The popular explanation for how antidepressants work—that depression is simply low serotonin and pills refill the tank—is largely false, yet it persisted for decades. This episode unpacks what SSRIs actually do: they block serotonin reuptake within hours, but people don't feel better for weeks because the real mechanism involves the brain remodeling itself and becoming more able to change. The hosts examine what the evidence actually shows about effectiveness, separate mechanism from effect, and debunk five other common myths—from addiction to the idea that one failed medication means none will work. The takeaway is messier and more hopeful than either "miracle pill" or "it's all placebo": these drugs help many people, we don't fully understand why, and they work best alongside therapy, sleep, movement, and human connection.
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