Antidepressants Prompt Reassessment Of Personal Identity

In a Your Mileage May Vary advice column, a reader asks whether to stop long-term antidepressants, and the columnist summarizes evidence that antidepressants make patients about 25% more likely to improve than placebo while mechanisms remain uncertain. The column introduces Alice Malpass’s 'medication career' and 'moral career' framework to frame identity concerns, argues there is no obligation to stop, and advises consulting clinicians to weigh trade-offs and taper safely.