Crossing Zero
Clinical psychologist | PhD in psychiatry Helping people come off psychiatric medication safely Making sense of distress without pathologizing
- Indexed issues, last 90 days
- 7
- Latest publication
- Sep 29, 2026
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- Earliest in this view
- Jul 23, 2026
Latest issues
We don’t see withdrawal because we have already decided what it looks like (opens the original)
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<img alt="" class="sizing-normal" height="1169" src="https://substackcdn.com/image/fetch/$s_!Pxz4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32f89b53-b22f-4aab-b830-848fb097aab5_1600x1285.
It's Q&A time! Live on Zoom (opens the original)
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<img alt="" class="sizing-normal" height="818" src="https://substackcdn.com/image/fetch/$s_!K7-J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F844afbe9-bebe-4676-93e4-0fda13ca6032_3388x1904.pn
Four key withdrawal symptoms explained: Anxiety, depression, fatigue, and difficulty concentrating (opens the original)
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<img alt="" class="sizing-normal" height="971" src="https://substackcdn.com/image/fetch/$s_!e7p8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F979a19b8-2744-4674-b8a1-109b79d1b920_1536x1024.pn
What if the sexual side effects don’t go away? (opens the original)
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When the side effects don’t stopMost people who take antidepressants are probably aware that they can affect sexual functioning. Reduced libido, difficulty reaching orgasm, and changes in sexual sensation are well-known adverse effects of SSRIs.Another part of the story that far fewer people know, however, is that sometimes the sexual problems do not disappear when the drug is stopped.This is generally referred to as PSSD: Post-SSRI Sexual Dysfunction. People describe persistent genital numbness
Q&A recording: August 9 (opens the original)
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On August 9th, we had another AMAZING two-hour Q&A live on Zoom.If you missed it, here’s the recording below.I hope to see you all again for the next one. The date and time will be posted soonFull re… Read more
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