Zoloft Addiction | Symptoms, Effects and Causes

What is zoloft?

Zoloft, known generically as sertraline, is an antidepressant commonly prescribed to treat a range of mental health conditions, including:

  • Depression
  • Anxiety disorders
  • Post-traumatic stress disorder (PTSD)
  • Obsessive-compulsive disorder (OCD)

It belongs to a class of medications known as SSRIs (selective serotonin reuptake inhibitors), which help increase serotonin levels in the brain. Serotonin is a neurotransmitter often referred to as the “feel-good” chemical, and medications like Zoloft aim to stabilise its presence to support mental well-being.

In 2023, sertraline became the most dispensed antidepressant in the UK, with over 23 million tablets prescribed. But with that heavy reliance, a question naturally arises, can you become addicted to Zoloft?

Zoloft-tablet-stripe

Is Zoloft addictive?

From a medical standpoint, Zoloft isn’t considered addictive in the same way as drugs like opioids or benzodiazepines. It doesn’t produce cravings, cause users to build up a tolerance that demands increasing doses or lead to physical dependence in the traditional sense. However, that doesn’t mean it’s completely free from concerns around psychological dependence.

Imagine someone who had been living under a dark cloud of depression: unable to function at work, emotionally detached from loved ones and exhausted by the simplest of daily tasks. Eventually, they’re prescribed Zoloft. The first few weeks are shaky, but things slowly begin to change. They start getting out of bed. They attend social events again. They laugh. They feel like themselves for the first time in years. The medication becomes synonymous with progress, stability and even identity.

Now, after a couple of years on Zoloft, it’s time to taper off. Perhaps life has stabilised or a doctor recommends trying to manage without it. But the mere thought of letting go of the one thing that seemed to turn everything around can stir up anxiety. What if everything falls apart again? What if the depression returns but this time worse?

It’s in this emotional limbo that psychological dependency can form. The fear of being without Zoloft, even when symptoms have improved, can lead someone to cling to the medication for reassurance. The brain might not demand the drug but the mind might. And that’s where the line between use and dependence can begin to blur.

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Is Zoloft withdrawal possible?

While Zoloft doesn’t cause addiction in the physical sense, it’s entirely possible to experience withdrawal symptoms when stopping it, especially if it’s done too abruptly. The medical term for this experience is antidepressant discontinuation syndrome. It happens when the brain, having grown used to the steady presence of a serotonin reuptake inhibitor, struggles to readjust after the drug is removed.

For some, the process is mild. For others, it can be quite uncomfortable and even frightening. These symptoms can appear a few days after the last dose and may last for several weeks, sometimes longer, depending on how long the medication was taken.

Common Zoloft withdrawal symptoms include:

  • Dizziness or light-headedness
  • Nausea and gastrointestinal discomfort
  • Flu-like symptoms
  • Sleep disturbances or vivid dreams
  • Mood swings or irritability
  • Electric shock sensations in the head (often called “brain zaps”)
  • Heightened anxiety or a return of depressive thoughts

These symptoms can feel destabilising, especially when you’re unsure whether what you’re experiencing is part of the withdrawal process or a return of the original condition. For someone already feeling fragile, this can set off a cycle of fear and uncertainty, potentially leading them to go back on the medication just to find relief.

It’s not addiction in the classic sense but it’s easy to understand how someone could feel stuck.

Could you be developing a dependency on Zoloft?

Even if Zoloft has played a helpful role in your life, it’s worth checking in on yourself from time to time to see where you stand with it. If you’ve tried to stop before or felt uneasy at the thought of doing so, these questions might help you reflect:

  1. Have you experienced withdrawal symptoms like anxiety, insomnia or mood swings when trying to taper off?
  2. Do you feel a strong emotional need to keep taking it, even when advised to stop?
  3. Are you hesitant to discuss ending your course with your doctor due to fear of your symptoms returning?
  4. Have you ever taken more than the prescribed dose to maintain its effects?
  5. Do you feel anxious or distressed at the thought of running out of your prescription?

Zoloft-tablets-on-hand

Answering “yes” to any of these might signal a deeper reliance. Support is available to help you explore these thoughts and move forward in a way that feels right for you.

Is there help for Zoloft addiction?

Whether you’re concerned about being emotionally dependent on Zoloft or anxious about coming off it due to past withdrawal experiences, know that there is help available.

There are rehab programmes available that focus specifically on antidepressant dependency. These programmes don’t set out to label someone as an addict. Instead, they aim to support individuals who feel unable to stop using a medication that once helped but now feels like a barrier to moving forward.

In these environments, the process of tapering off Zoloft is done carefully and gradually. A detox phase is carried out under the guidance of experienced professionals, who aim to make the process as comfortable as possible.

The most significant part of the rehab process often comes after detox. Through therapies like cognitive behavioural therapy (CBT) and dialectical behaviour therapy (DBT), individuals learn how to manage emotions without the buffer of medication.

There’s also an aftercare element that can help in case symptoms return or if the fear of slipping back into old patterns lingers. Aftercare might include ongoing therapy, support groups or check-ins with the treatment team to make sure you’re staying on course.

What are the next steps?

If you’re feeling overwhelmed at the thought of coming off Zoloft or unsure whether your relationship with the medication has become more complex than it should be, it may be time to speak to someone who understands.

At Addiction Helper, we connect individuals with rehab centres and support services that specialise in antidepressant dependency. Whether you’re looking to come off the drug completely or simply want support managing withdrawal symptoms, there are options available.

You don’t have to wait until things feel unmanageable. The first step is recognising that this is a challenging time and the second step is knowing that help is out there.

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Our compassionate team are ready and available to take your call, and guide you towards lasting the lasting addiction recovery you deserve.

Frequently Asked Questions

Is it safe to mix Zoloft with alcohol?
Mixing Zoloft with alcohol can increase side effects like drowsiness, dizziness and low mood. It may also reduce the effectiveness of the medication, making it harder to manage your symptoms. It’s best to avoid drinking while on Zoloft.
Will jaw clenching from taking Zoloft go away?
Jaw clenching can occur as a side effect when starting Zoloft. For many people, it eases over time as the body adjusts. If the clenching continues or becomes uncomfortable, speak to your doctor about possible solutions or alternatives.
Is Zoloft used for anxiety treatment?
Yes, Zoloft is commonly prescribed to treat various anxiety disorders, including generalised anxiety disorder, panic disorder and social anxiety. It works by boosting serotonin levels in the brain, which helps to reduce persistent feelings of worry, fear or panic.

(Click here to see works cited)

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  • Gabriel M, Sharma V. Antidepressant discontinuation syndrome. CMAJ. 2017 May 29;189(21):E747. doi: 10.1503/cmaj.160991. PMID: 28554948; PMCID: PMC5449237.