Your experience deserves to be heard

Antidepressant Experience – Loved Ones & Lived Experience

This form is collecting stories and data that may be shared in aggregate and/or as testimony to lawmakers in the future. By submitting, you consent to being contacted about your responses.

Contact Information



















Section 1 – Medication Information

1. Which one were you taking? (Select all that apply)












3. Was informed consent given?






Section 2 – Relationship & Life Impact

4. Were there problems in your relationships while on this medication?







5. Did you lose close personal relationships while on this medication?







6. Did you lose a job while on this medication?







7. Did you reinterpret how others felt about you?
(For example: believing they didn’t care, didn’t love you, or were against you.)







8. Did you feel more irritated than usual?





Section 3 – Relationship Perception Shifts (Before vs After)

This section is about how your beliefs about people in your life changed on the medication. Example: “Before: My mother supported me. While on the medication: My mother never supported me / was against me.”

a) Mother (or mother figure)










b) Father (or father figure)










c) Romantic partner (spouse / fiancé / girlfriend / boyfriend)










d) Children (if applicable)










e) Close friend or other important person













10. Do you feel the medication made you see others as less supportive, less loving, or “against you”?









Section 4 – Internal Experience

11. Did you know you were “spellbound” (unable to see clearly that the drug was affecting your thinking/feelings)?





12. Did you feel different, like “not yourself”?














Section 5 – Withdrawal & Physical Effects

15. Did you experience withdrawal symptoms?







16. Did you experience protracted (long-lasting) withdrawal?





17. Did you notice drug-induced symptoms (new symptoms that started after the medication)?







18. Did you experience weight gain?








Section 6 – Tapering / Current Medication Status

19. Are you tapering or stopping the medication? (Select all that apply)









Section 7 – Mood & Thinking

20. Were you depressed before starting the medication?





21. Did the depression get better on the medication?





22. Did you experience a shift in thinking (how you saw yourself, others, or your life)?








Section 8 – Current Status



Thank you for sharing your experience. Your voice is part of a larger effort to show patterns of harm and call for safer prescribing, informed consent, and real accountability.

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