auto-link_article\" rel=\"nofollow noopener\" target=\"_blank\">Doctors<\/a> also encourage individuals to track your symptoms daily.<\/p>\n<p>\t\t\t\t\tWhat do you think is the most common withdrawal symptom?<\/p>\n<p>\t\t\t\t\tSign up to Metro&#8217;s The Slice newsletter for your guide to what&#8217;s on in London, with trusted reviews, offers and giveaways.<\/p>\n<p class=\"metro-more-link\">Arrow<br \/>\nMORE: <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/2026\/04\/18\/new-study-reveals-dream-right-die-28024902\/?ico=more_text_links\" class=\"\" rel=\"nofollow noopener\" target=\"_blank\">This is what you dream about right before you die, according to scientists<\/a><\/p>\n<p class=\"metro-more-link\">Arrow<br \/>\nMORE: <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/2026\/04\/18\/hit-a-truck-wife-noticed-something-beard-2-28000588\/?ico=more_text_links\" class=\"\" rel=\"nofollow noopener\" target=\"_blank\">I was hit by a truck \u2013 then my wife noticed something about my beard<\/a><\/p>\n<p class=\"metro-more-link\">Arrow<br \/>\nMORE: <a data-ico=\"hyperlink-article\" href=\"https:\/\/metro.co.uk\/2026\/04\/14\/nicola-coughlan-actress-a-generation-big-mood-season-2-proves-27840254\/?ico=more_text_links\" class=\"\" rel=\"nofollow noopener\" target=\"_blank\">Nicola Coughlan is an actress of a generation \u2013 Big Mood season 2 proves it<\/a><\/p>\n<p><a class=\"metro-button share-bar-comments\" data-vars-position=\"bottom\" href=\"#metro-comments-container\"><br \/>\n\t\t\tComment now<\/p>\n<p>\t\t\tComments<br \/>\n\t\t<\/a><a data-ico=\"hyperlink-article\" class=\"metro-button share-bar-preferred-source\" data-vars-position=\"bottom\" href=\"https:\/\/google.com\/preferences\/source?q=https:\/\/metro.co.uk\" 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mental&hellip;\n","protected":false},"author":2,"featured_media":539115,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[59,102,655,1906,56,54,55],"class_list":{"0":"post-539114","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-gb","9":"tag-health","10":"tag-lifestyle","11":"tag-mental-health","12":"tag-uk","13":"tag-united-kingdom","14":"tag-unitedkingdom"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/539114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=539114"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/539114\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/539115"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=539114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=539114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=539114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}